About Tommy
Tommy Fletcher helps people facing stress, anxiety, trauma and abuse, relationship and intimacy concerns, low self-esteem, depression, and addiction. He also supports those coping with grief, career changes, sleep or eating struggles, and compassion fatigue. Tommy offers a calm, straightforward style that aims to make difficult topics easier to talk about.
Tommy holds a Licensed Independent Clinical Social Worker credential in Washington state and practices as an LCSW in New Mexico.
Background and approach
He has ten years of clinical experience and decades of prior work in social service roles dating back to the 1980s. That background includes work within legal settings, which shaped his practical approach to helping people find manageable steps forward.
In sessions Tommy works with clients to name what matters to them, notice unhelpful patterns, and try new actions that match their values. He draws from approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Emotionally-Focused techniques to tailor sessions to each person’s needs. Conversations are direct but warm, aiming to build useful skills alongside emotional understanding.
Tommy is comfortable addressing relationship struggles and broad family-of-origin issues, as well as concerns tied to identity and community. He also provides support around adoption and foster care, aging and geriatric concerns, and other complex life situations. Sessions are available by video, phone, live chat, or text messaging to fit different schedules.
He works in New Mexico and offers services in English.
Therapeutic approaches and online care
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small committed steps toward those values, even when uncomfortable thoughts or feelings show up. Cognitive Behavioral Therapy (CBT) focuses on noticing unhelpful thought patterns and trying new behaviors to change mood and functioning. Emotionally-Focused Therapy (EFT) centers on understanding emotional responses in close relationships and learning new ways to connect and communicate.
Finding the right approach is part of the work. Tommy will collaborate with each person to choose or combine methods that fit their goals and preferences. That means checking in about what feels useful, adjusting techniques over time, and building a plan together.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video calls are useful for face-to-face conversation and visual cues, phone sessions can be easier when bandwidth is limited, live chat supports shorter check-ins, and text messaging lets people reflect between sessions. These options help people fit therapy around work, caregiving, and other daily demands while keeping the focus on practical skills and emotional progress.
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Specialties and expertise
Top specialties
Also works with
- 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
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Washington, New Mexico
- Languages
- English