April Hitchcock-Fofana , LMSW

April Hitchcock-Fofana is a Licensed Master Social Worker with 20 years of clinical experience in Michigan. She focuses on helping people who are dealing with depression, anxiety, relationship concerns, grief, and self-esteem struggles. Her work often includes women's issues and caregiving stress. April aims to be steady and practical in sessions.

She keeps sessions grounded and straightforward. Conversations focus on what is happening now and concrete steps a person can try between meetings. April uses listening and reflection to help people notice patterns in thoughts and behavior. She also draws on skills-based tools when those are useful.

Her background includes long-term work with people facing chronic illness, caregiving demands, and complex family situations. That experience shapes how she balances emotional support with problem-solving. She pays attention to cultural and life-stage factors that affect how problems show up.

April blends several therapeutic approaches to meet individual needs. She uses client-centered methods to build a respectful working relationship. She brings cognitive behavioral tools to shift unhelpful thinking and behavioral patterns.

She also uses elements of dialectical behavior therapy to teach emotion regulation and mindfulness practices to increase present-moment awareness. Motivational interviewing informs her work when people need help finding motivation to change. Sessions are collaborative; she helps people set realistic goals and track progress.

People who choose her often want an empathetic listener who also offers clear next steps. She structures work so it fits day-to-day life and the practical limits people face. April aims to help clients build resilience and make lasting changes over time.

How therapeutic approaches translate to online care

Client-Centered Therapy focuses on building a respectful, nonjudgmental relationship. In practice this means the therapist listens deeply and follows the client's lead to identify priorities and goals. Cognitive Behavioral Therapy, or CBT, helps people notice and change unhelpful thoughts and behaviors; it works well for anxiety, depression, sleep problems, and stress by teaching practical exercises to use between sessions.

Finding the right approach is part of the work. April will collaborate with each person to choose methods that match their needs, goals, and preferences. She may combine listening-centered work with CBT exercises or skills training, and will review progress with the client to adjust the plan as needed.

Online therapy makes those approaches easier to fit into a busy life. Video calls allow face-to-face conversation for skills practice and check-ins. Phone sessions can be used when bandwidth is low or when being off-camera helps a person focus. Live chat and text-based messaging support brief check-ins, homework coordination, and ongoing encouragement between longer sessions. These options offer flexibility so therapy can continue despite scheduling or travel constraints.