Alisha Fletcher, MD, LCSW-C

Approaches and online care that fit your life

Alisha uses evidence-based therapeutic techniques that focus on skills and practical change. One common approach she uses teaches concrete coping skills for managing anxiety and stress, such as breathing, grounding, and stepwise exposure to feared situations to reduce avoidance. These techniques help people regain routine and handle triggers more confidently.

She also works with strategies that address mood and grief by helping people re-establish daily structure, re-engage in meaningful activity, and process losses at a manageable pace. These methods are useful for depression, bereavement, and times when motivation feels low. A third area focuses on relationship patterns and attachment concerns, helping people notice repeated interactions and try new communication habits that feel less distressing.

Finding the right mix of approaches is part of the work. The therapist collaborates with each person to choose techniques that match their goals, preferences, and life situation. That selection can change over time as needs shift, and sessions are adjusted together to keep progress practical and relevant.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs. Video lets you see facial cues during deeper conversations, phone calls can work when bandwidth is limited, chat is useful for quick check-ins, and messaging supports short reflections between live sessions. These options make it easier to fit therapy into busy lives while keeping the focus on useful, real-world change.