Vicki Alexander Hess, LCSW
Licensed in California · 5 years in practice
Vicki Alexander Hess meets people where they are and helps them take the next step.
License and registration
- LCSW, California
- 82877 · expires April 2026
- NPI
- 1508052721 · national provider identifier
- Years in practice
- 5
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Vicki
Vicki Alexander Hess meets people where they are and helps them take the next step. She is a licensed clinical social worker in California with five years of experience. Vicki works with individuals facing stress, anxiety, depression, grief, and challenges related to identity and relationships.
Her tone is respectful and compassionate, and she focuses on practical steps you can use between sessions. Vicki adapts conversation and planning to each person’s needs.
Background and approach
She draws on Cognitive Behavioral Therapy to spot unhelpful thinking patterns and on Mindfulness Therapy to teach grounding and breath-based skills. Motivational Interviewing helps when someone feels stuck and needs support finding internal reasons to change. Her background includes supporting people through trauma, substance concerns, compassion fatigue, and career pressures.
Vicki also helps with issues like body image, sleep problems, codependency, and navigating blended family dynamics. She pays attention to how past relationships shape current patterns and helps people build more effective ways of coping. Sessions aim to be collaborative and goal-focused.
Vicki and the person she’s meeting will set clear, manageable steps and check progress over time. The work can include short-term solution-focused tasks or deeper exploration using parts-based ideas from Internal Family Systems. Vicki offers flexible session formats including video calls, phone sessions, live chat, and text-based messaging.
If you want straightforward, practical support with a calm, nonjudgmental clinician, she may be a good match.
Focus areas and approaches
Everything Vicki lists on their public professional profile, in their own terms.
- Stress, Anxiety
- LGBT
- Trauma and abuse
- Coaching
- Compassion fatigue
- Addictions
- Family conflicts
- Grief
- Intimacy-related issues
- Sleeping disorders
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Depression
- Coping with life changes
- Abandonment
- Adoption and foster care
- Blended family issues
- Body image
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Coping with natural or human-caused disaster
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Prejudice and discrimination
- Self-harm
- Self-love
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
Approaches Vicki names
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Internal Family Systems
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How Vicki Uses Practical Approaches Online
Vicki often uses Cognitive Behavioral Therapy to help people identify and change thinking patterns that feed anxiety or low mood. CBT focuses on concrete steps and homework you can try between sessions to test new ways of behaving and thinking.She also uses Mindfulness Therapy to teach simple grounding and breathing skills. These practices aim to reduce reactivity and improve focus during stressful moments. Motivational Interviewing is another tool she brings when someone feels unsure about making a change; it helps uncover personal goals and strengthen motivation.
Choosing the right approach is a team effort. Vicki works together with clients to decide which methods fit their goals, needs, and preferences. That means trying things, checking what helps, and adjusting the plan along the way.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face connection and visual cues. Phone sessions are useful when bandwidth is limited or when a quick check-in works best. Live chat and text messaging can provide shorter, flexible touchpoints for coaching, brief check-ins, or ongoing support between longer sessions. These options make it easier to fit therapy into a busy life.
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Questions people ask
What kinds of concerns does Vicki help with?
Vicki works with stress, anxiety, depression, grief, trauma and abuse, addiction concerns, and identity-related issues such as LGBT matters and gender dysphoria. She also supports people facing career stress, compassion fatigue, and intimacy or family challenges.
What is her therapeutic style like?
Her approach is practical and collaborative. She blends short-term solution-focused work with skills-based methods like Cognitive Behavioral Therapy and mindfulness practices to create actionable steps.
What experience does she bring?
She has five years of professional experience working with adults on a range of concerns including trauma, addictions, and coping with life changes. Her background includes supporting people through grief and family of origin issues.
What are her credentials and where is she located?
She is a Licensed Clinical Social Worker - LCSW - licensed in California. Her practice is based in California.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
Sessions can take place via video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How does payment and cost work?
Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.
How do I begin working with Vicki?
Start by selecting the Start Therapy button and completing the short matching questionnaire. Then schedule sessions according to therapist availability.
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