Burns Thomas, PhD in Baltimore: Individual and Couples Counseling with Cognitive-Behavioral Focus
Burns Thomas, PhD is a licensed clinical psychologist in Baltimore offering individual therapy and couples counseling, with a documented practice focus on cognitive-behavioral approaches for anxiety, depression, and relationship concerns.
What Burns Thomas, PhD actually offers
A doctoral-level clinical psychology practice, Burns Thomas operates as an individual mental health provider rather than a clinic with multiple therapists. The practice serves Baltimore residents seeking therapy in an office-based setting with emphasis on evidence-based treatment modalities. Unlike community mental health centers that assign clinicians based on availability or funding streams, this practice operates on a direct fee-for-service basis where you establish an ongoing relationship with the same provider.
Services and pricing
Burns Thomas offers individual psychotherapy and couples/relationship counseling. Standard outpatient therapy typically runs 45 to 60 minutes per session. Most Baltimore-area independent PhD-level clinical psychologists charge $150 to $250 per session for therapy without insurance billing; rates at this level of credential and experience generally fall in the $180 to $220 range. Insurance acceptance, payment arrangements, and current fees should be verified directly with the practice, as these shift seasonally and depend on provider contracting decisions.
The cognitive-behavioral approach means treatment emphasizes identifying thought patterns and behavioral loops that maintain anxiety or depression, with concrete skills built across sessions rather than exploratory talk alone. This matters practically: if you've done CBT before and want a different modality, or if you prefer longer exploratory work, this orientation shapes fit.
How this compares to other Baltimore counseling options
Baltimore has multiple entry points for therapy. A person with insurance might start with their primary care doctor or insurer's referral line; this often routes to clinic-based therapists covered under the plan. Those without insurance or seeking a specific provider type sometimes use Psychology Today's directory or direct phone inquiry.
Burns Thomas differs from community mental health agencies like the Johns Hopkins Community Physicians Behavioral Health Network or Behavioral Health System Baltimore, where psychiatrists and therapists work in multidisciplinary teams, costs are often sliding-scale based on income, and you may wait weeks for initial appointments but pay significantly less out-of-pocket. Community clinics suit people with financial barriers or complex needs requiring psychiatric medication oversight alongside therapy.
He also differs from large private practices with multiple clinicians (like some within the University of Maryland or Towson-area therapy groups), where you get faster appointment slots but may rotate between providers or see group billing. Independent practitioners like Burns Thomas offer continuity but require more active scheduling and phone follow-up.
A person with strong insurance and a specific need for extended evidence-based CBT work might prefer independent practice continuity; someone with limited income or needing psychiatry should start at a community health system.
Who it suits and who it should not
This practice works well for:
- Adults with anxiety or depression responsive to structured behavioral work
- Couples in relatively stable relationships working to improve communication or address a specific rupture
- People with prior therapy experience who know they prefer the independent-provider model
- Baltimore residents without major transportation barriers to a consistent office location
It is less suitable for:
- People in crisis needing same-day or after-hours emergency access (they should contact the National Suicide Prevention Lifeline at 988 or go to a hospital ER)
- Anyone requiring psychiatric medication management; a psychiatrist or psychiatric nurse practitioner handles prescribing
- People whose financial situation demands sliding-scale fees; community clinics offer tiered pricing
- Individuals with significant trauma history who may need longer sessions or trauma-specialized training
What the first appointment involves
A first session typically includes a detailed history: current symptoms, when they began, previous mental health treatment, medical and family history, current stressors. The therapist assesses whether the presenting problem fits the practice scope and your fit with CBT methods. This session establishes baseline symptoms and treatment goals.
Expect to complete intake paperwork on arrival (or sometimes in advance online). The appointment is longer than follow-up sessions, often 75 minutes, to allow thorough assessment. By the end, you should have a clear sense of diagnosis (if one applies) and the proposed direction of treatment, including expected frequency (often weekly for active work, sometimes less frequent as skills solidify).
Hours, parking, and logistics
Verify current hours and location directly with the practice. Office-based individual psychology practices in Baltimore typically operate weekday afternoons and some evening slots; weekend availability is uncommon. Parking depends entirely on neighborhood; discuss this when calling to schedule, as some practices operate on streets with public parking only and others use private lots.
A missed appointment with an independent provider often incurs a cancellation fee (commonly $50 to $100 for less than 24 hours notice). Health insurance plans vary on whether they apply co-pays to cancellations; confirm with your insurer.
Burns Thomas represents the Baltimore therapist landscape for people seeking focused, evidence-based individual and couple work with a doctoral-level clinician in private practice. The trade-off is continuity and specialized training versus the cost and wait times sometimes present in larger systems.

