About Vicki
Vicki Alexander Hess helps people facing stress, anxiety, grief, and life changes. She focuses on the day-to-day struggles that get in the way of feeling steady. Vicki keeps conversations straightforward and tailors support to each person’s situation.
She is a licensed clinical social worker - LCSW - practicing in California. Her work often centers on trauma and abuse, LGBT concerns, addictions, and compassion fatigue. She also supports people dealing with career pressures, intimacy issues, sleep problems, anger, and low self-esteem.
Background and approach
Vicki draws on practical tools to help people manage symptoms and make small, steady changes. Vicki uses Cognitive Behavioral Therapy and mindfulness practices to help people spot unhelpful patterns and try new responses. She also uses motivational interviewing to build motivation for change and solution-focused work to set clear, reachable goals.
Internal Family Systems informs how she looks at inner parts and their roles. Sessions are shaped around what each person needs. Vicki listens first, then helps build a plan that fits day-to-day life.
The tone is respectful, direct, and compassionate rather than clinical jargon-heavy. She has five years of professional experience and holds a California LCSW license, number CA LCSW 82877. Care is offered in English and delivered through a mix of video calls, phone sessions, live chat, and text-based messaging to suit different schedules.
Approaches you can use in online sessions
Vicki often blends Cognitive Behavioral Therapy and Mindfulness Therapy to help people change unhelpful thoughts and stay grounded in the present. CBT focuses on identifying thought and behavior patterns that keep problems going and then testing small, practical experiments to shift them. Mindfulness Therapy teaches simple attention and breathing practices that reduce reactivity and help with anxiety, stress, and sleep problems.She also draws on Motivational Interviewing to help people clarify what matters to them and build motivation for change. That approach is collaborative and nonjudgmental, and it works well when someone is unsure about next steps. Throughout the process she will work with the person to decide which approaches feel most useful and adjust over time based on needs and goals.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different routines and comfort levels. Video lets you use visual cues and longer conversations. Phone sessions are often easier when bandwidth is limited or a quieter check-in is needed. Messaging can work for brief updates, goal reminders, or steady support between longer sessions. These options make therapy more flexible and easier to fit around work, family, and daily life.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Addictions
- Adoption and foster care
- Anger management
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Prejudice and discrimination
- Self esteem
- Self-harm
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 5 years
- Licensed
- California
- Languages
- English