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Tommy Fletcher

Tommy Fletcher

LICSW, LCSW

Compassionate care with practical mindfulness

Areas of expertise

Primary focus

Also works with

AddictionsLGBTRelationship issuesFamily conflictsGriefEating disordersSleeping disordersCareer difficultiesCoping with life changesCompassion fatigue

Additional focus areas

Adoption and foster careAging and geriatric issuesAntisocial personalityBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDomestic violenceEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobia

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Jungian TherapyMindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

10+ years

Credentials

Washington, New Mexico

Languages

English

Licenses listed

  • LICSW, WashingtonLW00004883
  • LCSW, New MexicoSWB-2023-0367
  • NPI 1659425619

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

  • Mindfulness-based techniques
  • Acceptance and commitment
  • Collaborative style

About Tommy

Tommy Fletcher is a licensed clinical social worker practicing in New Mexico. He holds LICSW and LCSW credentials and brings ten years of recent counseling experience working with adults and teens. He helps people who are feeling overwhelmed by stress, anxiety, depression, grief, relationship problems, and issues with intimacy or self-esteem.

Tommy draws on straightforward, practical methods in session. He uses mindfulness practices alongside cognitive and behavioral tools to help people notice patterns and try different ways of responding. He also blends elements of acceptance and commitment work, dialectical behavior ideas, and a client-centered stance to match each person’s needs.

His background includes many years of social work and experience within the legal system, which shaped his calm, problem-solving approach. He encourages clients to see their own strengths and to treat therapy as a place to practice new habits rather than a quick fix.

Sessions are offered during daytime and evening hours Monday through Thursday. Tommy asks new clients to complete a short matching questionnaire and then schedule based on therapist availability. He does not take international clients and works in English.

People who choose him often want clear tools for coping, steady support after trauma, or help managing life changes such as career shifts, caregiving, or recovery from loss. He emphasizes small steps and collaborative planning to make progress feel doable.

How mindfulness and practical therapies translate to online work

Tommy uses Mindfulness Therapy to help people build awareness of thoughts, feelings, and bodily sensations so they can choose different responses. This approach can be useful for anxiety, stress, and coping with trauma by teaching grounding and present-moment skills.

He also uses Acceptance and Commitment Therapy, which focuses on clarifying values and taking small committed actions even when emotions are difficult. Cognitive Behavioral Therapy is part of his toolkit too, providing concrete exercises to change unhelpful thoughts and routines that keep problems going.

Finding the right mix of approaches is a collaborative process. Tommy works with each person to decide which tools fit their goals, and he adjusts techniques as needs change. Clients shape the pace and focus of sessions so the work stays relevant to daily life.

If you are considering online sessions, confirm the offered session formats before booking since specific formats are not listed here. Online work can make it easier to fit therapy into a busy schedule, offer shorter check-ins when time is limited, and let people practice skills in the contexts where they live their lives. Licensed professionals can adapt mindfulness and CBT exercises to an online setting so the work still focuses on building skills and managing symptoms without promising particular outcomes.

These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.

Frequently asked questions

What kinds of problems does Tommy help with?

Therapy focuses on stress, anxiety, trauma and abuse, depression, addictions, relationship and intimacy issues, self-esteem, grief, eating and sleeping concerns, career and life changes, and compassion fatigue.

What is his therapeutic style like?

He uses a practical, down-to-earth style that blends mindfulness, cognitive-behavioral tools, and client-centered conversation to help people try new ways of coping.

How much experience does he have?

He has ten years of more recent counseling experience and many earlier roles in social work and the legal system that inform his approach.

Where is he licensed and located?

He is licensed as an LICSW in Washington and as an LCSW in New Mexico and practices in New Mexico.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with him?

He is not currently accepting international clients.

How are sessions scheduled and paid for?

Session cost varies with location and therapist availability; services use a subscription that can be canceled at any time.

What do I need to do to start?

Click the Start Therapy button, complete a short matching questionnaire, and then schedule a session according to the therapist's availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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