Skip directly to content


Our entire life consists ultimately in accepting ourselves as we are.
-Jean Anouilh

My name is Lesa Fischer and I am a Licensed Clinical Social Worker with a private, outpatient psychotherapy practice in Madison, Wisconsin. I focus my work on the concerns of individuals, couples and families.

Specializing in a variety of areas including relationships, family systems, stress management, grief and loss and more, I invest in working together to help others learn how to best help themselves.

Working collaboratively, I journey with my clients as they learn who they are, why they do what they do, and how to work toward the change they most want to see. If you - or someone you know - would like help in navigating life's challenges, I invite you to contact me.

Please feel free to check out the rest of my website to learn more about my background, education and therapeutic philosophy.



I have extensive experience and training in a variety of therapeutic modalities including but not limited to:
  • cognitive behavioral
  • dialectical behavioral
  • solution-focused
  • interpersonal
  • person-centered
  • psychodynamic

My areas of expertise include, but are not limited to:

  • relationships, including LGBTQ and alternative sexuality
  • family / parenting / divorce
  • conflict resolution
  • communication
  • grief and loss
  • cancer / chronic illness
  • depression
  • anxiety
  • transitions and change

My clinical approach is to work with each client to develop a plan that will best address his or her concerns and goals. Together we navigate the past for the purpose of learning, negotiate the present for the sake of change, and look to the future for the anticipation of difference.