Thomas Floyd, MD, LCSW-C, LICSW

Online approaches that focus on everyday change

Thomas often uses client-centered work that starts by listening to what matters most to a person and shaping sessions around their priorities. This approach helps when someone needs a supportive space to sort feelings and make practical plans.

Cognitive Behavioral Therapy, or CBT, is another common element in his work. CBT looks at how thoughts and behaviors interact and teaches concrete strategies to reduce anxiety, improve sleep, or manage low mood through small, testable changes.

He also integrates mindfulness techniques to help people notice their moment-to-moment experience and reduce reactivity. Mindfulness practices can be useful for stress, grief, and managing urges related to addiction.

Finding the right mix of approaches is a collaborative process. The therapist will work with each person to pick methods that match their goals, preferences, and daily life. Plans are adjusted as progress is made and as needs change.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation when a longer session is needed. Phone sessions work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging suit short check-ins, quick skill practice, or times when writing feels easier than talking. These options make it easier to fit sessions into work, parenting, and caregiving routines.