About Thomas
Thomas Smith is a licensed clinical social worker who practices in Pennsylvania. He brings three years of professional experience to counseling and works with people on stress, anxiety, relationship concerns, trauma and abuse, grief, depression, and related issues. Thomas helps individuals talk through parenting strain, career worries, sleep problems, and challenges with self-esteem and intimacy.
Thomas offers straightforward, practical sessions. He and each client pick approaches that fit the problem and the person's preferences.
Background and approach
Sessions can include direct skill teaching, guided processing of difficult memories, or short-term solution work focused on immediate concerns. In therapy he often combines cognitive behavioral techniques with narrative and psychodynamic ideas to address how thoughts, stories, and past experiences shape reactions today. He also uses methods aimed at trauma when working with painful memories and their effects.
The aim is to reduce distress and help people regain more control over daily life. People come to him for a wide range of struggles, including addiction, bipolar mood challenges, ADHD, compassion fatigue, and issues tied to body image, caregiving, or chronic illness. He is familiar with working through abandonment, attachment, and communication problems that make relationships feel hard.
Sessions are available by video call, phone, live chat, or text messaging. Thomas works in English and practices in Pennsylvania. To begin, clients follow the site's Start Therapy steps to match and schedule a session.
Therapeutic approaches for online work
Thomas often uses cognitive behavioral therapy, which focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms such as anxiety and depression. CBT typically involves practical exercises and skill building that can be done between sessions.He also uses EMDR to help process distressing memories and their emotional impact. EMDR involves structured processing of past events and can be helpful for people dealing with trauma symptoms that interfere with daily life.
Finding the right approach is a shared process. Thomas works collaboratively with each person to choose which methods feel most useful based on goals, comfort level, and response to early sessions. That choice can shift over time as needs change.
Online formats offer flexibility for different situations. Video calls allow face-to-face interaction for deeper conversation and therapeutic exercises. Phone sessions can fit a busy schedule or be used when bandwidth is limited. Live chat and text messaging support brief check-ins, between-session coaching, or ongoing support without a full session.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 3 years
- Licensed
- Pennsylvania
- Languages
- English
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