Tommy Fletcher, LICSW, LCSW

Tommy Fletcher is a Licensed Independent Clinical Social Worker (LICSW) and Licensed Clinical Social Worker (LCSW) practicing in New Mexico. He helps people who are struggling with stress, anxiety, depression, trauma and abuse, intimacy-related concerns, and issues with self-esteem. He also addresses relationship and grief challenges and supports people dealing with addictions, sleeping or eating troubles, career pressures, and compassion fatigue.

Tommy has about 10 years of professional counseling experience and a long history of social work roles dating back to 1987. He has worked in settings that included the legal system, and he has provided care to individuals, groups, teens, and couples. He emphasizes that each person brings strengths and knowledge about their own life, and he invites clients to build on those strengths in therapy.

Sessions focus on practical steps and honest conversation. He uses a mix of approaches to match what a person needs in the room. Tommy aims to help people notice unhelpful patterns, try manageable changes, and practice skills between sessions.

He offers appointments during the day and evening Monday through Thursday. The first step is a short matching questionnaire to help pair a person with the right support. Tommy encourages people to reach out even when starting feels hard.

Background and approach: Tommy draws from several clinical methods, including cognitive and emotion-focused work, acceptance-based ideas, and skill-based therapies. He blends these tools to suit each person's goals. If someone is coping with loss, trauma, intimacy worries, or life transitions, he works with them to set clear steps and realistic goals. He supports clients as they try new behaviors and reflect on what does and does not help.

Therapeutic approaches and online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions toward those values despite difficult thoughts or feelings. It can help with anxiety, avoidance, and motivation struggles. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviors to reduce symptoms like anxiety and depression. It emphasizes practical exercises and homework to practice new skills. Emotionally-Focused Therapy (EFT) centers on understanding emotional responses and improving how people express and respond to feelings in close relationships; it can help with intimacy-related concerns.

Choosing the right approach is a collaborative process. The therapist will work with each person to figure out which methods best match their goals, preferences, and current challenges. That choice can be adjusted over time as progress is made or needs change.

Practical benefits of online therapy include easier scheduling and fitting sessions into a busy week. Online work can reduce travel time and make it simpler to keep regular appointments during day or evening hours. Because session formats are not explicitly listed in the biography, confirm current session options before booking to know what is offered. Many people find that remote sessions let them practice new skills in everyday routines and check in more consistently with a licensed professional.