About Thomas
Thomas Grinnell is a Licensed Clinical Social Worker (LCSW) based in New York who helps people manage stress and anxiety. He also supports people coping with depression, bipolar disorder, trauma and abuse, grief, addictions, and relationship or intimacy concerns. Thomas focuses on practical coping skills that can be used between sessions.
He uses a person-centered style that keeps the client's goals in focus. Sessions are conversational and goal-oriented. He mixes techniques from cognitive behavioral approaches and dialectical behavior work to teach tools for managing intense emotions and changing unhelpful thinking patterns.
Background and approach
Thomas has spent 12 years providing direct counseling and more than a decade working in human services. That background includes helping people with intellectual disability, mood disorders, obsessive-compulsive behaviors, and challenges tied to family of origin or fatherhood issues. He draws on that experience when someone needs straightforward strategies and steady support.
In sessions he often introduces short, concrete exercises - breathing and grounding skills, thought records, behavioral experiments, or brief motivational interviewing to spark change. He will work with each person to set small, realistic steps and track progress over time. People who choose him can expect clear, down-to-earth guidance and an emphasis on skills that fit daily life.
He offers video calls, phone sessions, live chat, and text messaging as ways to connect and continue work between meetings.
How therapeutic approaches translate to online care
Client-Centered Therapy emphasizes listening and tailoring sessions to each person's priorities. In practice this means the therapist follows the client's lead, asks about what matters most, and helps shape goals the client wants to reach. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing new behaviors. It is useful for anxiety, depression, OCD patterns, and mood-related problems because it teaches practical techniques like thought records and behavioral experiments.Choosing the right approach is part of the work. Thomas will collaborate with the client to decide which methods fit best based on their needs, goals, and what feels useful. That plan can change over time as progress is reviewed and new challenges show up.
Online therapy offers several flexible ways to connect. Video calls allow for a full session with visual cues, phone sessions are a good option when bandwidth is limited or a shorter check-in is needed, and live chat or text-based messaging can support brief updates, homework review, or moments when writing is easier than speaking. These formats make it simpler to keep momentum and practice skills between sessions.
Questions people ask
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What this therapist works with
Most often
Also listed
- Addictions
- Anger management
- Antisocial personality
- Autism and Asperger Syndrome
- Bipolar disorder
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family of origin issues
- Family problems
- Fatherhood issues
- Gender dysphoria
- Impulsivity
- Intellectual disability
- Intimacy-related issues
- LGBT
- Mood disorders
- Obsessions, compulsions, and OCD
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
Therapeutic approaches
- Experience
- 12 years
- Licensed
- New York
- Languages
- English
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