Clarity is a discipline.

Dr. Thomas A. Vance standing by a window in a navy suit

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.

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.

Clarity changes what you do next.

Start where the question is

Dr. Vance in conversation with participants around a table

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, team connection and psychological safety rose 42% across a 15-person leadership team, measured before and after.

Explore Advisory
Dr. Vance seated on a white sofa

Therapy, 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 & Coaching
Dr. Vance holding The Clarity Companion: Anxiety

ClearMinds Studio

Journals for the thinking you do on your own, between conversations. The newest one, The Clarity Companion: Anxiety, is available now.

See the Journal

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.

The 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.

  1. Seeing

    Naming what is actually happening before anyone tries to fix it.

  2. Feeling

    Letting what comes up be information instead of a problem.

  3. Aligning

    Getting what you say you value and what you actually do into the same room.

  4. Moving

    Action you can repeat next week without Dr. Vance in the room.

Portrait of Dr. Thomas A. Vance

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. Vance
  • National Certified Counselor™ (NCC®)
  • Co-Editor, Sexual Racism and Social Justice, Oxford University Press
  • Postdoctoral Fellow, LGBT Health, Columbia University Irving Medical Center
  • Teaches at The New School

Selected contributions and coverage

WondermindThe New York TimesABC NewsMedical News Today

Tell us what brought you here, and we will point you to the right conversation

Dr. Vance reads every inquiry personally, and you will usually hear back within one to two business days.

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.

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