01 · Who Debra works with

Debra works with stress, Anxiety, relationship issues and trauma and abuse

Debra lists 5 specialisms and 58 further focus areas. Specialisms are the subjects Debra chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Debra's own words

What Debra says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am licensed in Florida with 18 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, & coping with grief and loss. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without judgment. Taking the first step to sign up for therapy takes courage and I am privileged to be a part of your support system.

Debra Thomas, on the BetterHelp listing · read 9 Oct 2026

03 · How Debra works

The 2 approaches Debra lists, in plain English

These are the clinical methods Debra lists. The descriptions are Maker Therapy's, not Debra's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Debra runs a session.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Debra practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Debra's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Debra at this point.

2. Naming Debra specifically

   BetterHelp matches algorithmically by default, so asking for Debra is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Debra.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Debra

Built from what Debra actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Debra's - Debra has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 18 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

Florida

Licence

FL LMHC MH9595

Licence number

MH9595

Licence expires

31 Mar 2027

NPI

1568727261

Years in practice

18

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Debra's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Debra. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.