Tommy Fletcher, LICSW, LCSW

Tommy Fletcher is a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Clinical Social Worker (LCSW) practicing in New Mexico. He works with people facing midlife transitions and related concerns such as stress, anxiety, depression, relationship strain, grief, and sleep or eating difficulties. Tommy also supports those dealing with trauma and abuse, addictions, intimacy issues, and self-esteem challenges. He frames starting therapy as a brave choice and acknowledges that people bring strengths to the work.

Tommy draws on a mix of therapeutic styles to match what each person needs. He uses approaches like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered methods to help people notice patterns, test new ways of responding, and build useful skills. He also brings techniques from Dialectical Behavior Therapy and Emotionally-Focused Therapy when relationships and emotion regulation are central.

Tommy has ten years of counseling experience and a longer background in social work that includes roles in the legal system dating back to 1987. That history shapes a practical, down-to-earth style in sessions. He tends to focus on clear goals, coping tools, and steps you can try between meetings.

Sessions happen on a schedule worked out with the client, and he offers daytime and evening hours Monday through Thursday. Sessions use a subscription model that can be canceled at any time, and fees vary by location and therapist availability. Please confirm current session options before booking.

Tommy conducts therapy in English and works with adults and teens in individual and couples formats as described in his background. To begin, users complete a short matching questionnaire and schedule according to the therapist's availability.

How therapeutic approaches fit into online work

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without being ruled by them, then choose actions that match their values. It is useful for stress, anxiety, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and practicing specific strategies to change them, which often helps with depression, anxiety, and sleep or eating problems. Client-Centered Therapy centers on empathy and listening so people can find their own solutions and grow confidence in making changes.

Finding the right approach is usually a collaborative process. The therapist will talk with the client about their goals, try different methods, and adjust the plan as needed. Clients are invited to share what feels most helpful so sessions match their needs and preferences.

Practical benefits of online therapy depend on the session options offered, so confirm current formats before booking. Online work can make it easier to fit sessions into a busy week, shorten travel time, and allow for daytime or evening appointments that match routine schedules. It can also let people choose quieter surroundings or use a phone visit when less bandwidth is available. Licensed professionals use these approaches to support work on relationships, trauma, stress, and midlife transitions through the modes the therapist currently provides.