About Thomas
Thomas Smith is a licensed clinical social worker (LCSW) based in Pennsylvania. He has three years of practice and helps people facing stress, anxiety, depression, grief, addiction, and relationship or intimacy-related concerns. He works with clients on everyday struggles like sleep problems, parenting strain, career stress, and coping with life changes.
Smith uses a mix of approaches chosen with each person. He often draws on cognitive behavioral techniques, trauma-focused work, and narrative methods to match someone's goals.
How Thomas works
Sessions are straightforward and focused on steps people can use between meetings. Clients who want a practical plan and a chance to talk through painful events may find his style useful. He pays attention to patterns that keep problems going and to ways people can try new behaviors.
He also addresses issues like ADHD, self-esteem, anger, and compassion fatigue. Thomas supports discussions about sexual expression, body image, blended family concerns, caregiving stress, chronic illness, and other complex life situations. He works with people navigating bipolar disorder, co-morbidity, and long-term health challenges.
His approach aims to combine short-term strategies with deeper understanding. Sessions are offered in English and delivered through video calls, phone sessions, live chat, or text-based messaging. The practice uses a subscription model that can be canceled at any time, and scheduling follows the therapist's availability.
Thomas lists 6 ways of working on the entry:
What Thomas works with
The areas below are the ones Thomas selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 3 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Pennsylvania |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that guide online sessions
Thomas often uses cognitive behavioral therapy, which helps identify unhelpful thoughts and test new behaviors to reduce symptoms like anxiety, depression, or sleep problems. It focuses on practical steps and experiments that people can try between sessions.He also integrates trauma-focused techniques including EMDR-style trauma work to help process painful memories and reduce their emotional impact. Narrative therapy is used to look at the stories people tell about themselves and to create alternative, more empowering narratives.
Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and what has or hasn't helped before. That collaborative process guides which methods get used and how sessions are paced.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video calls allow face-to-face interaction for deeper conversation. Phone sessions can be a good option when bandwidth is limited or a camera is not wanted. Live chat and text-based messaging suit quick check-ins, brief coaching, or times when typing feels easier than speaking. These options make therapy more flexible for people balancing work, caregiving, or health concerns.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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