- CBT strategies
- Mindfulness exercises
- Motivational interviewing
About Barbara
Barbara Fotsch is a Missouri-based licensed clinical social worker (LCSW) with 25 years of experience. She works with adults on practical problems like stress, anxiety, anger, depression, addictions, relationship and parenting concerns, and grief.
Barb favors a straightforward, cognitive style that teaches skills and information people can use between sessions. She describes her work as mostly cognitive, psycho-educational, and supportive. She is casual in session and will use humor when it helps people feel more at ease.
She does not insist on a single method. If an approach is not helping, she will shift direction. She pays attention to a person’s energy and offers techniques that match how much guidance they want or how much space they prefer to take in the work.
Typical sessions focus on identifying patterns, building concrete coping tools, and practicing new ways of responding to stress or conflict. That may include thought work, brief behavioral experiments, motivational interviewing techniques, or mindfulness exercises where those fit.
Barbara aims to listen carefully and point out practical next steps toward clearer understanding and healthier routines. She checks email twice a day and responds within 24 hours, which can help with scheduling and brief questions between sessions.
People interested in starting are asked to follow the site's intake flow to complete a short matching questionnaire and schedule a first session.
Approaches used and online session basics
Barbara commonly uses Cognitive Behavioral Therapy and Mindfulness Therapy in practical, easy-to-follow ways. CBT focuses on identifying unhelpful thoughts and testing them with small behavioral experiments, which can reduce reactive anger and patterns of avoidance. Mindfulness offers simple attention practices and breathing techniques to help interrupt escalating stress and bring clearer choice to how someone responds.She also uses Motivational Interviewing to help clarify what a person truly wants to change and to strengthen their own reasons for taking small steps. Finding the right mix of approaches is collaborative. The therapist will work with each person to see what fits their goals, energy, and preferences and adjust as work progresses.
Session formats are not specified in the biography, so confirm current session options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. These practical benefits help people keep momentum between appointments and practice new responses in daily life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Missouri
Languages
English
Frequently asked questions
What kinds of problems does she address?
She works with stress, anxiety, anger, depression, addictions, relationship and parenting concerns, grief, and related issues listed in her profile.
How would you describe her therapeutic style?
Her approach is mostly cognitive, psycho-educational, and supportive. She is casual in session and may use humor as a tool.
How much experience does she have?
She has 25 years of clinical experience working with adults on a range of concerns.
What are her credentials and where is she based?
She is a Licensed Clinical Social Worker (LCSW) licensed in Missouri.
Which languages are sessions provided in?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions priced?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session.