Very understanding and kind.
Barbara Fotsch, LCSW
Experienced mental health professional
Provides online counseling through BetterHelp
At a glance
Barbara is an experienced, licensed Mental Health Professional who specializes in affordable online therapy offered through our partner, BetterHelp.
- 5.0 stars
- Clients are very satisfied with Barbara. View 52 reviews
- Great news, Barbara is accepting new clients!
- She is normally fully-booked.
- Speaks English
- Offers Telehealth visits
- Licensed in Missouri
Recent reviews
Love her. She makes therapy fun.
More about Barbara
- 25 years' experience
- Female
- LCSW
Hello. My name is Barb. I moved to southern California to be near my son, after living in St. Louis Missouri all of my life. I have always enjoyed my work with people and strongly believe we move forward when ready. My approach is mostly cognitive, psycho-educational, and supportive. I am rather casual & like to use humor when appropriate, as a tool, to help make the sessions comfortable.
I believe no "one size fits all" in the therapeutic relationship; if something isn't working, we can back it up and try something different. I try to pay attention to a client's energy and offer techniques best suited; for example, some clients want more guidance, others more autonomy. My job is to "listen" and identify helpful movement toward understanding, growth, and healing.
I check my emails 2x a day and will respond w/in 24 hours.
Specialties
Treatment Approaches
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
Licenses
Barbara Fotsch's National Provider Identifier (NPI) is 1275886954.
- LCSW · Missouri · 003171 · Expires September 2025
About online counseling
- Affordable.
- Pay a low flat fee.
- Convenient.
- Do it at your own time and at your own pace. Communicate whenever you feel it's needed.
- Available now.
- There is no waiting list and no calls to make. Simply fill out a short questionnaire and send your first message.
Online counseling, sometimes called teletherapy, refers to talk therapy delivered remotely through digital platforms, such as video calls, phone calls, or chat. It can be a great option for people who face barriers to traditional face-to-face therapy, such as those living in remote areas, individuals with mobility issues, or people with busy schedules that make it difficult to attend in-person sessions.
Teletherapy also offers greater convenience and flexibility, allowing clients to access care from the comfort of their homes. Research shows that the treatment outcomes with online counseling are often just as effective as with traditional therapy, providing a viable alternative for individuals seeking mental health support.
Reviews for Barbara Fotsch
All reviews have been submitted by clients after seeing the provider.
Overall rating:
Very understanding and kind.
Love her. She makes therapy fun.
Barbara has been my Rock. She’s intuitive, empathetic, and so professional. I look forward to each session.
although i could easily write Barb a whole novel of praises, i’ll try to keep it concise for the readers’ convenience lol. (spoiler alert: i still haven’t grasped the concept of “concise”) to say having Barb as a therapist has been life-changing would be a negligible understatement at best. i have never before had the pleasure of talking to someone so accepting and understanding of my problems- even when she couldn’t directly relate to something i was going through, not once did she make me feel judged and always provided the listening ear i so desperately needed. from her i received plenty of invaluable advice and techniques to better myself- from learning to not only ground myself when anxious but also how to effectively live with it , all the way to incredibly tender subjects such as a history of SA and being able to once again feel whole in mind, body, and spirit. what i have to say to the reader is that if you truly want to be better, to nourish and build healthy relationships, and live a fulfilling life, you must not only be honest and transparent with Barb, but really hear her words and do the work to implement them in your own life. change does not happen in a day, and it’s not always easy, but it is rewarding in a way i personally never thought possible. keep persevering even in the difficult times- one day you’ll look back and see how far you’ve grown, and realize that this is the best thing you could’ve done. if you’ve read this far, and have the option to match with Barb as your therapist, all im saying is take that leap of faith. if i (someone who was vehemently and openly against therapy) can do it, you can surely do it, too. so to Barb- thank you. for everything. this isn’t goodbye- it’s see you later. can’t wait to see what the future holds and to update you on my journey
Barbara is very professional and she makes you feel at ease. She is kind, courteous, respectful of your needs, and she gives you direction with your problems. She provides helpful articles and tools that allow you to grow and become the best version of yourself. I highly recommend her!!
She's amazing!
Barbara is patient, attentive, and interested. I feel heard and appreciate her approach.
My therapist Barbara is so helpful on my journey of finding self confidence. She promotes female empowerment and is so uplifting and encouraging while remaining grounded and real. Thank you for your time and attention.
Barbara has been an absolute God send for me, it's been a rough 6 months or so and she has helped me navigate through the struggles. I'm so thankful for her.
I so appreciate Barbara's listing skills! She makes the effort to hear me out, ask questions and understand me and my concerns.
