Tommy Fletcher, LICSW, LCSW

Washington · 10 years in practice

Tommy Fletcher helps people who are dealing with stress, anxiety, trauma, relationship and intimacy concerns, low self-esteem, depression, and addiction.

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 the license with the issuing state board, and the NPI with the national registry.

About Tommy

Tommy Fletcher helps people who are dealing with stress, anxiety, trauma, relationship and intimacy concerns, low self-esteem, depression, and addiction. He also supports people facing grief, career transitions, sleep and eating struggles, and compassion fatigue. Tommy is a licensed clinical social worker with a decade of professional experience and practices in New Mexico.

Tommy uses straightforward, conversational sessions. He asks about what matters most to each person and focuses on practical steps that fit daily life.

Background and approach

He values the strengths clients already bring and works alongside them to change patterns that cause pain. His approach blends Emotionally-Focused Therapy with acceptance and mindfulness-based ideas and cognitive strategies. That mix helps people notice feelings, test new behaviors, and commit to values-based choices.

Sessions can include skills practice, notice-and-name work with emotions, and clear problem-solving for everyday challenges. Tommy draws on years of social work and experience across a range of settings including the legal system. He has worked with individuals, couples, teens, and groups in past roles and brings that background to bear when helping people untangle complex life issues.

He keeps sessions practical and focused on what clients want to change. People who choose Tommy often want a therapist who listens, asks direct questions, and offers usable strategies. He offers sessions during daytime and evening hours Monday through Thursday and conducts therapy in English in New Mexico.

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

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 Tommy’s Approaches Work Online

Emotionally-Focused Therapy helps people notice and name their core emotions, then practice new ways of responding in relationships and personal life. It is useful for intimacy concerns and patterns that keep repeating.

Acceptance and Commitment Therapy focuses on values and committed action. It teaches simple exercises to notice thoughts without getting stuck and to take steps that match what matters most to you.

Finding the right approach is part of the work. Tommy will talk with clients about goals and preferences and together decide which methods to emphasize. He adapts sessions based on what’s helping and what needs to change so therapy stays collaborative and practical.

Online sessions are available by video call, phone, live chat, or text-based messaging. Video calls let people work face-to-face from wherever they are, phone sessions use less bandwidth and can fit into a work break, chat offers a shorter check-in, and messaging supports ongoing reflection between sessions. These options aim to make it easier to get regular help around busy schedules and life demands.

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Questions people ask

What concerns does Tommy help with?

He helps people with stress, anxiety, trauma and abuse, intimacy and relationship issues, low self-esteem, depression, addictions, grief, sleep and eating problems, career changes, and compassion fatigue.

What is his therapeutic style like?

Sessions are conversational and practical. He listens closely, names emotions, and offers skills and steps you can try between meetings.

How much experience does he have?

He has 10 years of professional counseling experience and many prior roles in social work dating back to 1987, including work in legal settings.

What credentials and location apply?

He holds LICSW and LCSW credentials, with licensing noted as WA LICSW and NM LCSW, and practices in New Mexico.

Which languages and international arrangements are supported?

Sessions are offered in English. He is not accepting international clients.

What session formats are available?

Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin working with him?

Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

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