Thomas Fish is a licensed professional counselor (LPC) practicing in Michigan with 27 years of clinical work.
01About Thomas
Thomas Fish is a licensed professional counselor (LPC) practicing in Michigan with 27 years of clinical work. He helps people facing stress, anxiety, trauma and abuse, relationship and intimacy concerns, and bipolar-related challenges. He also addresses issues like abandonment, attachment struggles, codependency, addiction, and eating or food-related problems.
Thomas keeps sessions straightforward and down-to-earth. He creates an open, nonjudgmental space where clients can talk about hard things and figure out next steps.
Background and approach
Conversations focus on what is happening now and what changes feel possible for the person in front of him. His approach blends several evidence-based therapeutic techniques and experiential work to match what a client needs. That can mean practical strategies to manage anxiety, exploring past patterns that affect current relationships, or hands-on exercises that help people reconnect with their emotional responses.
Thomas has done a large number of therapy sessions across his career, which gives him familiarity with many presenting concerns and common treatment paths. He welcomes people who want clear, direct help as well as those who prefer a slower, exploratory pace. Sessions are conducted in English and Thomas accepts international clients.
Prospective clients should confirm current session formats before booking and can begin by using the Start Therapy button to complete a short matching questionnaire and schedule a first appointment.
02Credentials
- LPC (Michigan)
- License 6401226477 · expires August 2029
- NPI
- 1205348117 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Thomas lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Intimacy-related issues
- Bipolar disorder
- Abandonment
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Co-morbidity
- Codependency
- Commitment issues
- Control issues
- Dependent personality
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Midlife crisis
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Somatization
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04Online support
How Thomas Uses Common Therapy Methods Online
Thomas draws on a mix of evidence-based therapeutic techniques and experiential approaches. Cognitive behavior strategies focus on identifying unhelpful thoughts and testing small behavioral changes to reduce anxiety and improve daily routines. Psychodynamic and humanistic elements help people look at past patterns and personal values that shape current relationships and emotional responses.Finding the right approach is part of the work together. Thomas treats the choice of methods as collaborative, adjusting techniques to fit a client's goals, pace, and comfort level rather than using a one-size-fits-all plan.
Because the biography does not specify session formats, confirm available options before booking. Online therapy can make it easier to schedule sessions around work, reduce travel time, and allow check-ins from different locations. Some methods translate well to conversation-focused sessions, while others may include guided exercises or homework between meetings. Thomas helps clients choose what fits their life and goals, and adapts methods to the online setting as needed.
05Questions people ask
What concerns does Thomas commonly address?
He supports people dealing with stress, anxiety, trauma and abuse, relationship and intimacy issues, and bipolar-related challenges, plus related areas such as attachment, codependency, addiction, and eating or food-related issues.
What is his general therapy style?
He keeps sessions direct and conversational, offering practical strategies and exploring patterns that affect daily life. The tone is open and nonjudgmental.
How much clinical experience does he have?
He brings 27 years of professional therapy experience and has conducted a large number of therapy sessions over his career.
What credentials and region are listed?
He is listed as an LPC, which stands for Licensed Professional Counselor, and practices in Michigan.
Which languages are available for sessions?
Sessions are offered in English, and he accepts international clients.
What session formats are offered?
Session formats are not specified in the provided biography; please confirm current session options before booking.
How does pricing work for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
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