Tommy Fletcher, LICSW, LCSW
Licensed in Washington · 10 years in practice
Tommy Fletcher helps people facing stress, anxiety, depression, trauma and relationship concerns.
License and registration
- LICSW, Washington
- LW00004883 · expires October 2026
- LCSW, New Mexico
- SWB-2023-0367 · expires July 2026
- NPI
- 1659425619 · national provider identifier
- Years in practice
- 10
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Tommy
Tommy Fletcher helps people facing stress, anxiety, depression, trauma and relationship concerns. He works with issues such as intimacy, self-esteem, grief, addiction, sleep and eating struggles. He also supports people dealing with career changes, compassion fatigue, and challenges related to adoption or family of origin.
Tommy is a licensed clinical social worker in New Mexico and Washington state. He brings ten years of focused counseling experience to online and phone formats.
Background and approach
He sees adults and uses straightforward language to make sessions easy to follow. In sessions he listens first and asks practical questions about what the person wants to change. He draws on approaches like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Emotionally-Focused Therapy to build small, doable steps.
Therapy often includes tracking patterns, trying new behavior, and checking what actually helps day to day. Tommy’s background includes many years in social work and roles that intersected with the legal system. That experience shaped a calm, problem-solving style that aims to reduce overwhelm and restore a sense of control.
He treats clients as the experts on their own lives and helps people find strengths within hard situations. Sessions are available by video, phone, live chat, or text messaging. Tommy encourages people to start with a short matching questionnaire and schedule a time that fits their routine.
He focuses on clear goals and practical steps people can use between sessions.
Focus areas and approaches
Everything Tommy lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Intimacy-related issues
- Self esteem
- Depression
- Addictions
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Eating disorders
- Sleeping disorders
- Career difficulties
- Coping with life changes
- Compassion fatigue
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
Approaches Tommy names
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How therapy approaches translate to online care
Acceptance and Commitment Therapy (ACT) focuses on helping people notice their thoughts and values, then take small actions that matter to them. It can help with anxiety, depression, and difficulties where avoidance keeps someone stuck.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings and actions interact. Sessions often include tracking patterns and practicing new behaviors to reduce symptoms like panic, low mood, and sleep problems.
Emotionally-Focused Therapy (EFT) helps people name and work through core emotions that shape relationships and self-worth. It can be useful for intimacy issues, grief, and restoring connection to oneself and others.
Finding the right approach is a joint effort. The therapist will explore the client’s goals, try techniques, and adjust based on what helps. That collaborative process helps tailor treatment to each person's needs and preferences.
Online formats offer practical flexibility. Video calls let you have face-to-face conversation when visual cues matter. Phone sessions use less bandwidth and can fit a break at work. Live chat or text messaging supports brief check-ins, skill practice, and notes between sessions. Together these options make it easier to keep therapy consistent while fitting it around daily life.
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Questions people ask
What concerns does Tommy work on?
He helps people with stress, anxiety, depression, trauma and abuse, intimacy-related issues, self-esteem, addictions, grief, relationship and family concerns, eating and sleeping problems, career changes, and compassion fatigue.
How would you describe the therapy style?
Sessions are practical and straightforward. He listens, asks clear questions, and helps people try small changes between meetings.
What is Tommy's professional background?
He has ten years of focused counseling experience and many earlier social work roles, including work that intersected with the legal system.
Where is Tommy licensed and located?
He is licensed as WA LICSW and NM LCSW and practices from New Mexico.
What languages are supported?
Sessions are offered in English.
What session formats are offered?
Therapy is available via video calls, phone sessions, live chat, and text-based messaging.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with Tommy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.
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