Barbara is awesome it’s a joy that we come from the same place she understands what my environment is like
Barbara has been my therapist for several weeks. She is so insightful and professional. She lifts my spirits each time I talk with her. No judgment, only helpful ideas and encouragement. She has been a great source of inspiration for me. Thanks, Barbara!
I was incredibly nervous about going through therapy and was worried it was going to be like a chore as well but Barbara is amazing. She completely changed my worries and talking to her feels more like confiding in a friend. I would recommend her any day.
So far, after 2 sessions, I have felt very comfortable with Barbara. She is caring, helpful and informative. I bonded with her quickly.
Outstanding listener, support, and solution oriented.
I’ve written a review for Barb before but I’m adding another one as that one was from awhile back. All I can really say is Barb has changed my life completely. The tools she’s given me, her incredible listening skills, and her ability to aid in untangling all of my anxious and debilitating thoughts/experiences/traumas has set me on a path to being who I was always meant to be; someone I’m proud of and wake up each day feeling capable of living for myself and being my own person. What you learn from Barb is life changing if you listen and put in the work. She gives you an arsenal of techniques and guides, but it’s up to YOU to implement them. She’s always been there to listen to progress, give feedback, and help me through times of hardship or regression. I’m not sure I can sum up all of my thoughts in a review, plus I don’t want to end up writing a novel lol. Instead, what I’ll say is this… When I signed up for BetterHelp two years ago, I was a shell of myself. I felt hollow. In less than 24 hours, I matched with Barb and at first was incredibly uneasy. I’ve always doubted therapy but felt I’d run out of options. It didn’t take me long to realize, however, that I couldn’t have asked for a better guide in becoming my authentic self and growing into the woman I am today. The confidence I’ve gained in myself is remarkable. Sometimes I have bad days but the difference is I can now bring myself out of it and continue thriving. If Barb is your counselor, just know you’re in expert hands and you’ll do great things. Believe in yourself and trust her guidance. You got this. :)
I so appreciate the candor and empathy.
Best therapist I've ever had!!
Barbara Fotsch is easy for me and my partner to talk with. Her questions are spot-on, letting us know she's listening to us. It has been extremely helpful to know we can talk to her as a knowledgeable, well-trained third party. Thank you, Better Help, and Thank you, Barbara!
Barb is very attentive to my needs as they change. She is very good at picking up on what is bothering me and what direction our session might need to go if I don't have something specific I want to discuss. I always feel so much better after a session with Barb!
She is amazing
She’s a great person. Talking to her feels so easy and natural, she really helps not make it awkward. Really helped me through some mental blocks.
Barb is very easy to talk to and understands the crazy dynamics of unhealthy relationships. She has helped me understand a lot of the turmoil in my life and reassured me that I’m not totally crazy. :-)
She was great, very kind and responsive. An extremely patient doctor. I appreciate everything she was able to do for me during our brief time.
Barb is very kind and understanding! She always makes me very comfortable to be my most vulnerable self while I work through my healing journey.
Barbara was amazing from the first moment I met her. She listened to what I had to say and really made me feel comfortable. She helped me pave my way to a more successful life. She cared deeply about my mental health and for that I am so grateful.
Barbara is relatable, shows empathy and compassion and is truly encouraging! She understands my concerns and has given me a few new life skills to help me not just deal with them, but to grow through them. I am thankful we were paired up!
Barbara is very helpful. She listens to everything I have to say then recommends what I should do.
She's authentic ❤️
She has been truly amazing understanding my situation and who i am as a person and has helped me out extremely. She is incredible!
She's amazing and I'm blessed to have worked with her!
Barbara is great. Thank you
Barb has been super helpful and insightful regarding my relationship ups and downs. She's very encouraging and calls me out (gently) when I need it.
She’s wonderful!
Barbara is amazing, listens well and gives great advice and 'homework' that I find very useful.
She is concerned with the details of my life and seems to see the big picture at the same time. Very personal, kind and caring!
Barbara is an amazing counselor, and I can say this as someone who has had a lot of therapy. She focuses on practical solutions, ways to navigate life effectively, and creating more joy every day. I always feel like I get so much out of our sessions together. I would highly recommend her to anyone wanting to experience more balance and joy in life.
Barbara is amazing.
I had an immediate rapport with Barbara. I sense that this is going to go very well. She's nurturing and non judgmental. Just what I needed
I am thankful to have been matched with Barb. I felt comfortable with her very quickly, and I was able to share with her things that it has been difficult to share with other people in my life. I was grateful for the perspective and validation she provided for my outlook and feelings. She was always respectful but also helped me to see new ways of thinking about situations. She is an excellent listener and asks thought provoking questions. She has motivated me to make the effort in improving my relationships. She also provided several useful tools and worksheets that I can refer back to. I thoroughly appreciated working with Barb.
