Thomas Grinnell, LCSW

Thomas Grinnell is a Licensed Clinical Social Worker (LCSW) licensed in New York and Florida who brings more than a decade of direct counseling experience to his work with individuals facing depression, anxiety, bipolar disorder, trauma, intellectual disabilities, schizophrenia, and other barriers to daily functioning. An LCSW is a clinical social work credential that authorizes him to provide therapeutic assessment and treatment, and he applies that training to help clients make practical changes in their lives.

He favors a person-centered stance that meets clients where they are, while integrating evidence-based techniques such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and solution-focused strategies. That blend is used to teach coping skills, manage symptoms, and address challenges related to grief, relationships, parenting, addiction, stress, and life transitions. Thomas emphasizes collaborative work, helping people identify goals and concrete steps toward them. Prospective clients are encouraged to reach out if they want to learn practical tools for navigating lifeâs challenges and improving overall functioning.

Approaches and Access for Online Therapeutic Care

Thomas Grinnell combines client-centered therapy with Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to support clients in online settings. Client-centered therapy focuses on building a respectful, empathetic relationship so clients feel heard while they explore goals and values. CBT helps identify and shift unhelpful thinking and behavior patterns, which is useful for anxiety, depression, and mood regulation. DBT emphasizes skills for emotional regulation, distress tolerance, and interpersonal effectiveness, and can be particularly helpful for intense emotions and relationship challenges.

Choosing the right approach is a collaborative process. Thomas will work with each person to assess their needs, preferences, and goals and then recommend or combine methods that best support progress. That collaboration allows adjustments over time as circumstances change.

Online therapy offers practical flexibility - sessions can occur by video call, over the phone, via live chat, or through text-based messaging - making it easier to fit consistent therapeutic work into busy schedules or when in-person visits are not possible. For many people, remote sessions provide accessible ways to learn coping skills, practice new strategies, and maintain momentum between appointments with licensed professionals and therapists.