What patients are saying
Overall rating
4.86
Average wait time
4.81
Bedside manner
4.95
“Alex and I have spent the last few months working together and I feel like he sees and understands my pain in ways that other therapists have not been able to. He asks me questions and helps me come to my own conclusions. I feel like a much more confident me and I'm looking forward to keeping on working together.”
TNLess than 6 months ago
“ I felt immediately at ease upon meeting Alex. His gentle demeanor, calming presence, and nonjudgmental attitude created a safe space from the very beginning. I’ve worked with many therapists before, but there’s something uniquely grounding about Alex. For the first time, I confronted parts of myself I had long avoided.
Thanks to our work together, I live a more fulfilling life. He’s given me tools to manage overwhelming emotions even outside of our sessions. As someone who has struggled with anxiety and uncertainty, I’ve learned how to face life’s curveballs and roll with the punches.
I highly recommend Alex to anyone seeking meaningful, compassionate support.”
RKLess than 1 year ago
About Thomas Alexander Smith
Focus areas
Anxiety
Men's Mental Health Issues
Therapy
Depression
Person-Centered Therapy
Young Adult Issues
LGBTQ+ Counseling
Psychodynamic Therapy
Clientele seen
Young adults (18-24)
Adults (25-64)
Individuals
Treatment approaches
Acceptance and Commitment (ACT)
Emotionally Focused
Cognitive Behavioral (CBT)
Existential
Culturally Sensitive
Humanistic
Identity
Gender
MaleSexuality
GayLanguages spoken
English
Getting to know Thomas Alexander Smith
Hi, I am Alex. Whether your concerns stem from the daily stress of work and relationships, long-standing family dynamics, or questions around identity and self-concept, we will work together to bring about clarity, connection, and resolve. You will feel seen, heard, and supported as you grow into a more grounded and comfortable you. We will foster a foundation of trust and collaboration, and explore your thoughts, feelings, and experiences, examining how each has shaped and impacted you. You will get to know yourself on a much deeper level while working towards your own individual therapeutic goals.
I hold a Master's degree in Counseling Psychology from the University of Denver and a Bachelor's degree in Psychology and Economics from Middlebury College. Both of these degrees inform my approach to supporting your growth and healing.
What should a new client know about working with you?
I have worked with many people, each with their own unique story. I help people with their anxiety, depression, trauma, and grief, as well as individuals with family and relationship conflicts. I specialize in working with the gay and queer community and those who are exploring their identity.
I work from a trauma-informed, multicultural orientation as a baseline for all therapeutic processes. I will do my best to appreciate and uphold whichever aspects of yourself you bring into the therapeutic space. Additionally, I operate from a humanistic, psychodynamic, and existential lens, pulling in techniques from other modalities, like mindfulness and ACT, as needed.
At the core, I believe that you are the expert of your own life, and I want you to feel empowered in the relationship that we will be building. I will ask thoughtful questions, pose new perspectives, provide empathy without judgment, and create a comfortable space for you to explore your experiences, help you build insight, and take the desired steps towards being a more authentic you.
What is your typical process for working with clients?
Therapy is not a linear process. Each person heals differently and moves at their own pace. My role is to adapt to your individual needs and goals, while offering support, insight, and practical tools along the way. I provide structure through weekly sessions at a consistent time, whether virtually or in-person. This helps create stability and momentum in our work together. Whether over the course of a few months or a few years, I am looking forward to getting to know you and helping you. Book a free consultation with me and let's get started!
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In-network insurances
Thomas Alexander Smith, MA has 200+ in-network plans.
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It’s common for mental health providers to be out-of-network. Many insurance plans offer out-of-network coverage, so you may get partially reimbursed. Learn more
Out-of-pocket fees and assistance
- Sliding scale: Offers lower out-of-pocket fees on an individual basis, typically based on your ability to pay
- Files your insurance claim: You pay the session fee upfront and the provider files the claim for you, so you can get reimbursed directly without worrying about the paperwork
Office location
Thomas Alexander Smith, MA also offers online video visits for patients
Education and background
Practice names
Education and training
- University of Denver, Master's in Counseling Psychology
- Middlebury College (Bachelor's)
NPI number
1730922667
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
4.86
Wait time
4.81
Bedside manner
4.95
Your trust is our top concern, so providers can't pay to alter or remove reviews. We also don't publish reviews that contain any private patient health information. Learn more here
22 reviews
Most relevant
Alex is a great therapist! He is thoughtful, insightful, and so genuine. I highly recommend!
More than 1 year agoPK
Alex and I have spent the last few months working together and I feel like he sees and understands my pain in ways that other therapists have not been able to. He asks me questions and helps me come to my own conclusions. I feel like a much more confident me and I'm looking forward to keeping on working together.
Less than 6 months agoTN
I felt immediately at ease upon meeting Alex. His gentle demeanor, calming presence, and nonjudgmental attitude created a safe space from the very beginning. I’ve worked with many therapists before, but there’s something uniquely grounding about Alex. For the first time, I confronted parts of myself I had long avoided.
Thanks to our work together, I live a more fulfilling life. He’s given me tools to manage overwhelming emotions even outside of our sessions. As someone who has struggled with anxiety and uncertainty, I’ve learned how to face life’s curveballs and roll with the punches.
