- CBT informed
- Mindfulness techniques
- Solution focused
About Thomas
Thomas Birchfield is a Licensed Professional Counselor (LPC) in Texas with 12 years of clinical experience. He focuses on stress, anxiety, depression, grief, career questions, and LGBT-related concerns. Much of his work involves health psychology and supporting people managing changes in health, work, relationships, and caregiving roles.
He uses clear, practical methods in sessions. Thomas draws on cognitive-behavioral therapy, mindfulness-based stress reduction, and solution-focused therapy to address symptoms and day-to-day problems. Sessions tend to focus on concrete steps, coping strategies, and patterns that get in the way of progress.
Thomas emphasizes developing a collaborative working relationship. He aims to help clients set goals, test small changes, and track what works. Conversations are direct and centered on what the client wants to change or understand next.
People reach out to him for help with panic attacks, social anxiety, chronic illness or pain, caregiver stress, and feelings of isolation or shame. He also supports those wrestling with life purpose and career decisions.
His practice works in English and is based in Texas. If you want to explore whether his style fits, you can start by completing the short matching questionnaire and scheduling an initial session.
How therapeutic methods translate to online work
Thomas commonly uses cognitive-behavioral techniques to help people notice unhelpful thoughts and try new behaviors. CBT is practical and problem-focused, which can help with anxiety, panic, and mood concerns. Mindfulness-based stress reduction shows people simple attention and breathing practices to reduce reactivity and manage stress in daily life. Solution-focused methods look at what is already working and build small, achievable steps toward goals.Finding the right mix of methods is part of the early work. Thomas will collaborate with each person to choose approaches that match their goals, symptoms, and preferences. That means checking in about what helps, adjusting techniques, and choosing a pace that feels manageable.
The practical benefits of online sessions include fitting therapy into a busy week and reducing travel time. Online work can make it easier to schedule shorter check-ins or regular weekly sessions around work and caregiving responsibilities. Confirm the current session options before booking to see which formats Thomas offers, and plan sessions to fit daily life without assuming specific formats in advance.
Areas of expertise
Primary focus
Additional focus areas
Experience
12+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does he address?
He works with stress, anxiety, depression, grief, career questions, and LGBT-related concerns, plus caregiver stress, chronic illness and pain, isolation, and life purpose.
How does he approach someone feeling stuck?
He uses cognitive-behavioral strategies, mindfulness-based stress reduction, and solution-focused techniques to identify obstacles and try concrete changes.
How much experience does he have?
He has 12 years of experience working with people facing health changes, work stress, relationship issues, and caregiving responsibilities.
What are his credentials and where is he based?
He is a Licensed Professional Counselor (LPC) practicing in Texas.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States work with him?
He is not currently accepting international clients.
How does payment work?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.