- Years in practice
- 3
- Credentials
- LCSW
- Licensed in
- Pennsylvania
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Relationship issues
- Focus
- Trauma and abuse
About Thomas
Thomas Smith is a Licensed Clinical Social Worker (LCSW) based in Pennsylvania. He brings three years of clinical practice to conversations about parenting, stress, anxiety, and related concerns. He listens first, then helps people decide what to focus on and how to make steady changes.
He offers short-term and longer-term approaches depending on what someone needs. Sessions move at a practical pace with clear goals. Thomas draws on methods that target thinking patterns, personal stories, and past experiences to help clients feel less stuck.
Background and approach
In sessions he uses tools from cognitive behavioral approaches to spot and shift unhelpful thoughts. He also works with narrative ideas to help people reframe difficult events and create more useful stories about themselves. For trauma-related issues he integrates techniques aimed at processing painful memories in a paced way.
Thomas helps people dealing with relationship strain, parenting stress, sleep problems, grief, addictions, and work-related burnout. He also supports those facing mood challenges such as depression, bipolar concerns, or anxiety. Practical coping skills and weekly steps are part of his work together with clients.
He provides therapy by video, phone, live chat, or text-based messaging. Sessions use a subscription that can be canceled at any time and costs vary with location and therapist availability. To begin, the reader completes a short matching questionnaire and schedules appointments based on the therapist's availability.
What Thomas works with
Everything Thomas lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Thomas helps people with.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Grief
- Depression
- Addictions
- LGBT
- Family conflicts
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Traumatic brain injury
- Workplace issues
- Young adult issues
Approaches Thomas lists
- Cognitive Behavioral Therapy (CBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How Thomas uses therapy approaches online
Thomas commonly uses cognitive behavioral techniques to help people notice and change unhelpful thought patterns. This approach focuses on practical exercises and homework that reduce anxiety, improve sleep, and manage mood swings.He also uses EMDR-informed methods for trauma-related work, guiding clients through paced memory processing to reduce the emotional intensity of painful events. Narrative therapy is another approach he uses to help clients rewrite the story they tell about themselves and their relationships, which can be useful for parenting stress and identity concerns.
Choosing the right approach is a collaborative process. Thomas will discuss options, weigh what feels most useful, and adapt methods as goals evolve. Clients are invited to give feedback so the plan stays responsive and practical.
Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or a hands-free check-in is preferred. Live chat and text messaging provide brief check-ins, real-time problem solving, and a way to keep progress between sessions.
Questions people ask about Thomas
What concerns does Thomas help with?
Thomas addresses stress, anxiety, parenting strain, relationship and intimacy-related issues, grief, depression, addictions, and related challenges listed in his specialties.
What is his therapeutic style like?
He works plainly and practically, helping people set clear goals and take small steps. Sessions blend skills practice, talking through personal stories, and targeted memory processing when needed.
How much clinical experience does he have?
He holds a Licensed Clinical Social Worker credential and has three years of documented experience providing clinical services.
Where is he based and licensed?
He is licensed as an LCSW in Pennsylvania and practices from that state.
Which languages are offered for sessions?
Sessions are offered in English.
What session formats are available?
Thomas offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How are sessions billed and what do they cost?
Sessions use a subscription model that can be canceled at any time; cost varies with location and therapist availability.
How do I start working with him?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling sessions according to his availability.
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