01 · Who Silas works with

Silas works with stress, Anxiety, relationship issues and family conflicts

Silas lists 17 specialisms and 49 further focus areas. Specialisms are the subjects Silas chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Silas's own words

What Silas says about the work

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

A little about me:

After growing up mainly in the Northwest, I now live in North Idaho and love the variety here: mountains, rivers, lakes, waterfalls, and even the wildly unpredictable seasons (I'm pretty sure that we have more than four..). It makes my favorite activities –cycling, canoeing, clambering– that much more rewarding, and I feel very fortunate to grow my family here.

I earned my bachelor's degree in psychology (B.S.) from the University of Idaho, my master's degree in social work (MSW) from Boise State University, my initial license (LMSW), and finally my current credentials: Licensed Clinical Social Worker (LCSW) in the state of Idaho. I've worked as an AmeriCorps volunteer serving rural schools in Washington state, a wilderness counselor for troubled teens in North Carolina, a mentor for students in several therapeutic residential programs, and a variety of other things.

I believe that my values of communicating in empathy, relating as equals, educating with a sense of curiosity & challenging from a place of respect all harmonize in an approach that increases self-understanding, encourages personal growth, and opens possibilities for people to create the life they want. Because everyone has their own unique way of relating to themselves and the world around them, individual people and cases call for personalized treatment based on their own needs.

With this in mind, I lean toward strengths-based, existential, and cognitive theories of treatment, and use CBT, psychoeducation, and narrative techniques to help people challenge & change their own self-defeating thoughts & assumptions, unwanted emotions, and destructive patterns. I also often use play therapy exercises, role-playing, gentle humor, relaxation techniques, written works & other media sources, journaling & artwork as appropriate & helpful. I'm often reminded of the adage: "Everyone you meet is mid-journey," and this very much applies to me as well.

-Si Thompson, LCSW

Silas 'Si' Thompson, on the BetterHelp listing · read 7 Oct 2026

03 · How Silas works

The 6 approaches Silas lists, in plain English

These are the clinical methods Silas lists. The descriptions are Maker Therapy's, not Silas'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 Silas runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

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.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Also listed

• Existential Therapy

04 · What happens next

From this page to a first session

Silas 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 Silas'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 Silas at this point.

2. Naming Silas specifically

   BetterHelp matches algorithmically by default, so asking for Silas 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 Silas.

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 Silas

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

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “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.

• “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

LCSW

Licensed in

Idaho

Licence

ID LCSW LCSW-35216

Licence number

LCSW-35216

Licence expires

7 Feb 2028

NPI

1518309095

Years in practice

9

Gender

Male

Languages

English

International clients

Accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Silas'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 7 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 Silas. 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.