Tommy Fletcher, LICSW, LCSW

Tommy Fletcher is a licensed social worker based in New Mexico who helps people dealing with stress, anxiety, trauma and abuse, intimacy concerns, and self-esteem struggles. He also supports clients facing depression, addictions, relationship and family concerns, grief, sleep and eating issues, and career or life transitions. Tommy brings ten years of clinical experience to his practice and approaches work with adults and teens and with individuals and couples.

Tommy draws on a mix of practical methods to help people change unhelpful patterns. He uses Acceptance and Commitment Therapy to help clients clarify values and take meaningful action. Cognitive Behavioral Therapy is used to identify and shift thinking that fuels anxiety or low mood. Client-Centered Therapy provides a space where the client's perspective guides the goals and pace.

His background includes long-term social work roles and several years working within the legal system. That history shaped his focus on clear problem-solving, managing stress, and addressing trauma-related concerns. He emphasizes strengths and the client’s own knowledge of their story.

Sessions are offered in English and are scheduled during daytime and evening hours Monday through Thursday. Tommy notes that starting therapy takes courage and aims to make the first steps straightforward for people ready to try. He works collaboratively to set goals and choose approaches that fit each person’s needs.

People who are curious about addressing control issues, codependency, commitment problems, or compassion fatigue will find these topics are within his scope. Other focus areas include adoption and foster care concerns, aging and geriatric issues, body image, and family of origin issues.

How these approaches translate to online work

Acceptance and Commitment Therapy helps people identify what matters most to them and take small actions that align with those values. It’s often used for anxiety, avoidance, and life transitions where choosing values-based steps can reduce stuckness.

Cognitive Behavioral Therapy focuses on the link between thoughts, feelings, and behavior. It involves noticing patterns, testing unhelpful beliefs, and practicing different responses to lower anxiety and improve mood.

Finding the right approach is a collaborative process. The therapist will work with the client to decide whether ACT, CBT, or another approach fits best based on goals, preferences, and what feels most useful in early sessions.

Online therapy can make it easier to fit sessions into a busy life, such as scheduling appointments during a work break or after daytime responsibilities. If you are considering remote work with this clinician, confirm the specific session formats before booking so you know what options are available. The focus in online sessions is the same as in person - setting clear goals, practicing skills between meetings, and checking progress over time.