About Thomas
Thomas Grinnell is a Licensed Clinical Social Worker (LCSW) based in New York who helps people manage anxiety, stress, depression, phobias, bipolar mood shifts, and trauma-related concerns. He also supports people facing relationship and intimacy issues, parenting stress, grief, addiction, and self-esteem struggles. He draws on a practical style that focuses on problem solving and building skills people can use between sessions.
Thomas emphasizes a straightforward, person-centered way of working.
Background and approach
He listens first, then helps people set small, achievable goals. Sessions often include skill practice, behavior changes, and short-term strategies to ease distress. He uses plain language and checks in frequently to make sure tools feel useful.
Thomas blends Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness into a flexible plan. That mix helps with symptoms like panic, obsessive thoughts, mood swings, and difficulty handling strong emotions. He also uses motivational interviewing to support readiness for change.
He has 12 years of direct counseling experience helping people with mood disorders, trauma, anxiety, and intellectual disability among other concerns. He has worked in a variety of human services settings and focuses on clear, concrete steps rather than abstract talk. People who choose him can expect a collaborative approach that prioritizes coping skills and practical strategies.
Thomas aims to make therapy feel manageable and relevant to day-to-day life.
How his approaches work online
Thomas combines Cognitive Behavioral Therapy and Dialectical Behavior Therapy with Client-Centered methods to address symptoms and build coping skills. Cognitive Behavioral Therapy helps identify unhelpful thoughts and change behaviors that keep problems going, which can be useful for phobias, anxiety, and mood issues. Dialectical Behavior Therapy teaches emotion regulation, distress tolerance, and interpersonal effectiveness skills for strong emotions and impulsivity. Client-Centered Therapy focuses on listening and tailoring the plan to each person's needs, making sessions feel collaborative and respectful.Choosing the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and what has or hasn't helped before. Then he collaborates to try techniques, track progress, and adjust the plan so it fits the person's life and needs.
Online formats include video calls, phone sessions, live chat, and text-based messaging to make therapy more flexible. Video calls let people work face-to-face when schedules allow. Phone sessions use less bandwidth and can be easier to fit into a work break. Live chat or messaging supports brief check-ins, written practice, and tools between longer sessions. Together these options help people stay consistent with therapy and practice skills in real time.
Questions people ask
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What this therapist works with
Most often
Also listed
- Addictions
- Anger management
- Antisocial personality
- Autism and Asperger Syndrome
- Bipolar disorder
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family of origin issues
- Family problems
- Fatherhood issues
- Gender dysphoria
- Impulsivity
- Intellectual disability
- Intimacy-related issues
- LGBT
- Mood disorders
- Obsessions, compulsions, and OCD
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
Therapeutic approaches
- Experience
- 12 years
- Licensed
- New York
- Languages
- English
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