Dominique Decoster, LICSW

Dominique Decoster is a Licensed Independent Clinical Social Worker (LICSW) based in Massachusetts who helps people manage stress, anxiety, addiction, trauma, depression, grief, sleep and eating problems, parenting strain, anger, self-esteem struggles, and bipolar concerns. She also supports people dealing with attachment issues, autism and Asperger Syndrome, cancer-related challenges, codependency, and isolation. Dominique works in English, Spanish, and French.

She trained at Springfield College and completed two internships there: one in a correctional facility and one at a cancer center. After graduating with a Master of Social Work, she spent three years working as a therapist in a clinic. That clinic experience gave her daily practice with therapy methods and goal-focused work.

For the past 15 years Dominique has worked as a social worker at the public defender's office. In that role she provides services to people facing criminal charges, gaining experience with stress, trauma, substance-related issues, and complex life situations. That background informs her practical, down-to-earth approach.

Her work draws on client-centered listening alongside techniques from cognitive behavioral therapy, dialectical behavior therapy, mindfulness, and motivational interviewing. Sessions focus on clear steps people can try between meetings, skills to manage distress, and short-term problem solving when needed.

Dominique aims to create a calm space where people can talk through immediate problems and build everyday habits that reduce stress. Start by completing the short matching questionnaire and scheduling a session to see if her approach fits your needs.

How therapeutic approaches shape online work

Client-centered therapy is about listening and following the person's lead. The therapist focuses on understanding your concerns and building a supportive relationship, which helps people feel heard and make their own changes.

Cognitive behavioral therapy, or CBT, looks at the links between thoughts, feelings, and behavior. It offers concrete strategies to test unhelpful thoughts and create new habits, useful for anxiety, depression, and sleep or eating concerns.

Dialectical behavior therapy, or DBT, teaches skills for emotion regulation, distress tolerance, and better interpersonal communication. These practices can help with anger, intense emotions, and ongoing stress.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods match their goals, needs, and preferences. That may mean trying one approach first and adjusting over time.

Confirm the current online session options before booking, as formats are not specified here. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow shorter check-ins when schedules demand it. Talk with the therapist about what will work best for your routine and goals.