Clarity is a discipline.
ClearMinds is a clarity company built around a simple idea: when people can see themselves, their relationships, and their circumstances more clearly, they make better decisions about what comes next.
- Advisory Founders, executives, and leadership teams
- Care & Coaching Therapy, coaching, and evaluations for adults
- Studio Journals for the thinking you do on your own
Founded by Thomas A. Vance, PhD, LPC, LMHC, NCC®.
Licensed psychotherapist · Leadership advisor · PhD in Counseling Psychology
We help individuals, couples, leaders, and organizations understand what is really happening, clarify what they want, and turn that clarity into intentional action. Sometimes that work happens through therapy. Sometimes through coaching, leadership and organizational advisory, learning experiences, or tools people can use on their own. The format may change, but the work is consistent.
We slow things down enough for people to notice what they have been missing, make sense of what they are experiencing, and decide how they want to move forward. We do not hand people answers. We help them ask better questions, recognize patterns, strengthen self-trust, and make decisions they can stand behind.
Clarity changes what you do next.
Start where the question is.
Leadership & Organizational Advisory
For founders, executives, and the teams around them. Most arrive with a problem they have already met about more than once. We start by naming what those meetings kept avoiding.
In one engagement, psychological safety rose 42% across a 15-person leadership team, measured before and after.
Explore AdvisoryTherapy, Coaching & Evaluations
Private-pay psychotherapy, couples therapy, gender-affirming care evaluations, and non-clinical coaching for adults. Telehealth in Georgia and New York for clinical care. You will not have to explain where you come from before we can get to the point.
Explore Care & CoachingClearMinds Studio
Journals for the thinking you do on your own, between conversations.
Enter the StudioThe same four steps, in every room.
A therapy session and a leadership retreat look nothing alike from the outside. Underneath, Dr. Vance runs them the same way. See what is real first. Sit with what that brings up. Decide. Then move, and keep moving after he has left the room.
Seeing
Naming what is actually happening before anyone tries to fix it.
Feeling
Letting what comes up be information instead of a problem.
Aligning
Getting what you say you value and what you actually do into the same room.
Moving
Action you can repeat next week without Dr. Vance in the room.
Licensed clinical practice in two states, telehealth, adults only
Peer-reviewed journals publishing Dr. Vance's research
Complimentary consultation to find the right pathway
The work most organizations are avoiding is the work that would change them.
Dr. Vance sits with founders and leadership teams while they work the question that keeps getting deferred. That might be growth, or a culture nobody will name out loud. Lately it is often AI, and whether the people already using it feel safe telling you so.
Advisory is not psychotherapy, and no one in the room is being treated. You bring a decision with weight on it. We work it until it moves.
Dr. Thomas A. Vance
Dr. Vance founded ClearMinds after years of watching the same thing happen in the therapy room and in the boardroom. Everyone had information. Almost no one would say what was actually happening.
His work has one through line, whatever the room: helping people stop outsourcing their clarity.
Read About Dr. VanceDistinct services, kept distinct on purpose.
Therapy, coaching, advisory, and Studio products are separate pathways. Coaching and advisory are not psychotherapy, do not involve diagnosis or treatment, and are not billed to insurance. Psychotherapy is available via telehealth to adults physically located in Georgia or New York at the time of session. Studio tools support reflection and practice. They are not a substitute for mental-health care.
Things Dr. Vance keeps saying to clients and teams, written down.
Selected Contributions & Coverage
What happens after you reach out.
- 01Send a short note.
Pick the conversation that fits, or choose “Not sure yet.” A sentence or two is plenty. Keep clinical details out of the form.
- 02Hear back, usually within one to two business days.
Dr. Vance reads every inquiry personally. If another pathway fits better, you will be told directly.
- 03Have a first conversation.
New therapy, couples, coaching, and evaluation clients start with a complimentary 15-minute consultation to confirm fit. Advisory starts with a short, no-pressure conversation, then a written proposal.
Before you reach out.
Therapy, coaching, or advisory. Which one is for me?
Therapy is clinical care for concerns like anxiety, depression, grief, and relational patterns, available to adults located in Georgia or New York. Coaching is non-clinical: goals, decisions, and accountability, with no diagnosis or treatment. Advisory is for founders, executives, and teams working through growth, culture, change, and AI adoption. Not sure which fits? Say so in your inquiry. The consultation will sort it honestly.
Where is therapy available?
Psychotherapy is telehealth only, for adults physically located in Georgia or New York at the time of session. That is a licensing requirement, not a preference. Sessions are held by secure video through SimplePractice. ClearMinds does not see minors.
What does it cost?
Individual therapy is $200 for 50 minutes. Couples therapy is $275 for 60 minutes. Coaching is $200 for 50 minutes. A gender-affirming care evaluation with one letter is a $300 flat fee, and a work-related disability evaluation with one written report is an $850 flat fee. Advisory is scoped and priced in a written proposal. Every new client relationship starts with a complimentary 15-minute consultation.
Do you accept insurance?
ClearMinds is private pay and does not bill insurance directly. For psychotherapy, superbills are available on request, which you can submit to your insurer for possible out-of-network reimbursement. Coaching and advisory are not billed to insurance.
What does a first advisory conversation look like?
A short, no-pressure conversation about what is happening and what needs to change. A proposal is only written after we agree on the problem, the outcomes, and the scope, so you are never handed a document full of assumptions. Every engagement names a visible first-value milestone within the first ten business days. How engagements run →
Tell us what brought you here, and we will point you to the right conversation.
Therapy, coaching, advisory, and Studio products are distinct services. Coaching and advisory are not psychotherapy, and Studio tools are not a substitute for mental-health care.
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