About Gretchen
Gretchen Wesche, LICSW, helps people facing anxiety, stress, depression, and grief. She also supports those struggling with self-esteem, addictions, relationship and intimacy issues, sleep problems, anger, and career concerns. Her work includes attention to ADHD, bipolar mood concerns, and compassion fatigue.
Gretchen brings 37 years of clinical experience in Minnesota to her practice. She listens first and builds goals with each person. Sessions focus on what matters now and on practical steps a person can try between meetings.
Background and approach
Her approach draws on several methods, chosen to fit each person. She uses client-centered conversation to follow a person’s priorities. Cognitive behavioral tools help people notice and change unhelpful thought and behavior patterns.
Mindfulness exercises are woven in to help with stress and emotional regulation. She also uses motivational interviewing to support change when people feel stuck. Psychodynamic ideas inform work on long-standing patterns that affect relationships and self-image.
The mix depends on someone’s goals, history, and present needs. In sessions Gretchen focuses on clear, manageable strategies. She helps people set small, realistic steps and checks progress together.
The aim is better coping, clearer choices, and improved day-to-day functioning. Her practice pays attention to family of origin issues, caregiver stress, blended family concerns, and the emotional impacts of divorce, domestic violence, or addiction. Clients can expect a steady, practical partner in working through life’s transitions.
How Gretchen’s approaches work online
Client-Centered Therapy focuses on following the person’s lead. In practice this means the therapist asks about what matters most and shapes sessions around those priorities, which helps with anxiety, grief, and relationship concerns.Cognitive Behavioral Therapy, or CBT, looks at how thoughts and behaviors keep problems going. Online sessions use practical exercises and homework to spot thought patterns and try new behaviors for stress, sleep, and mood issues.
Mindfulness Therapy brings attention to the present moment with simple exercises. These practices can reduce reactivity to stress and help with emotional regulation during difficult times.
Finding the right mix of approaches is part of the work. The therapist will collaborate with the person to decide which methods fit their goals, history, and what feels most useful. That choice can change over time as progress is made.
Online formats offer flexibility for people with busy schedules or limited mobility. Video calls work well for deeper conversations and guided exercises. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging allow for brief check-ins, reflections, and coaching between sessions. These options help people fit therapy into everyday life and keep momentum between meetings.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Grief
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Men's issues
- Midlife crisis
- Mood disorders
- Personality disorders
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sleeping disorders
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 37 years
- Licensed
- Minnesota
- Languages
- English
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