Having experienced the benefit of being born and raised in Brooklyn, NY I was gifted with exposure to a varied cultural base. My first work engagement in the mental health field occurred in 1996. The facility was a medicaid based dual diagnosis treatment center with the primary diagnoses psychiatric with a secondary substance use disorder. My interactions with the patients flowed naturally and, in my discussions with staff, the owner of the facility suggested that I should get my license in mental health counseling. I began graduate study in 1998 while working full time in varied facilities in order to gain maximum exposure to diverse mental health/substance abuse modalities. My work experience included the Palm Beach County psychiatric crisis stabilization unit, The Drug Abuse Foundation in Delray Beach and the Juvenile Intervention Facility in Broward County. Upon graduation in 2000 and license activation I spent time as a therapist at the Renaissance Institute in Boca Raton. Shortly after the events of 9/11/2001 I began the process of creating a private practice in psychotherapy. During the growth of my practice beyond seeing patients for individual therapy, I provided services for EAP programs, sober house residences and treatment facilities. In December 2010 I closed my practice and relocated with my dogs to western North Carolina. I spent ten years at Pavillon in Mill Spring, NC as a clinical supervisor until November 2020. I continue to reside in North Carolina and hold active licenses in Florida (LMHC) and North Carolina (LCAS). I am experienced with a varied patient demographic and am easy to connect with. While currently semi-retired I continue seeking to help provide guidance and direction for others.
Additional areas of focus: LGBT, Family conflicts, Trauma and abuse, Intimacy-related issues, Sleeping disorders, Anger management, Self esteem, Career difficulties, Bipolar disorder, Coping with life changes, Coaching, Compassion fatigue, ADHD
FL LMHC MH7325
These quotes represent just a few of the many positive reviews that we have received for Thomas Dukes. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Incredibly personable, honest and genuine, Thomas Dukes is not afraid to say it like it is, which I respect a lot, and challenges me to look at situations in different ways. All around, a great experience that has transformed my life in the past few months.
Written on Jan 06, 2026 after therapy with Thomas for 6 months on issues concerning relationship issues, and coaching
Tom has helped me out a lot, he's a great person fantastic in his line of work
Written on Jan 05, 2026 after therapy with Thomas for 4 months on issues concerning relationship issues
Tom has been a tremendous help in navigating my current life/career transition paired with some relationship difficulties - he has been great all around, very knowledgeable, professional, and I feel he truly cares + is passionate about helping others. Thanks Tom!
Written on May 20, 2025 after therapy with Thomas for 7 months on issues concerning stress, anxiety, relationship issues, family conflicts, self esteem, career difficulties, and coping with life changes
Tom really is the best! He listens, guides, and respects you, while also having a large knowledge of expertise and offering a very trusting setting. He is kind but also doesn’t allow you to make excuses for yourself. Tom is the best - 100% recommend!
Written on Jan 02, 2025 after therapy with Thomas for 1 year and 11 months on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, self esteem, anger management, career difficulties, coping with life changes, compassion fatigue, and adhd
He's a good therapist, engaging and enjoyable to talk to about my issues.
Written on May 15, 2024 after therapy with Thomas for 4 weeks on issues concerning stress, anxiety, relationship issues, intimacy-related issues, and career difficulties
I have had two sessions with Mr. Dukes and am pleased so far. I plan on continuing to heal and become stronger with his guidance. I am thankful that BetterHelp picked him as my match!
Written on Jan 08, 2024 after therapy with Thomas for 3 weeks on issues concerning relationship issues, family conflicts, trauma and abuse, grief, and intimacy-related issues