TD Portrait of Thomas Duncan

Thomas Duncan, LICSW

Focused therapist who teaches practical skills

14 years in practice · based in Washington · sessions in English · online sessions

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About Thomas

Thomas Duncan is a licensed clinical social worker with 14 years of experience who helps people facing stress, anxiety, depression, addiction, grief, and other life challenges. He focuses on practical skills you can use right away. Sessions aim to be efficient and goal-focused so clients get value without long-term commitments.

He prefers a straightforward style that teaches tools you can practice between meetings. That can include ways to manage intense feelings, cope with life change, or rebuild a sense of purpose.

Book with Thomas Now Review online therapy options and next steps.

Background and approach

He also supports people dealing with relationship strain, parenting stress, and compassion fatigue. Thomas draws on evidence-based methods like Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. He uses those approaches to help people notice unhelpful habits, shift unhelpful thoughts, and act in ways that match their values.

Work often includes short exercises, skill practice, and clear steps to try between sessions. Thomas is mindful of cost and time. He aims to deliver useful strategies in fewer sessions when that fits a person’s goals.

That can be appealing for people who want focused help for problems such as addiction, anger, loneliness, or career stress. He practices in Washington and conducts sessions in English. People connect with him through video, phone, live chat, or text-based messaging depending on their needs and preferences.

How ACT and CBT work in online care

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and feelings without getting stuck in them, then choose actions that match what matters to them. It is often useful for anxiety, emptiness, guilt, and making values-based changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and testing thoughts and behaviors that get in the way, teaching concrete strategies to reduce worry and depressive patterns. CBT can help with stress, panic, addiction triggers, and anger.

Finding the right approach is part of the work. Thomas will collaborate with each person to decide which methods fit their goals and preferences. That means reviewing what’s been tried, setting clear short-term goals, and adjusting methods if something isn’t working. The process is practical and tailored rather than one-size-fits-all.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversations and visual cues, while phone sessions can be easier when bandwidth is limited. Live chat and text messaging are useful for quick check-ins, brief coaching, or when someone prefers typing to speaking. These options make it easier to fit therapy around work, family, and other commitments, and to practice skills between sessions.
Book with Thomas Now Review online therapy options and next steps.

Questions people ask

What concerns does Thomas commonly address?
He works with people dealing with stress, anxiety, depression, addiction, relationship strain, grief, trauma and related issues such as self-esteem, anger, and life purpose.
What is his therapeutic style like?
He uses a straightforward, skills-focused approach that aims to teach practical techniques people can use between sessions.
How much experience does he have?
He has 14 years of experience as a clinician working with a range of concerns including addiction, parenting stress, and compassion fatigue.
What are his credentials and where is he located?
He is a LICSW - Licensed Independent Clinical Social Worker - practicing in Washington.
Which languages are offered for sessions?
Sessions are offered in English.
What session formats are available?
He meets by video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How are sessions paid for or billed?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule a session based on therapist availability.

What this therapist works with

Also listed

Experience
14 years
Licensed
Washington
Languages
English

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