Thérèse Fletcher, LCSW

Thérèse Fletcher is a Licensed Clinical Social Worker (LCSW) with 13 years of experience. She focuses on helping people navigate relationship strain, grief, anxiety, stress, and life changes. Her style aims to be practical and respectful, and she meets people where they are so they can set useful goals.

She has spent much of her career supporting people in urban settings and in medical and social services roles. That background informs how she approaches challenges tied to chronic illness, caregiving, cancer, hospice and end-of-life concerns. She also works with issues like adoption and foster care, aging and geriatric matters, and caregiver stress.

Thérèse uses methods that emphasize the client's strengths and real-life solutions. She blends client-centered conversations with cognitive behavioral techniques and mindfulness practices. Narrative and solution-focused ideas are included to help people reframe painful stories and take clear steps forward.

Sessions can be geared toward short-term, solution-oriented work or longer-term emotional processing depending on the person’s goals. She describes therapy as a partnership and offers support for practical problems such as work, money concerns, parenting strain, and sleep difficulties as well as emotional concerns like depression, anger, guilt, and shame.

People who reach out will find a clinician who aims to be nonjudgmental and encouraging. Thérèse emphasizes accountability, skill-building, and small, achievable changes to make life more satisfying over time.

How her approaches translate to online therapy

Client-Centered Therapy focuses on listening closely and building a respectful relationship. The therapist follows the person's lead, reflects concerns, and helps set goals that feel right for them. Cognitive Behavioral Therapy (CBT) looks at patterns between thoughts, feelings, and behaviors and uses simple exercises to change unhelpful habits; it can help with anxiety, depression, sleep, and stress. Mindfulness Therapy teaches gentle attention to the present moment and practical ways to reduce reactivity and calm the mind, which is useful for stress, anger, and coping with chronic illness.

Finding the best approach is part of the work. Thérèse will collaborate with the person to decide which methods fit their needs and goals. That may mean trying short-term solution-focused steps first, or mixing CBT and mindfulness with deeper narrative work over time.

The original biography does not list specific online session formats, so confirm current options before booking. In general, online therapy can make it easier to fit sessions around work, medical appointments, caregiving, or travel. It also allows for shorter check-ins when needed and avoids travel time, which helps people keep therapy consistent during busy or difficult seasons.