Fred Lombardo, LCSW

Fred Lombardo is a licensed clinical social worker with 35 years of experience helping people manage stress, anxiety, and relationship concerns. He also supports clients facing career questions, low self-esteem, motivation struggles, sleep problems, and the effects of compassion fatigue. He works from the view that each person knows their story best and brings strengths to change. In sessions he keeps things straightforward and conversational. He listens first, then helps people try new ways of thinking and acting that can reduce anxiety and improve day-to-day functioning. He uses techniques from cognitive behavioral therapy along with client-centered and mindfulness approaches to support practical steps between sessions. Fred draws on a long career in California to tailor his approach to each person. He aims to build a calm, steady space where clients feel heard and can practice new skills. Therapy focuses on clear goals such as better sleep, fewer panic attacks, or stronger communication. He also helps people cope with life transitions and relationship strains like jealousy, control problems, and intimacy issues. For those juggling work and family, he offers coping strategies that fit real schedules and responsibilities. Getting started involves a short matching questionnaire and scheduling a session. Sessions are available in English and offered through video, phone, live chat, or text messaging to fit different needs.

How Fred’s Approaches Work Online

Client-centered therapy starts by putting the person's goals and perspective first. Sessions focus on listening, clarifying what matters, and supporting choices so people feel more confident about next steps. Cognitive behavioral therapy helps people notice unhelpful thoughts and try different behaviors to reduce anxiety, manage panic, and improve sleep. Mindfulness therapy adds simple attention and breathing practices to reduce reactivity and increase calm in daily life.

Fred sees finding the right mix of approaches as a collaborative process. He discusses goals and preferences with each person and adjusts methods based on what’s working. Together they set clear, practical goals and experiment with small changes between sessions to track progress.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs. Video is useful for a face-to-face feel and interactive exercises. Phone sessions can be easier when bandwidth is low. Live chat and text messaging work well for brief check-ins, coaching-style support, or when someone prefers not to be on camera. These formats aim to make regular sessions more accessible and easier to fit into busy lives.