Tommy Fletcher, LICSW, LCSW

Tommy Fletcher is a licensed clinical social worker who helps people manage stress, anxiety, trauma, relationship and intimacy concerns, and struggles with depression and self-esteem. He also supports those facing addiction, grief, career transitions, sleeping and eating difficulties, and compassion fatigue. Tommy practices in New Mexico and brings a straightforward, respectful approach to conversations about change.

He listens first and helps people name what matters to them. Tommy uses practical tools from cognitive behavioral approaches alongside acceptance-based and emotion-focused ideas. Sessions aim to clarify values, build coping skills, and reduce patterns that get in the way of daily functioning.

With ten years of formal counseling experience and many earlier social work roles dating back to 1987, he draws on a wide background that includes work within the legal system. That history shapes a calm, problem-solving style and comfort addressing complex life stressors. He treats adults and teens in individual and couples formats, and he has led groups in past roles.

Tommy encourages clients to see their own strengths and to try small changes that add up. He works with issues related to family of origin, blended family concerns, adoption and foster care, and aging and geriatric issues when they come up in therapy. He emphasizes clear goals and regular check-ins to track progress.

Practical matters are part of the conversation. Sessions are available Monday through Thursday, daytime and evening hours. He asks people to take the first step by completing a short questionnaire and scheduling a time that fits their life.

How therapeutic approaches guide online work

Acceptance and Commitment Therapy, or ACT, focuses on helping people live by their values. It teaches ways to accept difficult thoughts and move toward actions that matter, which can help with anxiety, depression, and coping with life changes.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. It uses practical exercises and skill practice to reduce unhelpful thinking and change behaviors that maintain problems like anxiety, sleep issues, and low mood.

Finding the right way of working is part of the process. The therapist collaborates with each person to choose approaches that match goals, strengths, and preferences. That means trying methods, reviewing progress, and adjusting tactics together over time.

If you are considering online sessions, confirm the exact formats before booking since the profile does not list them. Many people find remote work useful because it can fit into a busy day, allow shorter check-ins, or reduce time spent traveling. Online sessions can make it easier to meet in evenings or daytime hours and to maintain continuity during life transitions. Licensed professionals can adapt ACT and CBT exercises for remote sessions to practice skills, set values-based goals, and review homework between meetings.