- ACT and CBT
- DBT skills
- Emotion-focused work
About Tommy
Tommy Fletcher is a Licensed Independent Clinical Social Worker (LICSW) in Washington and a Licensed Clinical Social Worker (LCSW) in New Mexico with ten years of professional counseling experience. He works with adults on concerns such as stress, anxiety, trauma and abuse, intimacy-related issues, self-esteem, depression, addictions, relationship problems, grief, and coping with life changes. Tommy also notes experience with LGBT issues and compassion fatigue.
He uses straightforward, collaborative care and treats the person as the expert on their own story. Sessions focus on noticing what keeps someone stuck - thoughts, behaviors, or patterns - and opening small, practical options for change. He encourages clear goals and uses tools drawn from several therapeutic approaches to support progress.
Tommy’s background includes long experience in social work dating back to 1987 and work in the legal system. That history informs how he talks through complicated life events and systems stress. He has worked with individuals, groups, and couples and brings that range into one-on-one sessions.
In session he emphasizes skills you can use between meetings and attention to relationship and attachment dynamics when relevant. He draws on methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and client-centered approaches. The practical aim is clearer thinking, steadier emotion, and more workable ways to relate to others.
Tommy offers appointments in daytime and evening blocks Monday through Thursday. Before booking, confirm the current session formats and scheduling details through the platform.
How his approaches translate to online work
Tommy often combines Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in practical ways. ACT focuses on clarifying what matters to a person and using committed action even when uncomfortable thoughts or feelings appear. CBT looks at the links between thoughts, behaviors, and mood and introduces experiments and skills to test new ways of acting.He also draws on Dialectical Behavior Therapy skills for emotional regulation and interpersonal effectiveness when strong emotions or relationship patterns are central. DBT skills help with steadying emotion, handling urges, and improving communication in tense moments.
Finding the right approach is part of the work. He treats the choice as collaborative, matching methods to a client's goals, preferences, and current problems. Goals are discussed and adjusted as therapy unfolds so the plan stays relevant.
The biography does not list specific session formats, so confirm available options before booking. Online sessions can make it easier to fit counseling into a weekday routine, allow shorter check-ins when needed, or avoid travel time. In practice this can mean planning sessions around work hours, using a phone or video option that fits your day, and focusing on skills and short exercises you can use between meetings.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Washington, New Mexico
Languages
English
Frequently asked questions
What kinds of problems does he help with?
He works with stress, anxiety, trauma and abuse, intimacy-related issues, self-esteem, depression, addictions, relationship and family concerns, grief, and coping with life changes.
How does he approach feelings of guilt or shame?
Tommy uses practical, skills-based work along with client-centered conversation to name and move through guilt or shame without assigning blame.
What experience does he bring?
He has ten years of professional counseling experience and earlier social work roles dating back to 1987, plus experience working in the legal system.
Where is he licensed and located?
He holds WA LICSW and NM LCSW credentials and practices from New Mexico.
Are sessions offered in other languages or internationally?
Sessions are offered in English and he does not accept international clients.
What session formats are available?
The original biography does not specify session formats; confirm current session options before booking.
How is cost handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.