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LICSW

Gretchen Wesche, LICSW

  • Experience37 years
  • LocationMinnesota
  • Focus areasADHD, Stress and Anxiety, and Family
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Gretchen

Gretchen Wesche is a licensed clinical social worker (LICSW) with 37 years of experience providing psychotherapy in Minnesota. She focuses on a broad range of concerns including depression, anxiety, stress, grief, self-esteem, relationship and intimacy-related issues, addiction, ADHD, and career or life transitions.

Background and approach

Her practice also addresses family dynamics, communication problems, caregiver stress, and other complex emotional challenges that arise across the lifespan. Her work is grounded in a compassionate, client-centered stance that honors each person’s individual story while drawing on evidence-informed methods such as cognitive behavioral therapy, mindfulness, motivational interviewing, and psychodynamic approaches.

She helps clients develop practical coping strategies, improve communication, and build resilience while attending to deeper patterns and life meaning. Sessions aim to balance short-term solutions with longer-term personal growth.

Gretchen brings decades of clinical perspective to collaborative therapy, supporting people through grief, mood disorders, addiction, and the stresses of caregiving or blended-family situations. She practices in Minnesota and conducts sessions in English, offering a steady, experienced presence for those working toward greater emotional balance and healthier relationships.

Approaches that translate well to online therapy

Client-centered therapy emphasizes understanding the person's perspective and collaborating on goals, helping clients feel heard and supported while working through depression, grief, relationship stress, or self-esteem concerns. Cognitive behavioral therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and teaching practical skills to reduce anxiety, manage mood symptoms, and improve sleep or daily functioning. Mindfulness therapy cultivates present-moment awareness and stress management skills that can ease anxiety, improve emotional regulation, and support coping with life changes.

Finding the right approach is part of the therapeutic process, and the therapist works collaboratively with each individual to determine which combination of methods best matches their needs, goals, and preferences. Treatment can emphasize short-term problem solving, long-term exploration of patterns, or a blended plan depending on what the client hopes to achieve.

Online therapy offers flexible access through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit appointments into busy schedules or to maintain continuity during transitions. These formats allow licensed professionals to guide skill practice, deliver structured interventions like CBT worksheets or mindfulness exercises, and maintain regular contact while accommodating different communication styles and life demands.

Frequently asked questions

What concerns does Gretchen commonly address?
Her practice addresses depression, anxiety, stress, grief, self-esteem, relationship and intimacy-related issues, addiction, ADHD, career concerns, and many family and communication problems.
What is her general therapeutic style?
She uses a compassionate, client-centered style that combines practical skill-building with attention to personal history and relational patterns.
How much clinical experience does she have?
Gretchen has 37 years of experience providing psychotherapy and related clinical services.
Where is she licensed and located?
She is a licensed clinical social worker with the credential MN LICSW 8518 and practices in Minnesota.
Does she offer services in other languages or to international clients?
Services are provided in English only, and she is not currently accepting international clients.
What session formats are available?
Clients can meet through video calls, phone sessions, live chat, or text-based messaging depending on what fits their needs.
How does cost and payment work?
Cost varies with location and therapist availability; sessions are arranged through a subscription model that can be canceled at any time.
What are the steps to begin working with her?
To get started select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to her availability.

Areas of expertise

Primary focus

Also works with

AddictionsLGBTRelationship issuesIntimacy-related issuesSleeping disordersAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Aging and geriatric issuesAntisocial personalityBlended family issuesCaregiver issues and stressCodependencyCommunication problemsDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesGuilt and shameHIV / AIDSHospice and end-of-life counselingInfidelityIsolation / lonelinessMen's issuesMidlife crisisMood disordersPersonality disordersProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Women's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused Therapy

Experience

37+ years

Licensed

Minnesota

Languages

English

What Gretchen can help with

Gretchen Wesche works with clients on stress and anxiety, family conflicts, grief, self esteem, and depression.

Gretchen works with clients navigating challenges related to depression, anxiety, stress, and grief.

How Gretchen approaches therapy

Gretchen's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, Motivational Interviewing, Psychodynamic Therapy, and Solution-Focused Therapy.

Experience and training

Gretchen is a Licensed Independent Clinical Social Worker practicing in Minnesota, with 37 years of clinical experience.

Therapy style

Gretchen aims to walk alongside you, offering professional guidance and genuine support as you navigate your individual path toward healing and growth.