Barbara Fotsch

My communication style

I have a casual style that works for most, but not everyone. I use humor where possible to create a comfortable space. I try to pace myself with what you are ready to work on - but will point out areas that may help in the future. I want it to feel like a partnership as we move forward.

My journey to mental healthcare

I actually started as a more traditional Social Worker, working as a psychiatric social worker in both inpatient and outpatient settings. I moved up in various organizations and taught others; now I have come full circle, and more recent years have been devoted solely to direct clinical service. This work is a gift.

My goals for you

After an initial get-acquainted conversation, we discuss your goals. If you prefer, I can send you a goal sheet, or we can identify together. The goals will be reviewed in almost every session, as they may need to be modified, and it also helps keep us focused. Of course, there are times when therapy is more free-flowing if you prefer.

Our first session

The first session will set the tone. First, I hear what brings you to therapy and clarify what, if anything, is immediate. Once that is established, I will begin to obtain some background information - hitting the highlights as time permits. Ideally, we end with an understanding of next steps - often driven by your content.

I identify as...

• Female
• Caucasian or White