Dominique Decoster

LICSW

Massachusetts

Compassionate, practical therapy that supports change

Continue with Dominique

At a glance

Credentials

LICSW

License

LICSW, Massachusetts / 114319

NPI

1134242050

Experience

4 years

Languages

English, Spanish, French

Location

Massachusetts

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

1. • Motivational approach
   • Client-centered care
   • Works in three languages

   About Dominique

   Dominique Decoster, LICSW, helps people facing stress, anxiety, addictions, depression, grief, and trauma. She also supports those struggling with sleep and eating problems, anger, low self-esteem, and bipolar challenges. She speaks English, Spanish, and French, and works from Massachusetts.

   Dominique brings practical focus to sessions. She listens without rushing and helps clients notice small changes that matter. Her approach draws on Motivational Interviewing to explore what clients want to change, and on client-centered methods that put the person's goals first.

   Her training includes a Master of Social Work from Springfield College and internships in a correctional facility and a cancer center. After those placements she worked as a therapist in a clinic for three years. That mix of settings shaped how she responds to urgent problems and long-term stress.

   Dominique spent many years as a social worker in a public defender's office, providing services for people facing criminal charges. That work involved meeting people where they were and helping them set realistic next steps. It also reinforced skills for working with trauma, substance use, and complex life stressors.

   In sessions she uses straightforward techniques drawn from Cognitive Behavioral Therapy and Dialectical Behavior Therapy when helpful. She also incorporates mindfulness practices to help with grounding and emotion regulation. The aim is to support steady progress toward the client's priorities.

2. How therapeutic approaches shape online care

   Motivational Interviewing is a conversational style that helps people weigh reasons for change and build their own motivation. It is useful for addictions, ambivalence about treatment, and making small steps that add up over time.
   
   Client-Centered Therapy focuses on the person's experience. The therapist offers empathy and reflection so the client can name goals and make choices that fit their life. This approach helps with stress, self-esteem, and relationship-related concerns.
   
   Finding the right approach is part of the work. Dominique will collaborate with clients to choose methods that match their needs, goals, and pace. She checks in on what is or isn't helping and adjusts the plan together with the client.
   
   Confirm the available session options before booking, since formats are not listed here. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when schedules are tight. It can also let people work with a licensed professional who speaks English, Spanish, or French without changing their local routine.

4. Areas of expertise

   Primary focus

   Stress, AnxietyAddictionsTrauma and abuseDepression

   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

   Listed in

   Massachusetts

   Languages

   English, Spanish, French

5. Frequently asked questions

   What kinds of concerns does Dominique address?

   She works with stress, anxiety, addictions, trauma and abuse, depression, grief, eating and sleeping problems, parenting strain, anger, self-esteem issues, and bipolar disorder. Additional areas include attachment issues, autism spectrum concerns, cancer-related stress, and substance use challenges.

   How would you describe her therapeutic style?

   Sessions are person-focused and practical. She listens first, helps clarify goals, and uses motivational techniques to support change.

   What is her professional background?

   She earned a Master of Social Work from Springfield College and completed internships in a correctional facility and a cancer center. She also worked three years in a clinic setting.

   What credentials does she hold and where is she based?

   She holds an LICSW and practices from Massachusetts.

   Which languages are offered in sessions?

   Sessions are offered in English, Spanish, and French.

   Can people outside the United States meet with her?

   International clients are not currently accepted.

   How are session costs handled?

   Costs vary with location and therapist availability; sessions use a subscription that can be canceled at any time.

   What steps do I take to start working with her?

   Select the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

6. Online talk therapy is not emergency or medical care. Stopping or cutting down alcohol or other drugs can be unsafe without medical advice. In immediate danger? Crisis numbers

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