Sheet 1
- Stress and anxiety
- Addictions support
- Grief and trauma
About Thomas
Florida LMHC with 28 years of experience, Thomas Dukes focuses on stress, anxiety, addiction, grief and related concerns. He practices psychotherapy for depression, relationship and intimacy issues, sleep problems, anger, self-esteem, career changes, bipolar disorder, ADHD, compassion fatigue and trauma. He works with people who want clear guidance and practical strategies rather than long theoretical discussion.
Thomas began in the field in 1996 at a Medicaid dual-diagnosis treatment center in Brooklyn, New York. He started graduate study in 1998 while working full time across outpatient and residential programs. After earning his counseling license in 2000 he worked in crisis stabilization, drug treatment, juvenile intervention and an outpatient institute in Boca Raton.
Following 2001 he built a private practice that also provided services to employee assistance programs, sober residences and treatment facilities. In 2010 he moved to western North Carolina and later spent ten years as a clinical supervisor at a behavioral health facility. He continues to reside in North Carolina and holds an active Florida LMHC credential.
His style is straightforward and practical. Sessions are goal-oriented and focus on strategies to manage symptoms and improve daily functioning. He combines short-term problem solving with longer-term work when needed.
Thomas describes himself as easy to connect with and aims to offer clear direction. People who want concrete coping skills, coaching for life changes, or help managing mood and substance concerns are likely to find his approach useful.
Sheet 2
Therapeutic approaches and how they work online
Thomas uses evidence-based therapeutic techniques that focus on practical change. One common approach he uses emphasizes problem-solving and skill building to reduce anxiety and manage stress; this involves identifying patterns that cause distress and practicing concrete coping strategies in daily life. Another approach centers on relapse prevention and behavioral planning for addictions, working through triggers and building routines that support recovery.Finding the right approach is part of the work. He will collaborate with each person to choose which techniques fit their needs, goals and preferences. That choice can shift over time as progress is made or new issues emerge.
The biography does not list specific session formats. Confirm current online session options before booking. In general, online sessions can help fit therapy into a busy schedule by reducing travel time, making it easier to have shorter check-ins during a break, or allowing consistent contact when relocation or travel would otherwise interrupt care. Licensed professionals adapt their methods for remote work so that skill practice, coaching and behavioral planning continue to be the focus.
Sheet 3
Areas of expertise
Primary focus
Also works with
Experience
28+ years
Listed in
Florida
Languages
English
Sheet 4
Frequently asked questions
What concerns does he address?
He works with stress, anxiety, addictions, grief, depression, relationship and intimacy issues, sleep and anger problems, self-esteem, career questions, bipolar disorder, ADHD and compassion fatigue.
What is his therapeutic style?
He uses a practical, goal-oriented style that focuses on strategies to manage symptoms and improve daily functioning. Sessions mix short-term problem solving with longer-term work as needed.
How much experience does he have?
He has 28 years of experience in mental health settings, beginning in 1996 and holding roles in outpatient, residential and supervisory positions.
What credential does he hold and where is he located?
He is a Florida LMHC and is based in Florida while residing in North Carolina.
Which languages are supported?
Sessions are offered in English and he accepts international clients.
What session formats are offered?
The original biography does not specify session formats. Please confirm current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.