Thomas Duncan is a licensed clinical social worker (LICSW) who focuses on practical help for everyday struggles. He aims to teach skills that make a difference quickly, so people can move forward without long-term therapy commitments. His approach emphasizes getting useful tools into a person's hands as soon as possible.
With 14 years of experience, Thomas works with concerns such as stress, anxiety, depression, addictions, grief, and self esteem. He also helps with relationship and family issues, parenting strain, anger, and life changes like divorce and separation. Additional areas include feelings of emptiness, guilt and shame, and finding life purpose or self-love.
Thomas uses straightforward methods drawn from Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. Sessions focus on practical skills - noticing thoughts, building small behavior changes, and clarifying values that guide decisions. The goal is to create habits and strategies that fit daily life.
People meet him for a mix of skill-building and problem-solving. He prefers brief, focused work when that will help, while remaining open to longer engagement when it's needed. He talks plainly about costs and aims to offer value for the money people spend on care.
Thomas practices in Washington and conducts sessions in English. To begin, visitors follow the site Start Therapy process, fill a short matching questionnaire, and schedule based on the therapist's availability.
How ACT and CBT Translate to Online Work
Acceptance and Commitment Therapy helps people identify what matters most to them and take small steps toward those values. It uses practical exercises to reduce avoidance and build a life people care about. Cognitive Behavioral Therapy focuses on noticing unhelpful thoughts and testing them in real life through doable behavior changes. It often helps with anxiety, depression, and patterns that keep problems stuck.
Choosing an approach is a team effort. The therapist will work with each person to decide which methods fit their situation and goals. That collaborative process includes trying techniques, checking what helps, and adjusting the plan over time.
Confirm the current session formats before booking, as specific options are not listed here. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow for focused check-ins without needing a long commute. It also lets people practice skills in the settings where they live and work, which can help bring change into daily routines.
AddictionsRelationship issuesFamily conflictsTrauma and abuseGriefParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCompassion fatigue