About Thomas
Thomas Dukes is a licensed mental health counselor with 28 years of experience. He draws on long work in psychiatric crisis care, substance use settings, and independent practice to help people who are overwhelmed or stuck. He practices from Florida and offers online sessions in English to people both inside and outside the U.S.
He began working in mental health in 1996 and started graduate study while holding full-time jobs across a range of programs.
Background and approach
Early roles included work in dual-diagnosis treatment, a psychiatric crisis stabilization unit, and juvenile intervention settings. That hands-on background shaped his practical, down-to-earth approach to therapy. Over the years he built a independent practice and provided services to employee assistance programs, sober living residences, and treatment centers.
He later spent a decade supervising clinical staff, adding leadership and mentoring to his skill set. These experiences inform how he structures sessions and supports people through change. Thomas uses straightforward talk therapy and evidence-based therapeutic techniques to address stress, anxiety, addiction-related problems, grief, depression, and ADHD.
He aims to make sessions clear and action-oriented, helping people form realistic steps they can try between meetings. He describes himself as easy to connect with and continues to offer guidance while semi-retired. Sessions are delivered through video, phone, live chat, or text messaging, so people can choose the format that best fits their schedule and needs.
Evidence-based approaches and online care
Thomas uses evidence-based therapeutic techniques that focus on clear strategies and practical change. One common approach is problem-focused talk therapy, which helps people name unhelpful patterns, set small goals, and try new behaviors between sessions. This is useful for stress, anxiety, and everyday coping struggles.Another often-used approach draws on relapse prevention and coping skills for addiction and mood instability. These methods break problems into manageable steps, teach specific skills for managing urges or mood swings, and help build routines that support stability. These approaches can also be helpful for managing ADHD-related challenges by emphasizing structure and planning.
Choosing the right approach is a team effort. The therapist will discuss your concerns, goals, and preferences, then tailor techniques that fit your situation. That collaborative process often includes adjusting methods as you learn what helps most.
Online therapy offers flexibility and accessibility. Video calls let you use visual cues and deeper conversation, phone sessions work well when bandwidth is limited, live chat can suit brief check-ins, and text messaging supports quick reflections or reminders. These formats make it easier to fit therapy into work, family, or travel schedules while maintaining regular contact with a licensed professional.
Questions people ask
What concerns can he help with?
What is his therapy style like?
How much clinical experience does he have?
What credentials and location are listed?
In what language are sessions offered?
Which session formats are available?
How is cost handled?
How do I begin working with him?
What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Coaching
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Grief
- Intimacy-related issues
- LGBT
- Self esteem
- Sleeping disorders
- Trauma and abuse
- Experience
- 28 years
- Licensed
- Florida
- Languages
- English
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