Iisha Toombs , LCSW

Iisha Toombs is a Licensed Clinical Social Worker (LCSW) with 16 years of experience supporting people facing addictions, trauma and abuse, LGBT concerns, low self-esteem, and depression. She listens without judgment and helps people name what feels hardest. Her approach aims to make starting therapy less overwhelming and more manageable.

She focuses on creating a calm, open space where people can talk through painful memories and current struggles. Sessions center on practical steps that fit into daily life. Iisha helps clients build coping skills for urges, mood dips, and difficult relationships.

Her work often addresses related concerns such as abandonment, body image, chronic illness and pain, communication problems, and isolation. She also supports people dealing with divorce, family of origin patterns, gender dysphoria, and problems tied to substance use. These topics are explored at a pace the client chooses.

Iisha draws on evidence-based therapeutic techniques to guide sessions while keeping conversations direct and compassionate. She encourages small experiments between sessions to test new ways of handling stress and cravings. Progress is tracked in concrete ways so clients can see change over time.

Licensed in California and New Mexico, Iisha offers help in English. She approaches each person as an individual and works collaboratively to set goals that matter to them.

How therapeutic approaches fit into online care

Evidence-based therapeutic techniques are used to guide sessions in straightforward ways. One common approach focuses on coping skills for urge and mood management, teaching concrete strategies to reduce cravings, handle distress, and stabilize mood. This approach is useful for addiction, depression, and times of high stress.

Another common focus is trauma-informed work that helps people process painful memories at a controlled pace and reduce the intensity of traumatic reactions. This kind of work aims to restore a sense of safety, improve sleep and concentration, and reduce overwhelming emotions.

Finding the right approach is part of the work together. The therapist will discuss options, tailor techniques to the person’s goals, and try different methods if something does not feel helpful. That collaborative process helps match methods to needs, whether the focus is on addiction, identity-related concerns, or trauma recovery.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different lives. Video allows face-to-face conversation and shared visual cues. Phone can be easier when bandwidth is limited or when a shorter check-in is needed. Text and live chat make brief check-ins and skill reminders possible between meetings. These formats make therapy more flexible for work, caregiving, and busy schedules.