Thomas Brent, LCSW

Thomas Brent is a Licensed Clinical Social Worker (LCSW) based in New York. He brings a thoughtful, problem-solving approach to common and complex issues. He speaks English and offers online sessions for people who live in other places as well.

Brent uses Cognitive Behavioral Therapy as one of his main approaches. He also draws on attachment-focused and emotion-focused ideas when they fit a person's situation. Sessions are practical and aimed at helping people make clearer choices when life feels stuck.

He works with adults facing stress, anxiety, depression, addiction, and trauma and abuse. He also helps people with relationship and intimacy concerns, parenting and fatherhood issues, blended family challenges, and workplace stress. Other areas he addresses include eating concerns, anger, self-esteem, bipolar mood concerns, and coping with life changes.

His style is collaborative and adaptive. He helps people map problems into manageable steps. Conversations focus on what someone wants to change and on small, realistic actions to try between sessions.

Sessions may use video calls, phone, live chat, or text-based messaging to fit different needs. Costs vary by location and are charged through a cancellable subscription. To start, a person completes a short matching questionnaire and schedules according to the therapist's availability.

How specific approaches work online

Thomas Brent uses Cognitive Behavioral Therapy to help people notice patterns of thought and behavior that keep problems going, then practice small changes to test new ways of coping. Attachment-Based Therapy is used to look at how early relationships shape current expectations in close relationships and to build more secure ways of relating. Emotionally-Focused Therapy helps people name and work with strong emotions so they can improve connection and communication in relationships.

Choosing the right approach is a collaborative process. The therapist will talk with each person about their goals, symptoms, and preferences and then recommend one or a combination of approaches. Plans are adjusted over time based on what is working and what needs to change.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to give flexibility. Video lets people use facial cues and tone, phone is often useful when bandwidth is limited, live chat works for quick check-ins, and text messaging supports brief ongoing contact and reminders. These options make it easier to fit therapy into a busy schedule and to keep continuity when travel or relocation occurs.