Thomas DeRosa, LMHC

Thomas DeRosa is a Licensed Mental Health Counselor (LMHC) with 25 years of experience working in New York. He focuses on helping people who are struggling with stress, anxiety, trauma, grief, and career challenges. He aims to create an open space where clients can speak honestly about their thoughts and feelings.

He explains that beginning therapy takes courage and that he offers steady support through that early work. Conversations in sessions are meant to be straightforward and practical, with attention given to what feels most urgent for the client. He pays close attention to relationship and intimacy-related issues, anger, self-esteem, and coping with life changes.

Over his career he has also worked with people facing bipolar concerns, compassion fatigue, and the stresses that affect first responders. Additional areas he attends to include control issues, jealousy, forgiveness, and grief tied to end-of-life situations. He also notes work with multicultural concerns, HIV/AIDS, hearing-impaired clients, hoarding, and isolation or loneliness.

His approach values clarity and a nonjudgmental tone. Sessions are aimed at helping clients make small changes that add up over time. He supports people as they sort priorities, manage panic or post-traumatic stress symptoms, and find direction toward a more satisfying daily life.

Thomas works in New York and communicates in English. He accepts international clients and helps people take the first steps toward managing difficult feelings and life transitions.

How evidence-based approaches translate to online care

Thomas uses evidence-based therapeutic techniques focused on clear, practical work. One common method is structured conversation and problem-solving that helps with anxiety, panic, and stress by teaching ways to notice triggers and try new responses. Another approach focuses on processing grief and trauma through paced conversations that let people tell their story and learn coping tools to reduce distress.

Choosing the right approach is part of the work together. Thomas will collaborate with each person to decide which methods fit their goals, preferences, and the issues they bring. That plan can change over time as progress is made or priorities shift.

If you are considering online therapy, confirm the session formats before booking since the profile does not list specific options. In general, online work can make it easier to fit sessions into a busy life, shorten travel time, and allow check-ins during breaks at work. It can also allow for a phone-only session when less bandwidth or a shorter check-in is needed. Discussing practical needs up front helps match session length and frequency to daily routines and responsibilities.