Practitioner record · Checked 9 Oct 2026
Thomas Dukes has been in practice 28 years and is licensed in Florida. Thomas lists stress, Anxiety, addictions and relationship issues among 18 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 18 specialisms. 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.
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.
Thomas Dukes, 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 · Before you commit
Built from what Thomas actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Thomas's - Thomas 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 28 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.
05 · Practical details
06 · 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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