Jeanette Fischer , LICSW

Jeanette Fischer is a Licensed Independent Clinical Social Worker (LICSW) practicing in Washington. She helps people who are feeling overwhelmed by stress, anxiety, grief, addiction, major life changes, or struggles with self-esteem and relationships. Jeanette aims to make the first step into therapy feel manageable and direct. She favors a person-centered approach that starts with a client's strengths. Sessions focus on concrete tools and small, realistic steps. Cognitive Behavioral Therapy, mindfulness, and solution-focused ideas inform many of her interventions while she keeps a laid-back and approachable tone. Jeanette has eight years of clinical experience and has supported people dealing with depression, trauma and abuse, drug and alcohol addiction, and complicated grief. She also works with concerns such as ADHD, panic, compassion fatigue, and career or parenting stress. Her background includes work with justice-impacted and non-justice-impacted individuals. In sessions she uses humor and everyday language to reduce pressure and make change easier to practice. She helps clients identify goals, build practical coping skills, and notice small shifts that add up over time. The focus is on what will work in a client's daily life. Appointments are offered in formats that fit varied schedules, including weekends and weekday evenings. Jeanette encourages people to take one clear step toward their goals and says that therapy is a collaborative process where the client leads the story.

Approaches that translate well to online care

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck, then choose actions that match their values. It can be useful for anxiety, stress, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new behaviors. It often targets anxiety, panic, depression, and addictive behaviors with practical homework and skill practice. Jeanette aims to match approaches to each person's needs and goals. Deciding which methods to use is a team effort during early sessions, and the plan can change as progress is made. Online sessions offer flexibility for people with busy lives. Video calls let the therapist and client work face-to-face when visual cues help therapy. Phone sessions can be a good option when bandwidth is limited or when a shorter check-in fits the day. Live chat and text-based messaging are useful for brief check-ins, tracking homework, or getting support between sessions. These formats make it easier to fit regular therapy into changing schedules while working on practical skills and goals.