About Fred
Fred Lombardo is a licensed clinical social worker with 35 years of experience helping people cope with stress, anxiety, ADHD, and relationship struggles. He listens carefully and treats each person as the expert on their own life. That first step toward change is often the hardest, and he offers steady support as someone figures out what comes next.
Fred uses straightforward conversation to sort out what is most pressing and practical.
Background and approach
He helps people notice patterns that keep them stuck and experiments with small, manageable changes. Sessions focus on problem solving, building confidence, and improving day-to-day habits like sleep and focus. His style blends client-centered listening with cognitive behavioral tools to challenge unhelpful thinking.
Mindfulness practices are used to reduce reactivity and improve attention. Motivational interviewing helps when someone feels stuck about making a change. Fred also draws on psychodynamic ideas to look at longer-standing patterns that affect relationships and self-esteem.
He aims to make therapy clear and useful rather than abstract. Clients leave with specific steps they can try between sessions. Based in California, he works in English and supports practical goals like managing panic attacks, reducing social anxiety, improving communication, and coping with life changes.
He prioritizes respect, patience, and simple strategies that fit daily life.
Approaches that guide online sessions
Fred blends client-centered therapy and cognitive behavioral therapy in ways that fit online work. Client-centered therapy means he listens closely and follows what matters most to each person, which helps build trust and clear goals. Cognitive behavioral therapy focuses on identifying thoughts and behaviors that create more stress and then testing new ways of thinking and acting to reduce anxiety and improve focus.He also uses mindfulness techniques to help manage attention and reduce reactivity. These are short practices and breathing exercises that can be done during a call or as brief homework between sessions. Together, these methods help with ADHD, panic, social anxiety, sleep, and relationship patterns in a straightforward way.
Finding the right mix of approaches is part of the work. He will collaborate with each person to decide what fits their needs and preferences, adjusting methods as progress is made. Sessions are practical and goal-oriented, with suggested steps to try between meetings.
Online therapy offers flexible ways to connect. Video calls support a full conversation when face-to-face interaction helps, phone sessions can be easier when bandwidth is limited, live chat works for quick check-ins, and text messaging suits brief updates or longer check-ins over time. These options make it easier to fit therapy into work, caregiving, or busy days while keeping focus on real-life changes.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- ADHD
- Career difficulties
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Family conflicts
- Intimacy-related issues
- Jealousy
- Panic disorder and panic attacks
- Sleeping disorders
- Social anxiety and phobia
Therapeutic approaches
- Experience
- 35 years
- Licensed
- California
- Languages
- English
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