Dominique Decoster, LICSW

Dominique Decoster is a Licensed Independent Clinical Social Worker (LICSW) based in Massachusetts who helps people manage stress, anxiety, depression, addiction issues, grief, trauma, and sleep or eating concerns. She also supports people dealing with parenting strain, anger, low self-esteem, and mood concerns such as bipolar disorder. Sessions are offered in English, Spanish, and French.

Dominique draws on practical, talk-forward methods to help people name what feels hardest and build small changes that can make daily life easier. She uses client-centered work to follow each person’s pace and priorities. She also incorporates cognitive behavioral techniques to spot unhelpful thoughts and DBT skills to manage intense emotions.

Dominique earned a Master of Social Work from Springfield College and completed internships in a correctional facility and a cancer center. Early clinical work included three years at a community clinic. This background led her into public defense work, where she has spent many years providing social work services to people facing criminal charges.

In sessions she focuses on practical steps people can try between meetings. Motivational interviewing is used when change feels overwhelming, and mindfulness tools help with stress and sleep. The aim is steady progress rather than quick fixes.

People often come for help with substance use, trauma, attachment questions, immigration-related stress, or feeling isolated. Dominique can talk through how to approach these problems and suggest small, doable strategies to try at home.

How Dominique’s approaches translate to online work

Client-Centered Therapy focuses on listening and following what matters most to the person. The therapist creates a space where clients set the pace and priorities, which can be carried into remote sessions. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors and teaches small experiments to test those thoughts; it often uses worksheets and short practice tasks that fit well into week-to-week online work. Dialectical Behavior Therapy (DBT) offers emotion regulation and distress tolerance skills for intense moments, and those skills can be taught and practiced in conversation or brief exercises during sessions.

Finding the right approach is a collaborative process. Dominique will work with each person to decide which methods match their needs, goals, and preferences. That decision can change over time as people try tools and notice what helps most.

The biography does not list specific session formats, so confirm available options before booking. Online sessions can help make therapy easier to fit into a busy day, allow shorter check-ins when needed, and remove travel time. They also let people use video or audio options depending on comfort level and bandwidth. Ask about the current session types offered so you can pick what suits your routine.