About me

It's always like a puzzle that needs to be worked and
reworked. Each part of the couple needs to be heard
and feel they are being heard.
Couple's therapy requires commitment and work from all parties
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 varied 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 2010. 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.


  • Stress, Anxiety
  • Addictions
  • Relationships
  • Grief
  • Depression
Also experienced in:
LGBT , Family conflicts , Trauma and abuse , Intimacy-related issues , Sleeping disorders , Anger management , Self esteem , Career difficulties , Bipolar disorder , Coping with life changes , Coaching , Compassion fatigue , ADHD
Years of Experience: 25

Services offered

  • Messaging

  • Phone

  • Video




These quotes represent just a few of the many positive reviews that we have received for Thomas Dukes. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with Regain might be different.

Written on Apr 10, 2023 after therapy with Thomas for 2 months on issues concerning relationship

He’s absolutely amazing

Written on Jan 25, 2023 after therapy with Thomas for 3 months on issues concerning relationship

Thomas is a genuinely warm and open person with a nuanced and kind understanding of human relationships.

Written on Jan 11, 2023 after therapy with Thomas for 3 months on issues concerning relationship

It has been a good experience working with Thomas. We are trying to work on all the exercises he recommends.

Written on Nov 30, 2022 after therapy with Thomas for 3 months on issues concerning relationship

Tom is the perfect person to meet you where you are. He has a well-rounded life experience to help connect with his clients and enough professional knowledge to provide genuine and helpful guidance. My husband and I are very thankful we found him and for his interactions with us.

Written on Oct 20, 2022 after therapy with Thomas for 2 weeks on issues concerning relationship

Good plan

Written on Aug 09, 2022 after therapy with Thomas for 2 weeks on issues concerning relationship

Tom is a very experienced and understanding individual. He balances the perfect amount of small talk with productive conversation, and knows just what questions to ask to get the ball rolling.

I enjoy our conversations and sessions.

Written on May 22, 2022 after therapy with Thomas for 3 weeks on issues concerning relationship

I thought I'd give this a try and it's better than going to a brick and mortar therapist.

Work with me!