Meet the Therapist

Tammy Fletcher, LMFT


Choosing a therapist is an important decision. The relationship between client and therapist is one of the main predictors of a successful outcome. I want you to feel comfortable with your choice of therapist, and to that end, I am happy to share some information about myself with you. I am a Licensed Marriage and Family Therapist in the state of California. I have graduate and post-graduate degrees in Counseling Psychology and Business (Human Resources specialty). Additional training includes Gottman Couples Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, treatment of Body-Focused Repetitive Behaviors, hypnotherapy, and I pursue continuing education in my field on a regular basis. I value the ideas of Cognitive Behavioral Therapy and Existential Psychology, and I believe that our physiology and our psychology are linked in more ways than we realize. That knot in your gut when someone is angry with you? That’s the mind-body connection in action.  I utilize a number of mind-body techniques, such as mindfulness, relaxation, guided visualization, and meditation, along with traditional psychotherapy.

I have served as a Clinical Supervisor for interns in marriage and family therapy, social work, and clinical counseling, and I’m one of the few licensed psychotherapists in California with training and experience in treating Body-Focused Repetitive Behaviors, such as trichotillomania and dermatillomania. In addition, you will find me listed as an “HSP-Knowledgeable Therapist” on Dr. Elaine Aron’s Highly Sensitive Person website. Other areas of special interest include anxiety disorders, nutritional psychology, chronic pain and illness,  and end of life issues (including hospice). My professional background includes experience working in private practice and acute care hospital settings with families, couples, children, adolescents, and adults.

I see clients for individual and family counseling, and offer daytime, evening, and weekend appointments for your convenience. My office is located in the La Mesa area of San Diego, CA. Your counseling session will be held in a quiet, comfortable, private setting, with individual attention and a custom treatment plan based on your needs. In my office, you are a person…not a diagnosis. I look forward to learning about you.

Professional Background and Training

-Licensed Marriage and Family Therapist
-Graduate: Trichotillomania Learning Center, Professional Training Institute
-Completed the following couples therapy trainings with Drs. Julie and John Gottman:
“Gottman Method Couples Therapy,” “Bridging the Couples Chasm,” “Strengthening Relationships through Resurfacing Trauma and PTSD,” “Making Relationships Work,” “Benefits of Integration, Insight on Flooding and Dealing with Resistance with Couples in Therapy,” “Storytelling, Life’s Deeper Meaning and Dream-Within-Conflict Strategies to use with Couples,” “Infidelity,” and “Healing After an Affair.”
-Nutritional Psychology

-Career counseling, management training, and workplace issues
-Certified: C-DBT Professional
-Mental health professional, career counselor, and Certified Coach since 2001
-Author of two books on repetitive strain injuries and consultant on employee health and wellness nationwide
-Member at Large: California Association of Marriage and Family Therapists – San Diego Chapter 2009-2010
-Topic Expert – Health/Medical Issues and Body-Mind Psychotherapy 2010-2014
-Professional Member: Trichotillomania Learning Center
-Professional Member: Association for Contextual Behavioral Science

Favorite Quotes

"When you change the way you think, you change your world." - David Burns, M.D.

"In any given moment, we have two options: to step forward into growth or to step back into safety." - Abraham Maslow

"We can’t solve problems by using the same kind of thinking we used when we created them." - Albert Einstein

The purpose of psychotherapy is to set people free. Rollo May

"If the only tool you have is a hammer, you tend to see every problem as a nail." - Abraham Maslow

"You can't stop the waves, but you can learn to surf." - Jon Kabat Zinn

“The curious paradox is that when I accept myself just as I am, then I can change.” ― Carl R. Rogers

“Our wounds are often the openings into the best and most beautiful part of us.” ― David Richo