About Thomas
Thomas DeRosa is a Licensed Mental Health Counselor with 25 years of experience based in New York. He focuses on helping people manage stress, anxiety, trauma, grief, career concerns, and life changes. He aims to make the first step toward change feel manageable and supported.
He builds sessions that let people speak plainly about what’s on their minds. He creates an open, nonjudgmental space so thoughts and feelings can be named.
Background and approach
He offers steady support while people decide what they want to work on. Sessions often center on practical steps and clear goals. Thomas helps people develop tools for coping with panic, anger, and low self-esteem.
He also addresses relationship and intimacy-related issues and supports people facing chronic stress or compassion fatigue. He has worked with people affected by trauma, post-traumatic stress, and grief. He also pays attention to concerns such as hoarding, isolation, life purpose, and multicultural stressors.
First responder issues and hospice or end-of-life counseling are part of his background as well. Thomas provides care for people dealing with gender dysphoria, HIV/AIDS-related concerns, hearing impairment accommodations, and the emotional fallout of guilt and shame. He uses a client-centered way of working that keeps the person’s goals central to each session.
Approaches that guide online care
Thomas uses well established, evidence-based therapeutic techniques that focus on clear strategies and real-world change. One common approach he applies helps people learn coping skills for anxiety and panic through step-by-step practice and gradual exposure to feared situations. This approach breaks worries into manageable pieces and builds confidence over time.He also works with methods aimed at processing trauma and its effects on daily life. These techniques help people name painful memories, reduce their emotional intensity, and regain more control over reactions. That work is often combined with goals around improving sleep, mood, and relationships.
Finding the right approach is a collaborative process. He will talk with each person about their needs, goals, and preferences, and then suggest options to try. Sessions can be adjusted as progress is made so the plan stays useful and relevant.
Online therapy offers practical benefits for people with busy or changing schedules. Video calls let the therapist see nonverbal cues, phone sessions can work when bandwidth is limited, and live chat or text messaging can support shorter check-ins or ongoing coaching. These formats make it easier to fit care into workdays, travel, or other routines while keeping consistent momentum toward goals.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Anger management
- Bipolar disorder
- Career difficulties
- Coaching
- Compassion fatigue
- Control issues
- Coping with life changes
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Relationship issues
- Self esteem
- Social anxiety and phobia
- Experience
- 25 years
- Licensed
- New York
- Languages
- English