Thomas Duncan, LICSW

Thomas Duncan is a general counselor who focuses on delivering practical, skills-based support that can often address life challenges without requiring long-term therapy. As a Licensed Independent Clinical Social Worker (LICSW), he concentrates on helping people develop tools and strategies they can use quickly to manage stress, anxiety, depression, relationship difficulties, addiction concerns, grief, and other common struggles.

He aims to partner with clients to transfer useful skills rather than create prolonged dependency on ongoing sessions. Aware that therapy can be costly, Thomas emphasizes efficient, outcome-oriented work so clients can gain value in fewer sessions and direct their resources toward other priorities in life. His approach is pragmatic and client-centered, with an emphasis on maximizing benefit within a shorter timeframe when appropriate.

Thomas brings 14 years of experience to his practice in Washington, offering flexible session formats and a focus on measurable, applicable techniques. He works collaboratively with each person to tailor plans that address immediate needs while building long-term coping capacity and resilience.

Evidence-informed approaches and online care

Thomas integrates Acceptance and Commitment Therapy (ACT) into his practice, a framework that helps clients clarify their values, accept difficult thoughts and feelings, and commit to actions that align with what matters most. ACT can be helpful for stress, anxiety, depression, and struggles with meaning or life changes.

He also uses Cognitive Behavioral Therapy (CBT), which focuses on identifying and shifting unhelpful thinking patterns and behaviors. CBT is widely used for anxiety, depression, anger, and coping with day-to-day challenges by teaching practical skills for managing symptoms and improving functioning.

Finding the right approach is part of the therapeutic process. Thomas works collaboratively with clients to determine which methods fit their needs, goals, and preferences, adjusting strategies as progress is made.

Online therapy with Thomas is available via video calls, phone sessions, live chat, or text-based messaging, offering flexibility for scheduling and the ability to receive support from different locations. These formats make it easier to fit therapy into busy lives while maintaining consistent access to licensed professionals and therapists who can guide the work.