
Barbara Fotsch
Licensed Clinical Social Worker (LCSW)
Missouri therapists accepting new clients
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About Barbara
Hello. My name is Barb. I moved to southern California to be near my son, after living in St. Louis Missouri all of my life. I have always enjoyed my work with people and strongly believe we move forward when ready. My approach is mostly cognitive, psycho-educational, and supportive. I am rather casual & like to use humor when appropriate, as a tool, to help make the sessions comfortable.
I believe no “one size fits all” in the therapeutic relationship; if something isn’t working, we can back it up and try something different. I try to pay attention to a client’s energy and offer techniques best suited; for example, some clients want more guidance, others more autonomy. My job is to “listen” and identify helpful movement toward understanding, growth, and healing.
I check my emails 2x a day and will respond w/in 24 hours.
What Barbara helps with
- Addictions
- Anger management
- Career difficulties
- Coaching
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Grief
- Intimacy-related issues
- LGBT
- Parenting issues
- Relationship issues
- Self esteem
- Stress, Anxiety
- Trauma and abuse
Show 19 more areas
- Aging and geriatric issues
- Attachment issues
- Cancer
- Caregiver issues and stress
- Codependency
- Communication problems
- Divorce and separation
- Emptiness
- Family of origin issues
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Process addiction (porn, exercise, gambling)
- Women's issues
- Workplace issues
How Barbara works
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
What clients say
- “We are still early in my sessions, but I think Barbara is absolutely amazing and would recommend her to lots of people. She is very informative and helpful in so many ways. Truthfully I can't take her enough for all her help currently and in the future.”
- “She is amazing and actually helps us figure out how to get through some of these hard moments in life!”
- “She is amazing at listening and keeping us both on topic. Also she has a lot of insight to share.”
Show all 15 reviews
- “Best decision In a long time”
- “I couldn’t have asked for a better therapist!”
- “Helps build my peace of mind and well being, thank you Barbara!”
- “Barbara has been my rock since we connected at least 3 years ago. I always look forward to our sessions.”
- “She has been an amazing person to help me along in a tough journey!! So glad we were paired!”
- “Barbara is fantastic!”
- “Barb listens, asks questions, and doesn’t let me off the hook. She’s fantastic!”
- “Barbara has been instrumental in me living a life after drama and has given me many tools to meet my challenges and address them”
- “I've only had one session with Barbara at this point, but, she has made therapy much less... Intimidating compared to prior therapists I've had. I know that it's a better scary to start therapy (especially for men), but this is the most comfortable I've been. Barbara respects that I prefer phone call sessions, and she provides worksheets for me, which helps me immensely. Couldn't recommend more.”
- “Love that she gives suggestions, and things to do to move forward. So helpful to not feeling stuck.”
- “She has been amazing for me”
- “Very understanding and kind.”
These reviews represent a few of the most recent positive reviews from the therapist's clients on BetterHelp. Some people's experience may be different.





