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TD Portrait of Thomas Duncan

Thomas Duncan

Practical, skills-focused therapy for everyday challenges

LICSW Washington

Experience
14 years in practice
Focus areas
Stress, Anxiety, Depression, Addictions
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Thomas

Thomas Duncan is a licensed clinical social worker (LICSW) who emphasizes practical skills to help people address current life challenges efficiently. He aims to give clients tools they can use quickly, prioritizing short-term, goal-focused work rather than indefinite therapy.

Background and approach

His approach seeks to maximize value for clients who prefer targeted support and want to move forward without prolonged commitment. Working from Washington, he draws on 14 years of practice to help clients navigate stress, anxiety, depression, addictions, relationship and family concerns, trauma and abuse, grief, parenting difficulties, anger, and self-esteem struggles.

He also works with issues such as divorce and separation, drug and alcohol addiction, emptiness, forgiveness, guilt and shame, isolation and loneliness, life purpose, and self-love. Thomas blends evidence-based methods like Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to teach concrete strategies for coping and change.

His style emphasizes collaboration and practicality: clients can expect a focus on skills that can produce meaningful shifts in everyday life while honoring each person’s goals and resources. Sessions are tailored to be efficient and focused so that progress can occur without unnecessary time or cost.

Using ACT and CBT in Online Sessions

Thomas Duncan uses Cognitive Behavioral Therapy (CBT) to help clients identify unhelpful thinking patterns and develop practical skills for changing reactions and behaviors; this approach is often useful for anxiety, depression, and stress. He also draws on Acceptance and Commitment Therapy (ACT), which focuses on accepting difficult internal experiences while clarifying personal values and committing to actions that support a meaningful life.

Choosing the right approach is a collaborative process. He works with each person to determine whether CBT, ACT, or a blend of both best matches their goals, needs, and preferences, and adapts strategies as progress is made so therapy stays relevant and focused.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules and reducing travel time. These formats allow for ongoing skill practice, timely support between meetings, and options that suit different comfort levels and day-to-day constraints. Licensed professionals can use these modalities to deliver structured, accessible care that fits individual routines and goals.

Frequently asked questions

What kinds of concerns does he address?
He works with a range of concerns including stress, anxiety, depression, addictions, relationship and family issues, trauma and abuse, grief, parenting, anger, and self-esteem difficulties.
How would you describe his therapeutic style?
His style is practical and skills-focused, emphasizing short-term, goal-oriented work that teaches coping tools clients can apply between sessions.
What is his professional background?
He brings 14 years of clinical experience to his practice, using that experience to prioritize efficient, value-driven therapeutic work.
What credentials and location are listed?
He is a LICSW licensed in Washington with licence number WA LICSW LW61413297 and practices in Washington state.
Does he work with clients who speak other languages?
Sessions are offered in English only, and he is not currently accepting international clients.
What session formats are available?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging depending on what fits their needs.
How does billing and cost work?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Also works with

AddictionsRelationship issuesFamily conflictsTrauma and abuseGriefParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCompassion fatigue

Additional focus areas

Divorce and separationDrug and alcohol addictionEmptinessForgivenessGuilt and shameIsolation / lonelinessLife purposeSelf-love

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)

Experience

14+ years

Licensed

Washington

Languages

English