Tommy Fletcher

Tommy Fletcher is a licensed clinical social worker practicing in New Mexico. He holds LICSW and LCSW credentials and brings a decade of direct counseling experience. He helps people who are coping with stress, anxiety, depression, trauma, relationship and intimacy concerns, addictions, grief, and a range of life transitions. Tommy frames therapy around each person’s story and strengths. He listens first, then works with clients to challenge unhelpful thoughts and habits. Sessions often include practical skills for managing emotions, improving communication, and rebuilding confidence. His background spans many social work roles and years of work that included interactions with the legal system. That variety informs a pragmatic style that balances warm listening with clear techniques from several different approaches. People who want structured tools alongside reflective conversation may find this helpful. Tommy uses methods drawn from Acceptance and Commitment Therapy, cognitive behavioral techniques, dialectical behavior therapy skills, emotionally focused work, and client-centered approaches. He adapts these to fit individual goals rather than following a fixed program. Appointments are offered during day and evening hours Monday through Thursday. He works with adults and teens and supports people facing a wide range of concerns, including issues related to adoption and foster care, aging challenges, body image, codependency, and family of origin matters. To begin, prospective clients are asked to use the site’s Start Therapy process to match and schedule.

How these approaches can work online

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then commit to actions that match their values. It can be useful for anxiety, depression, and people facing life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking patterns and behaviors through clear exercises and practice. It often helps with anxiety, depression, and sleep or eating concerns. Dialectical Behavior Therapy (DBT) offers skills for emotion regulation, distress tolerance, and better interpersonal communication, which can be helpful for overwhelming emotions and relationship challenges.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit best for their goals and preferences. Sessions can mix techniques so the plan changes as progress is made.

The biography does not specify which online session formats are used, so confirm current options before booking. Many people find virtual sessions easier to fit into busy schedules, allow shorter check-ins when needed, or reduce travel time. Online work also makes it straightforward to practice skills between sessions and to bring real-life situations into discussion. Licensed professionals can adapt ACT, CBT, and DBT techniques effectively in remote sessions when needed.