About Dominique
Dominique Decoster is a licensed independent clinical social worker who helps people manage stress and anxiety. She also assists with depression, grief, addictions, sleep and eating concerns, and challenges with anger and self-esteem. Dominique speaks English, Spanish, and French and practices from Massachusetts.
Her style is straightforward and person-focused. She listens first to understand each person's situation. Then she works together with clients to set clear goals and practical steps that fit day-to-day life.
Background and approach
Dominique draws on approaches that include client-centered therapy, cognitive behavioral therapy, dialectical behavior therapy, mindfulness, and motivational interviewing. In sessions she helps people notice unhelpful thinking patterns, try small behavior changes, and build skills to manage intense emotions. Mindfulness and DBT-based skills are used to reduce overwhelm and improve coping.
Her background includes social work roles in clinical clinics and public defense work supporting people facing criminal charges, plus internships that included a correctional facility and a cancer center. That mix of experience informs a practical, down-to-earth approach to care. Sessions aim to be collaborative and paced to the person's needs.
Dominique breaks larger problems into small, doable steps and checks in about what is working. People leave sessions with concrete strategies they can try between meetings.
Therapeutic approaches suited to online care
Client-centered therapy focuses on listening and tailoring the work to each person's goals. It helps when someone needs a flexible, respectful space to talk and decide on their own next steps. Cognitive behavioral therapy, or CBT, looks at thoughts and actions that keep problems going and teaches small experiments and behavior changes to reduce symptoms. These methods are often used for worry, stress, and mood concerns. Dialectical behavior therapy, DBT, emphasizes emotion regulation, distress tolerance, and skills for managing intense feelings; it can help with anger, strong mood shifts, and urges tied to substance use.Finding the right approach is a collaborative process. The therapist will discuss options, try techniques together, and adjust the plan based on what helps and what feels workable. Clients are invited to give feedback so sessions stay useful and goal-oriented.
Online formats offer practical flexibility. Video calls let people see verbal and nonverbal cues for deeper conversation. Phone sessions require less bandwidth and can be easier on hectic days. Live chat and text-based messaging are useful for brief check-ins, skill practice, or when typing feels more comfortable. These options make it easier to fit therapy into work, family, and daily routines while still using CBT, DBT, and client-centered ways of working.
Questions people ask
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What this therapist works with
Also listed
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Cancer
- Codependency
- Communication problems
- Dependent personality
- Depression
- Dissociation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Fatherhood issues
- Gender dysphoria
- Grief
- Hoarding
- Immigration issues
- Intellectual disability
- Isolation / loneliness
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Post-traumatic stress
- Self esteem
- Self-harm
- Sleeping disorders
- Traumatic brain injury
- Women's issues
Therapeutic approaches
- Experience
- 4 years
- Licensed
- Massachusetts
- Languages
- English, Spanish, French
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