About Thomas
Thomas Smith is a licensed clinical social worker (LCSW) based in Pennsylvania. He brings three years of documented professional experience to his work and focuses on helping people manage stress, anxiety, grief, depression, relationship concerns, and addiction-related struggles. He offers practical, down-to-earth support for everyday problems like sleep trouble, parenting strain, and career stress.
Thomas uses several therapeutic approaches and partners with each person to choose what feels most helpful.
Background and approach
Sessions are conversational and goal-oriented, with attention to immediate coping and longer-term patterns. He aims to make sessions feel straightforward and useful rather than overwhelming. In practice he draws on methods such as Cognitive Behavioral Therapy to help change unhelpful thoughts and behaviors, EMDR for processing trauma, and Narrative Therapy to reframe difficult life stories.
He also uses psychodynamic ideas to surface recurring patterns that cause distress. These tools are mixed to fit what a person needs that week. Thomas works with issues across a broad range, including intimacy-related concerns, ADHD, compassion fatigue, and body image, among others.
He is fluent in English and provides sessions in formats that include video calls, phone, live chat, and text messaging. His license is listed as PA LCSW CW016654. To begin, people complete a short matching questionnaire and schedule sessions based on the therapist’s availability.
Therapy subscriptions can be canceled at any time and fees vary with location and therapist availability.
How Thomas uses proven approaches in online care
Thomas often uses Cognitive Behavioral Therapy to help people identify and shift unhelpful thoughts and behaviors; this approach works well for anxiety, depression, sleep problems, and stress-related concerns. He also uses Eye Movement Desensitization and Reprocessing to address traumatic memories and symptoms that follow from past abuse or collisions with major stress. Narrative Therapy is another tool he draws on to help people retell difficult experiences in ways that reduce shame and increase agency.Choosing the right approach is a collaborative process. Thomas will talk with each person about goals, preferences, and what has or hasn’t helped in the past. Together they try methods that match immediate needs while keeping longer-term change in view.
Online sessions are offered by video call, phone, live chat, or text messaging to make care easier to fit into daily life. Video helps recreate a face-to-face conversation, phone can be simpler when bandwidth is limited, and chat or text work well for brief check-ins or when someone prefers not to be on camera. These options give flexibility for scheduling, reduce travel time, and make it easier to keep therapy consistent over time.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also works with
- 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