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DD Portrait of Dominique Decoster

Dominique Decoster

Trauma-informed LICSW with practical skills

LICSW Massachusetts

Experience
4 years in practice
Focus areas
Stress, Anxiety, Addictions, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English, Spanish, French

About Dominique

Dominique Decoster is a licensed clinical social worker (LICSW) who assists people dealing with stress, anxiety, addictions, trauma and abuse, depression, grief, eating and sleeping difficulties, parenting concerns, anger, self-esteem struggles, and bipolar disorder.

Background and approach

She also addresses related challenges such as attachment issues, autism and Asperger syndrome, cancer-related concerns, codependency, communication problems, dissociation, domestic violence, substance addiction, fatherhood issues, gender dysphoria, hoarding, immigration-related stress, intellectual disability, and isolation or loneliness. Dominique draws on a range of therapeutic methods to tailor care to each person’s needs.

Her training includes a Master of Social Work and two internships that shaped her clinical perspective: one in a correctional facility and another at a cancer center.

Early professional experience included three years working as a clinic therapist, followed by long-term work as a social worker within the public defender’s office where she provided services to indigent people facing criminal charges. That background informs a practical, trauma-informed approach grounded in empathy and collaboration.

Dominique’s practice integrates evidence-based tools such as cognitive behavioral techniques alongside client-centered and mindfulness-informed strategies. She works in English, Spanish, and French and is licensed in Massachusetts as an LICSW.

How specific approaches translate to online therapy

Dominique integrates cognitive behavioral techniques and client-centered methods in remote work. Cognitive behavioral approaches focus on identifying and shifting unhelpful thought patterns and behaviors, offering concrete strategies for anxiety, depression, stress, and many habit-related concerns. Client-centered therapy emphasizes empathic listening and collaboration, creating space for clients to explore goals and build personal insight.

She also draws on elements of dialectical behavior therapy when appropriate, teaching skills for emotional regulation, distress tolerance, and interpersonal effectiveness that can be practiced between sessions. Deciding which approaches to emphasize is a collaborative process: the therapist will work with each person to align methods with their needs, goals, and preferences and adjust the plan as progress unfolds.

Online formats include video calls, phone sessions, live chat, and text-based messaging, providing flexibility for scheduling and varied modes of communication. These options make it easier to access care from different locations and fit sessions into busy routines while maintaining continuity of work with licensed professionals and therapists who can adapt practices for remote delivery.

Frequently asked questions

What concerns does Dominique commonly address?
She supports people facing stress, anxiety, addictions, trauma and abuse, depression, grief, eating and sleeping problems, parenting challenges, anger, self-esteem issues, and bipolar disorder. Additional focus areas include attachment issues, autism and Asperger syndrome, cancer-related concerns, and substance-related problems.
What is her therapeutic style and approach?
She uses a blend of client-centered work and structured methods such as cognitive behavioral techniques, DBT, mindfulness, and motivational interviewing to meet clients where they are and build practical coping skills.
What relevant experience does she bring?
Her clinical background includes internships in a correctional facility and a cancer center, three years as a clinic therapist, and many years providing social work services within a public defender’s office to indigent individuals facing criminal charges.
What are her credentials and where is she located?
She holds an MA and practices as an LICSW in Massachusetts, license number MA LICSW 114319.
Which languages are available for sessions?
Sessions are offered in English, Spanish, and French. She is not accepting international clients at this time.
In what session formats does she work?
She offers multiple remote formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and needs.
How are fees and billing handled?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist’s availability to arrange an initial session.

Areas of expertise

Also works with

GriefEating disordersSleeping disordersParenting issuesAnger managementSelf esteemBipolar disorder

Additional focus areas

Attachment issuesAutism and Asperger SyndromeCancerCodependencyCommunication problemsDependent personalityDissociationDomestic violenceDrug and alcohol addictionFatherhood issuesGender dysphoriaHoardingImmigration issuesIntellectual disabilityIsolation / lonelinessMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPost-traumatic stressSelf-harmTraumatic brain injuryWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

4+ years

Licensed

Massachusetts

Languages

English, Spanish, French