About Fred
Fred Lombardo helps people facing stress, anxiety, relationship struggles, and low self-esteem. He works with concerns like career strain, intimacy-related issues, sleeping problems, compassion fatigue, and ADHD. Fred is a California LCSW with 35 years of professional experience.
He begins by listening closely and treating each person as the expert on their own life. Sessions focus on clear goals, practical steps, and building on strengths the person already has. He uses straightforward talk and real-world strategies rather than jargon.
How Fred works
Fred blends several approaches to match what a person needs. Cognitive Behavioral Therapy helps spot unhelpful thinking patterns that keep anxiety and panic going. Client-centered work creates space to explore feelings at a pace that feels comfortable.
Mindfulness practices are used to calm the body and reduce reactivity when stress spikes. Motivational Interviewing can help when someone is stuck or finding change difficult. Psychodynamic ideas may be drawn on to understand repeating patterns that affect relationships.
In sessions, Fred aims to make plans that fit daily life. He will work with people on communication problems, control issues, jealousy, social anxiety, and coping with life changes. The focus is on small, achievable steps and steady progress.
People who want to begin are guided through a simple intake process and scheduling. Fred supports each person toward clearer thinking, better coping, and greater confidence over time.
Fred lists 6 ways of working on the entry:
What Fred works with
The areas below are the ones Fred selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- ADHD
- Career difficulties
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Family conflicts
- Intimacy-related issues
- Jealousy
- Panic disorder and panic attacks
- Sleeping disorders
- Social anxiety and phobia
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 35 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | California |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online care
Client-Centered Therapy focuses on listening and understanding each person's perspective. It creates a space to explore feelings and goals at a comfortable pace and is useful for relationship stress, low self-esteem, and life transitions.Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors that keep anxiety and panic going. It uses exercises and homework to build new habits and can help with social anxiety, panic attacks, and sleeping problems.
Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and improve focus. These techniques are practical for stress, compassion fatigue, and coping with change.
Finding the right approach is part of the work. Fred will collaborate with each person to choose methods that match their needs, goals, and comfort level. That choice can change over time as progress is made.
Online formats make regular work easier to fit into life. Video calls let people use visual cues during deeper conversations. Phone sessions can be useful when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging support quick reflections, brief coaching, and follow-up between sessions. These options offer flexibility and make it easier to keep momentum toward goals.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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