Practitioner record · Checked 9 Oct 2026
Thomas Birchfield has been in practice 12 years and is licensed in Texas. Thomas lists stress, Anxiety, LGBT and grief among 14 subjects on the BetterHelp roster.
Everything below is either quoted from Thomas's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.
01 · Who Thomas works with
Thomas lists 5 specialisms and 9 further focus areas. Specialisms are the subjects Thomas chose to list first, which is the closest a listing gets to “this is my actual practice”.
02 · In Thomas's own words
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
I am a Licensed Professional Counselor in Texas with over 12 years of experience working with clients as they navigate life's challenges including changes in health, relationship issues, work stress, and caregiving. The majority of my work has centered around health psychology and helping clients achieve their personal goals for health and wellness.
My therapeutic approach is grounded in cognitive-behavioral therapy, mindfulness-based stress reduction, and solution-focused therapy. But I believe in tailoring the therapy experience to the unique needs and goals of each client. Research shows that the most critical component of successful therapy is the strength of the therapeutic relationship. I therefore endeavor, first and foremost, to develop a positive, collaborative relationship where you feel understood and confident that we are moving in a direction that meets your needs.
Just by taking these first few steps to get connected with support, you are already doing a lot to get you closer to where you want to be. Great job!
Thomas Birchfield, on the BetterHelp listing · read 9 Oct 2026
03 · What happens next
Thomas 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 Thomas's own practice, and not a promise about how quickly anything happens.
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 Thomas at this point.
BetterHelp matches algorithmically by default, so asking for Thomas 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 Thomas.
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.
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.
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.
04 · Practical details
05 · Provenance
Thomas'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 Thomas. 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.
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