I highly recommend Alex to anyone seeking meaningful, compassionate support.
Less than 1 year agoRK
I’ve been going for a few months now and have always felt welcomed! Our sessions have been very helpful towards working through various personal issues. He is quite perceptive and identifies the right questions to ask.
I would highly recommend him if you are looking for someone to talk to for an outside perspective on what may be going on in your personal life.
Less than 1 year agoHW
After years of debating going to therapy, and a few attempts of finding the right therapist over the last couple months, finally, I found Alex. The services Alex provides have had an immediate and meaningful impact on how I navigate my feelings. Alex is empathetic, insightful, patient, and professional. Alex has given me the perspective and strength to work through hurdles I have avoided for years. I don't know how to properly thank Alex for the support he provides me, but every person I meet in the future will benefit from the impact he has had on me. I highly recommend Alex to anyone who wants to genuinely feel better and brighter. Thank you, Alex!
Less than 1 year agoKM
Alex is a great therapist he made me feel comfortable since our first session.
He has really helped me though my grieving process his compassionate approach and guidance have really
Made a difference in my life as he understands me and what im going thru
I highly recommend Alex.
Less than 1 year agoVM
Alex has been patient with me and is helping me work through my relationship concerns and explore my identity. He asks me questions that really help me connect with myself. I am starting to feel like a calmer version of myself.
Less than 1 year agoEL
Alex is warm and made me feel comfortable right away. He is patient, thoughtful, and empathetic, and I felt his commitment to my wellbeing.
More than 1 year agoOA
Alex made me feel really comfortable! I found him easy to speak with and share my concerns. He's kind, comforting and clearly caring. It felt like he really heard me and helped me work through some of the things I've been struggling the most with. I look forward to seeing him again!
More than 1 year agoTA
Alex is a kind and empathetic therapist who made me feel comfortable from the get go. I always feel that I can truly be myself with him without any judgment. He helps me build my confidence and process whichever part of my life needs tending to.
More than 1 year agoRL
Alex has been instrumental in helping me navigate a difficult time in my life. His compassionate and respectful approach has created a safe space for me to talk through my challenges without feeling judged and has allowed me to truly say what I feel during our sessions. His guidance has really helped me understand what I need to work on and how without feeling overwhelmed but rather, encouraged. I’d wholeheartedly recommend him to anyone
More than 1 year agoRA
Alex is so compassionate and welcoming! He really gave me the space to get comfortable with the conversation and offered so many thoughtful insights. Definitely recommend!
More than 1 year agoHD
Alex is a great listener. He asks insightful questions and gave me space to process my answers. He is very compassionate and nonjudgmental.
More than 1 year agoHM
Alex is such a warm and relatable therapist. I felt very comfortable talking to him and felt like he really “got me”. I am looking forward to more sessions with him!
More than 1 year agoBL
I have really appreciated my sessions with Alex. I always feel seen and supported by him. I would highly recommend him to anyone looking for a therapist.
More than 1 year agoGF
Alex is incredibly professional, compassionate, empathetic and driven to get to the root cause of your internal struggle - he is an excellent partner in crime to help you on your journey, be it to heal, discover more about yourself, or work through life’s uncertainties. Could not be a more lovely, insightful, and productive human to work with!! 11/10 recommend his services.
More than 1 year agoSM
Alex is so warm, compassionate, and understanding. I really feel like he listens to me and makes me feel so seen no matter what the topic of discussion is. He fosters a comfortable and safe environment. I am truly so grateful!
More than 1 year agoES
November 30, 2025Benjamin K.Verified patient
Less than 1 year agoInitials hidden
Less than 1 year agoKR
Less than 1 year agoInitials hidden
Less than 1 year agoInitials hidden
How soon can I make an appointment with Thomas Alexander Smith?
Generally, Thomas Alexander Smith has appointments available on Zocdoc within 1 week. You can see Thomas Alexander Smith's earliest availability on Zocdoc and make an appointment online.
Is Thomas Alexander Smith accepting new patients?
Thomas Alexander Smith generally accepts new patients on Zocdoc. You can see Thomas Alexander Smith's earliest availability on Zocdoc and schedule an appointment online.
Does Thomas Alexander Smith accept my insurance?
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Can I make an appointment with Thomas Alexander Smith online?
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What practice does Thomas Alexander Smith work with?
Where is Thomas Alexander Smith's office located?
Thomas Alexander Smith has 3 office locations, including in New York and Smyrna, view full addresses on Thomas Alexander Smith's profile.
What are common reasons for patients to see Thomas Alexander Smith?
Thomas Alexander Smith frequently sees patients for Depression, New Patient Visit, Psychotherapy, Psychotherapy Intake / Initial Visit, and Sleep Problems. You can see other visit reasons for Thomas Alexander Smith on their profile.
What languages does Thomas Alexander Smith speak?
Thomas Alexander Smith speaks English.
How do patients rate Thomas Alexander Smith in reviews?
22 patients have reviewed Thomas Alexander Smith. The overall rating for this doctor is 4.86/5. They have a 4.95/5 rating for bedside manner and a 4.81/5 rating for wait time. You can read individual reviews and ratings on their profile.