About Tommy
Tommy Fletcher helps people handle stress, anxiety, trauma, and relationship concerns. He also supports work on self-esteem, depression, addictions, grief, sleep and eating problems, and challenges around intimacy. Tommy is a Licensed Independent Clinical Social Worker and a Licensed Clinical Social Worker with ten years of clinical experience in New Mexico and additional licensure history in Washington state.
His approach is direct and collaborative. Sessions focus on building practical skills for day-to-day life.
How Tommy works
He listens for what matters most and helps people test new ways of coping that fit their lives. Tommy draws on several therapy styles to match a person's needs. He uses cognitive behavioral tools to spot patterns of thinking and make small, testable changes.
He uses acceptance-based methods to help people live by their values even when emotions are hard. He also brings client-centered practices that prioritize a respectful, nonjudgmental connection in the room. This helps people feel heard and more willing to try new strategies.
In sessions he mixes skill teaching with reflection and problem-solving. Tommy has worked in social work roles since the late 1980s and has experience in legal system settings. That background informs his practical focus and calm presence.
He offers daytime and evening appointments Monday through Thursday and conducts sessions by video call, phone, chat, or text messaging.
Tommy lists 11 ways of working on the entry:
What Tommy works with
The areas below are the ones Tommy selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Addictions
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Blended family issues
- Body image
- Career difficulties
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Domestic violence
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
Training and background
| Registers | LICSW, LCSW |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New Mexico |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapy approaches and how they work online
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values, even when difficult thoughts or feelings appear. It can be useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce symptoms and improve daily functioning. It is often used for anxiety, stress, and mood concerns. Client-Centered Therapy centers the person's experience and aims to build a respectful, nonjudgmental relationship that supports change at the person's own pace.Choosing the right approach is part of the work. Tommy will talk with each person about goals and preferences, then tailor methods to fit those aims. That collaborative process helps decide whether ACT, CBT, client-centered techniques, or a mix will best match what a person needs.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video calls let people use visual cues and deeper conversation, phone sessions can be easier when bandwidth is limited, live chat and messaging work well for quick check-ins or when writing feels more natural. These options let people fit care into busy schedules and keep progress moving between appointments.
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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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