- Stress and anxiety
- Relationship support
- Practical coping skills
About Gretchen
Gretchen Wesche is a Licensed Independent Clinical Social Worker (LICSW) in Minnesota who helps people manage stress, anxiety, depression, grief, and self-esteem struggles. She also supports clients dealing with relationship and intimacy concerns, addictions, career stress, ADHD, and caregiving strain. Her work is grounded in practical support and steady listening for people trying to get through hard periods.
With 37 years of experience, Wesche keeps sessions focused on the person's real-life needs. She listens first to understand what matters most, then helps set small, doable goals. Sessions often include skills people can use between meetings, like coping strategies and communication practices.
Her style blends client-centered listening with concrete tools from cognitive behavioral approaches and mindfulness. She also draws on psychodynamic ideas to help people notice long-standing patterns, and motivational interviewing to help with change and recovery. These methods are used to match the work to what each person needs.
Wesche has worked with a wide range of stressors, including family of origin issues, caregiver burnout, divorce and separation, and substance concerns. She helps people sort through guilt, shame, emptiness, and transitions across adult life stages.
People who come to her can expect straightforward conversation, practical suggestions, and collaborative planning. She aims to support resilience and clearer decision making as clients move through change.
How her approaches translate to online work
Client-centered therapy focuses on listening and reflecting back what matters most to the person. It helps people feel heard and clarify their goals, which can make sessions feel more practical and focused. Cognitive behavioral therapy (CBT) looks at thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns; it is often used for anxiety, depression, and sleep problems. Mindfulness therapy brings attention to the present moment and teaches simple practices to reduce reactivity and upskill stress management. Deciding which approach to use is part of the work together. The therapist will ask about the client's needs, goals, and daily life and then suggest ways of working that match those priorities. This is a collaborative process that can be adjusted as progress is made. Confirm the available session formats before booking so you know what options are currently offered. Online work can make it easier to fit therapy into a busy schedule because sessions can be joined without travel, and shorter check-ins can be scheduled between other commitments. It can also allow for different ways of practicing skills between meetings, helping people apply coping strategies directly in their day-to-day routines.Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
37+ years
Credentials
Minnesota
Languages
English
Frequently asked questions
What concerns does she help with?
She supports people with stress, anxiety, depression, grief, self-esteem, addictions, relationship and intimacy issues, anger, sleeping problems, career stress, and ADHD among other concerns.
How does she approach therapy sessions?
Her style is collaborative and practical, combining listening with goal-setting and skills practice drawn from client-centered work and cognitive behavioral techniques.
How much clinical experience does she have?
She brings 37 years of experience as a clinician in Minnesota, working across many adult life stages and a range of emotional and behavioral issues.
What are her credentials and where is she based?
She holds a LICSW - Licensed Independent Clinical Social Worker - and practices in Minnesota.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How is cost handled for therapy sessions?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule sessions according to the therapist's availability.