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Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT

Thomas N Spence

Marriage & Family Therapist Associate, MA, AMFT (he, him)

Verified by Psychology Today Verified by Psychology Today
317 14th Street, Del Mar, CA 92014
Let's Connect (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Welcome! My name is Thomas Spence. Currently, I am an AMFT who works with couples and individuals navigating stress, depression, isolation, and identity struggles, among other concerns. Clients often come to me feeling overwhelmed or stuck, seeking support to gain clarity, build resilience, and reconnect with their values and strengths. In a safe, nonjudgmental space, we explore these challenges, process past experiences, and develop practical tools for meaningful change and renewed self-understanding. Whether you’re focusing on personal growth or looking to deepen your relationship, I’m here to support you every step of the way.
I offer a supportive, personalized approach to help you work through life’s challenges and grow meaningfully. Together, we’ll uncover patterns holding you back, build resilience, and create a path toward lasting change. Trained in the Gottman Method for couples therapy and EMDR for trauma, I’m equipped to support both relationships and individuals.
I understand how challenging it can feel to face life’s struggles alone, whether in relationships or within yourself. Reaching out for support is a courageous step, and I’m here to walk alongside you. Together, we can create a space where you feel truly heard, understood, and empowered to make meaningful changes.
Call or Thomas N Spence now for a free 15 minute consultation - (619) 353-9955

My Practice at a Glance

Available both in-person and online

317 14th Street

Del Mar, CA 92014

(619) 353-9955

San Diego, CA 92102

I am currently offering sessions in-person in Del Mar and provide telehealth services.
$150 Per Session  
I see individuals, couples and groups  
Let's Connect (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate

My Practice at a Glance

Available both in-person and online

317 14th Street

Del Mar, CA 92014

(619) 353-9955

San Diego, CA 92102

I am currently offering sessions in-person in Del Mar and provide telehealth services.
$150 Per Session  
I see individuals, couples and groups  

Finances

Fees

  • Individual Sessions $150
  • Couple Sessions $150
  • Pay by ACH Bank transfer, American Express, Apple Cash, Cash, Check, Discover, Health Savings Account, Mastercard, Visa, Wire
"
I currently do not accept insurance.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT
"
I currently do not accept insurance.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT

Qualifications

  • Verified by Psychology Today Prelicense by State of California / 149130 Supervised by E. Nathaniel Chapman (California / 33301) Thomas Neal Spence
  • Membership with American Association of Marriage and Family Therapist
  • Membership with California Association of Marriage and Family Therapist
  • Attended The Chicago School of Professional Psychology
"
I offer compassionate support and specialized care to a diverse range of clients, including couples and individuals dealing with life's everyday challenges. With years of experience in county mental health, I've developed the skills and expertise needed to provide effective and empathetic care.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT
"
I offer compassionate support and specialized care to a diverse range of clients, including couples and individuals dealing with life's everyday challenges. With years of experience in county mental health, I've developed the skills and expertise needed to provide effective and empathetic care.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT

Specialties and Expertise

Expertise

  • Anxiety
  • Bisexual
  • Chronic Pain
  • Codependency
  • Depression
  • Grief
  • Infidelity
  • LGBTQ+
  • Marital and Premarital
  • Relationship Issues
"
I can help you with a range of issues, including stress, trauma, depression, relationship challenges, identity struggles, and emotional regulation. A typical treatment plan may involve identifying and exploring the root causes of your concerns, developing practical coping skills, and enhancing communication and self-awareness.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT
"
I can help you with a range of issues, including stress, trauma, depression, relationship challenges, identity struggles, and emotional regulation. A typical treatment plan may involve identifying and exploring the root causes of your concerns, developing practical coping skills, and enhancing communication and self-awareness.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT

Client Focus

Age

Adults
Elders (65+)

Participants

Individuals
Couples
Group

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Transgender Allied

Age

Adults
Elders (65+)

Participants

Individuals
Couples
Group

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Transgender Allied

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Art Therapy
  • Cognitive Behavioral (CBT)
  • Dialectical Behavior (DBT)
  • EMDR
  • Gottman Method
  • Internal Family Systems (IFS)
  • Jungian
  • Mindfulness-Based (MBCT)
  • Person-Centered
  • Positive Psychology
  • Relational
  • Solution Focused Brief (SFBT)
  • Somatic
  • Trauma Focused
"
The approaches I use in therapy include the Gottman Method, EMDR, CBT, and Narrative Therapy, among other evidence-based treatments, each tailored to support your unique journey. With these methods, your experience will involve a blend of practical tools, insight-driven exploration, and skills for emotional growth and connection.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT
"
The approaches I use in therapy include the Gottman Method, EMDR, CBT, and Narrative Therapy, among other evidence-based treatments, each tailored to support your unique journey. With these methods, your experience will involve a blend of practical tools, insight-driven exploration, and skills for emotional growth and connection.
Call or for a free 15 minute consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT

Location

Primary Location

317 14th Street

Del Mar, CA 92014

(619) 353-9955

Additional Location

San Diego, CA 92102

(619) 353-9955
"
I am currently offering sessions in-person in Del Mar and provide telehealth services.
Call for a free consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT
"
I am currently offering sessions in-person in Del Mar and provide telehealth services.
Call for a free consultation now - (619) 353-9955
Photo of Thomas N Spence, MA, AMFT, Marriage & Family Therapist Associate
Thomas N Spence
Marriage & Family Therapist Associate, MA, AMFT