Dominique Decoster, LICSW

Dominique Decoster is a licensed clinical social worker who helps people handle stress, anxiety, depression, grief, addiction, trauma, sleep and eating problems, anger, and self-esteem struggles. She also supports those coping with bipolar symptoms and parenting challenges. Dominique speaks English, Spanish, and French and works from Massachusetts.

Her approach is practical and grounded. She uses Cognitive Behavioral Therapy, Dialectical Behavior Therapy, client-centered techniques, mindfulness, and motivational interviewing to build skills and make small, steady changes. Sessions focus on realistic steps a person can try between meetings.

Dominique trained with a Master of Social Work and completed internships in a correctional facility and a cancer center. Early in her career she worked as a clinic therapist for three years. That hands-on experience shaped how she talks with people about hard topics.

For the past several years Dominique has worked as a social worker with the public defender’s office. In that role she has provided services to people facing criminal charges and learned to work calmly in high-pressure situations. That background informs her focus on clear problem-solving and compassionate listening.

Therapy with her tends to be straightforward. Conversations move between understanding what matters to the person and practicing skills to manage symptoms. Progress is measured in concrete steps and changes that feel useful in day-to-day life.

Approaches that translate well online

CBT focuses on identifying unhelpful thoughts and testing them against real-life evidence. It helps with anxiety, depression, sleep problems, and many everyday worries by giving clear tools to change thinking and behavior.

Client-centered therapy centers the person's experience and priorities. The therapist listens without judgment and helps the person set the pace and goals for their work, which suits people who need space to shape their own path.

Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and interpersonal skills. It can be useful for strong emotions, anger, and relationship stress by offering step-by-step coping strategies.

Finding the right approach is a collaborative process. The therapist will talk with the person about goals, try methods that fit those aims, and adjust based on what helps most. Sessions combine listening with practical exercises chosen together.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video is helpful for hands-on skill coaching and face-to-face conversation. Phone sessions use less data and work well when video isn't an option. Live chat or text can serve for brief check-ins, homework support, or when someone prefers writing. These options make it easier to fit therapy into a busy schedule and to continue work between appointments.