- Stress and anxiety
- Relationship issues
- Trauma and abuse
About Thomas
Thomas Fish is an LPC (Licensed Professional Counselor) in Michigan with 27 years of clinical experience. He helps people who are struggling with stress, anxiety, relationship concerns, trauma and abuse, intimacy-related issues, and bipolar disorder. Thomas works with adults who bring painful memories, difficult choices, or ongoing patterns they want to change.
He takes a direct, talk-and-do approach in sessions. Conversations are practical and focused on what feels stuck. Thomas uses a mix of methods to help people understand patterns, manage strong feelings, and try different responses in their daily life.
Across his career he has run many thousands of sessions and works from evidence-informed approaches. He draws on cognitive-behavioral ideas to change unhelpful thinking and behavior. He also uses psychodynamic and humanistic ideas to look at how past experiences shape current relationships and self-view.
Thomas describes work with trauma, addiction, personality challenges, and intimacy concerns in straightforward terms. He helps people examine relationship patterns, separation and divorce stress, and the effects of abuse and loss. For those involved in kink or alternative sex culture he offers nonjudgmental conversation about boundaries, consent, and impacts on relationships.
Sessions are conducted in English and Thomas accepts international clients. Because session formats are not listed here, prospective clients should confirm current options before booking. To begin, the site matching questionnaire and scheduling flow are the next step.
Therapeutic approaches and online sessions
Thomas works from evidence-based therapeutic techniques. Cognitive-behavioral approaches focus on spotting and changing unhelpful thoughts and behaviors. That can help with anxiety, panic, and patterns that feed guilt and shame.He also uses psychodynamic and humanistic ideas to look at how earlier relationships and experiences shape current feelings about oneself. Those approaches are useful when guilt or shame feel tied to attachment, abandonment, or longstanding self-criticism.
Finding the right approach is part of the work. The therapist will help figure out which methods fit best by talking about your goals, preferences, and what you want to change. This is a collaborative process rather than a one-size-fits-all prescription.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy life, allow shorter check-ins when needed, or avoid travel time. Many people find remote sessions help them maintain continuity of care across locations, but check what is offered to be sure it fits your schedule and daily routine.
Areas of expertise
Primary focus
Additional focus areas
Experience
27+ years
Listed in
Michigan
Languages
English
Frequently asked questions
What kinds of guilt or shame issues does he address?
He works with guilt and shame that arise from relationships, past trauma, separation, addiction, or intimacy-related concerns.
How does he approach shame in sessions?
He uses conversational, evidence-informed methods that look at thoughts and behaviors and also at how past experiences shape self-blame.
What experience does he bring to this work?
He has 27 years of clinical practice and has conducted many thousands of therapy sessions over his career.
Where is he licensed and practicing?
He is a Licensed Professional Counselor (LPC) in Michigan.
Can I work with him if I live outside the United States?
He accepts international clients and works in English.
What session formats are offered?
The original biography does not list session formats; please confirm current session options before booking.
How are sessions paid for and what does it cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I get started with him?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.