Barb has made such an incredible impact on my life, it’s difficult to accurately put into words just how great of a counselor she is. Without getting in depth, i can say that when I first signed up for BetterHelp/matched with Barb, I was just… lost. In so many ways. Yet over just six or so short months, my world has changed and I feel so much more optimistic, hopeful, happy- more alive than ever. Barb is understanding, compassionate, and gives you the resources you need to change yourself for the better. If you listen to her and put in the work, there is no doubt that you’ll come out a greater person than you already were.
My experience has been short, however, I am already able to apply and remember the things that I am working on to improve my life. I have seen many counselors to no avail. I am actually feeling like I’m able to change and someone is able to support and guide me on this new change to help improve my quality of life.
Barb is legit the best. I would not have been able to work through decades of pent up emotions without her. Love ya Barb!
Barb is a great listener and moves at the pace chosen by the patient. I live our video sessions.
Barbara is very easy to talk to, it feels like I am having a chat with a good friend. She offers strategies to cope with my anxiety and checks in when she doesn't hear from me. It is nice to know someone is thinking about you.
I cannot thank Barb enough for helping me so much in a journey where I went from anxiety and depression to a healthy way in dealing with my emotions, anger, feeling and relationships. Thanks to her I have opened up to those close to me and am communicating more which helps me deal with moments when I bring myself down or let anxiety take over. The time she takes to work on what can make me navigate my problems, her patience and understanding is absolutely amazing. She listens, remembers and gives you a dedication that go beyond what I expected. I honestly was hesitant about the success of doing therapy via online but Barb has helped me so much and thanks to her I am finally waking up with joy in what the day will bring and not paralyzed with fear of what my anxiety and negativity will bring.
I had never participated in counseling before, but I felt I needed to try something new and was very grateful I did. I was very comfortable with Barb from the very beginning. She is passionate, dedicated, friendly, and engaged throughout every session. She provides excellent guidance and perspective. Our sessions have helped me bounce back and see things differently. Highly recommended!
Was scared and untrusting, but to be honest it’s one of the best things I have ever done.
Barb is a wonderful listener and does so well to make me feel comfortable and at ease when speaking with her. I always felt lighter after our conversations. Barb also shared plenty of helpful insights and let me lead my course to peace of mind. I recommend her highly!!
I am very grateful to have found Barb. I felt comfortable with her right away. I am a therapist myself and felt hesitant about being able to find the right fit. Barb is always compassionate. She lets me decide the direction of therapy based on my values and priorities. She offers insightful guidance that has helped me come to a deeper understanding of myself.
Barb is very sweet & helpful. She is a great listener & is patient.
Barb is a very good listener and very helpful!
Frequently asked questions
Does Barbara Fotsch offer telehealth visits?
Yes. Barbara Fotsch works with clients by exchanging messages, chatting live, speaking over the phone, or video conferencing based on what works for the client at that particular time.
What language(s) does Barbara Fotsch speak?
Barbara Fotsch speaks English.
How many years of experience does Barbara Fotsch have?
Barbara Fotsch has 25 years of experience.
Where is Barbara Fotsch licensed to practice?
Barbara Fotsch is licensed to practice in Missouri.
Does Barbara Fotsch accept clients outside of the United States?
No, Barbara Fotsch does not accept clients outside of the United States.
Is online therapy as effective as in-person therapy?
Numerous studies support the effectiveness of online platforms in facilitating life changes. For instance, research published by JMIR Publications, conducted by teams from the University of Berkeley, UCSF, and SF General Hospital, found that "users of BetterHelp experienced significantly reduced depression symptom severity after engaging with the platform."
What treatment approaches does Barbara Fotsch offer?
Barbara Fotsch offers clients Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, Motivational Interviewing, and Solution-Focused Therapy.
How can I communicate with Barbara Fotsch?
Barbara Fotsch can be engaged in any one of four ways: (1) Exchanging messages, (2) chatting live, (3) speaking over the phone, or (4) video conferencing. You can use different ways at different times as you wish, based on your needs, availability, and convenience.
How do I get started with Barbara Fotsch?
Just tap the CHAT NOW button or tap here: A new window will open and you'll be directed to a simple form that will help start the conversation. Please note: It can take up to a few days to be matched to a therapist.
Mental health conditions are real, common, and treatable.
And recovery is possible.
When you tap CHAT NOW a new window will open and you'll be directed to a simple form that will help start the conversation. Please note: It can take up to a few days to be matched to a therapist.