Gretchen Wesche , LICSW

Gretchen Wesche is a licensed clinical social worker who helps people manage stress, anxiety, depression, grief, and self-esteem concerns. She also supports people facing relationship and intimacy-related issues, addictions, ADHD, and major life changes. Gretchen practices from Minnesota and brings 37 years of experience to her work.

Her approach is straightforward and person-focused. Sessions start by listening to what matters most to the individual and then building practical steps forward. She uses clear, evidence-informed tools to address everyday problems like sleep disruption, anger, and workplace stress.

Gretchen blends methods to match each person's needs. That can include client-centered work to deepen self-understanding, cognitive behavioral techniques to shift unhelpful thoughts and behaviors, and mindfulness practices to reduce reactivity. She also draws on psychodynamic ideas and motivational interviewing when exploring patterns and finding motivation for change.

People often come for help with family concerns, communication problems, caregiver stress, or navigating divorce and separation. Gretchen also supports those dealing with addiction, codependency, and feelings of emptiness or guilt. Her style is practical, respectful, and paced to the client’s readiness for change.

Over decades in practice she has worked across many life stages, including aging and geriatric issues. Gretchen aims to help people build skills they can use outside sessions, so progress carries into daily life.

Therapeutic approaches and online support

Gretchen commonly uses client-centered therapy and cognitive behavioral therapy to guide work in online sessions. Client-centered therapy focuses on listening and building understanding so people feel heard and respected; it helps with self-esteem, grief, and major life choices. Cognitive behavioral therapy examines thoughts and behaviors and teaches practical techniques to reduce anxiety, manage mood, and improve sleep.

Finding the right approach is part of the process. She will work together with each person to choose methods that match their needs, goals, and preferences. This collaborative planning may combine listening-focused work, skill building, and mindfulness exercises to fit what feels most useful.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to increase flexibility. Video lets people use visual cues and more in-depth conversation. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and messaging allow for shorter check-ins or ongoing written reflections between sessions. These options make it easier to fit therapy into a busy life and to continue progress from different locations.