- Anxiety and stress
- Health psychology focus
- CBT and mindfulness
About Thomas
Thomas Birchfield is a Licensed Professional Counselor (LPC) in Texas with 12 years of clinical experience. He works with people facing stress, anxiety, depression, grief, career concerns, and issues related to LGBT identity. Thomas also supports those dealing with caregiver strain, chronic illness and pain, panic attacks, social anxiety and phobia, and feelings of isolation.
He has spent much of his career in health psychology, helping people manage changes in health and balance work and caregiving demands. Sessions are practical and goal-oriented, with conversations that focus on what someone wants to change and small steps they can try between meetings.
Thomas uses cognitive-behavioral techniques and mindfulness-based stress reduction alongside solution-focused methods. In plain terms, that means he helps people notice unhelpful thinking patterns, practice simple stress-management skills, and identify realistic next steps to move forward. These approaches are commonly used for anxiety, panic, mood concerns, and coping with long-term illness.
He aims to build a collaborative working relationship so clients feel understood and clear about the plan for therapy. Time in sessions is used to talk through problems, try new ways of responding, and track what is working.
To begin, people complete a short matching questionnaire and schedule a first session. Thomas works in English and does not accept international clients at this time.
How therapeutic methods translate to online work
Thomas commonly draws on cognitive-behavioral techniques to help people notice and shift unhelpful thought patterns that increase anxiety or avoidance. Those methods focus on concrete exercises, thought records, and behavioral experiments that can be used between sessions to test what helps.He also uses mindfulness-based stress reduction to teach short, practical techniques for lowering arousal and managing intrusive worry. These practices are brief and can be practiced during the week to reduce overall stress and improve focus.
Finding the right mix of approaches is part of the work. Thomas treats the choice of methods as collaborative and will discuss your goals, preferences, and what has or hasn’t worked before to shape a plan together.
Session logistics should be confirmed before booking because formats are not specified here. Online therapy can make it easier to fit sessions into busy days, allow shorter check-ins when needed, and remove travel time. If you prefer a particular setup, confirm current session options when you schedule so you know how meetings will be arranged.
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 help with?
He works with stress, anxiety, depression, grief, career challenges, LGBT-related concerns, and related issues such as caregiver strain and chronic illness.
What is his therapy style like?
Sessions are practical and collaborative, focusing on clear goals, skill practice, and small steps to test between meetings.
How much experience does he have?
He has 12 years of experience working primarily in health psychology and with clients managing life and health changes.
What are his credentials and where is he based?
He is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.
Can I work with him if I live outside the U.S.?
Sessions are offered in English and he is not accepting international clients at this time.
What session formats are available?
Session formats are not listed here; please confirm the current options before booking so you know how sessions will be scheduled.
How does pricing work?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.