Welcome to my practice!

Dr.Tom in England

Born in England, Dr.Tom still visits there regularly, as in this photo in an English park.

You are trying to find a therapist suited to your particular needs. I want to help you make that important decision by being as open as I can be about myself and how I work.

People come to me for many reasons: their work, personal growth, relationships, addictions and disorders. Each person’s needs are unique, and I try to find what works for the individual.

I am a licensed therapist (LPC). My areas of experience and expertise are in Anger Management, Divorce Recovery, Relationship & Marital Therapy, Depression, Stress Reduction, Anxiety, and Spiritual Issues.

Here are some of the issues I see most often in my practice:

  • Marriage Counseling
  • Anger management
  • Depression, Anxiety, Stress
  • Divorce Recovery
  • Grief and Loss
  • Search for a Spiritual Self

The next step would be for you to make an appointment to talk to me about the areas you want to work on.  If we seem like a good fit, we can set up future sessions, or set up a phone session.

Most change is not easy and yet I am inspired each day by the courage and motivation of my clients to challenge negative patterns, the trauma of the past, and the problematic issues of daily living.

No matter what the issue is, marital difficulties, past trauma, or grief and loss the most important aspect of therapy is having a comfortable and trusting relationship with your therapist. I strive to provide that for each of my patients. Because I view each person as unique, I am pragmatic in my approach and use a variety of therapeutic methods in my work to assist couples and individuals to grow in ways that enhance their lives and their relationships.

My Fort Smith office is on the 2nd floor of Central Mall. I chose my office location because of its central location, convenience, and private atmosphere.

My Mena office is at beautiful Willowbrook Retreat Center. My clients find it a calm and comfortable sanctuary, set in grounds with flower gardens, in the heart of the Ouachita Mountains.  (For those coming from out of town, it is possible to reserve a cabin or cottage to combine your session with a relaxing getaway.  For cabin info, contact Carolyn.)

I am licensed in Arkansas as a general practitioner with over forty years of training, university, hospital, and private practice experience. I have received a MS in General Counseling and Marriage and Family Counseling from John Brown University, a Doctorate in Pastoral Counseling from Oral Roberts University, and a Master of Divinity from Asbury Theological Seminary.

Because of the ever-changing nature of my field, I involve myself in ongoing training and continuous learning of new ways to help and support clients as they achieve their life and relationships goals.

Please feel welcome to give me a call or email me with the secure form below. I can answer questions more meaningfully when I know something about your specific issues.

My Approach

Counseling is successful when you achieve the goal you have set for yourself. Perhaps it’s relief from acute symptoms such as anxiety, depression or and addiction, or, maybe it’s breaking a cycle of unsuccessful relationships or jobs. I want to help you make the changes you feel you haven’t been able to make on your own—to help you stop doing things that are self-defeating, and start living a more satisfying life.

To make this happen the initial session is devoted to your background, your reasons for seeking counseling, and your goals for treatment,  I want you to speak freely about whatever is on your mind. In response, I will be doing a range of things: asking questions about what you’ve said, suggesting strategies for handling life’s challenges, and helping you explore your feelings. I want you to be able to think about yourself differently, to understand what in your past affects how you behave today, and to use therapy’s insights to make constructive changes in your life.

I would love to help you.

— Dr. Tom MacMahon

Insurance:  did you know that most counseling is not covered by insurance unless required by an MD as a health issue? That doesn’t seem fair, so we have a sliding scale to help you get the help you need at a cost you can afford.  We do offer a coded receipt with the codes your insurance company requires to reimburse you, if they cover your counseling.   You can email us easily using the form below with questions you may have.  Or, or to talk to a real person, call our office manager, Carolyn, for more help with making counseling affordable for you.   Call Carolyn  

heart and key

Couples–there is a way to find the key to your
mate’s heart.  No matter how far you have drifted apart, if you want to have a great relationship, and are willing to work with Dr.Tom, you will be amazed at the results.  You hold some keys that might surprise you!   


Sad LanaIndividuals–there is hope for you, no matter what your situation.  You owe it to yourself to get help when you are going through difficulties.

Directions to Fort Smith office location 

Rates are below standard industry rates — both office and phone sessions are  just $95 per session (perhaps lower on a sliding scale), with no minimum number of visits. 

Call  to set up either Fort Smith or Mena appointment or Skype phone appointment (hours he is available in Ft.Smith are 1 pm to 8 pm, Tues, Wed, Thurs).  

 You can also send Dr.Tom an email, if you have questions, or would like to set up an appointment: [contact-form-7 id=”149″ title=”Contact form 1″]        

 “I will treat you with respect and understanding–no matter what your problems are.  I believe that every person is precious in the eyes of God, and together we can get you to a place of stability, harmony and peace.”  –Dr.Tom

Old fashioned accessibility:
Dr.Tom wants to be accessible to you, and will give you a phone number and email address if you need him in crisis.

He brings 30 years of experience in Christian counseling and Christian ministry to your counseling or coaching sessions, so you can be sure of his compassion and confidentiality.  (Dr.Tom also counsels persons of other faiths; you do not have to be a  Christian.)  He is competent and licensed to do general counseling in the state of Arkansas.

Do you have frustrations and misunderstandings that have brought unhappiness and disharmony?  Call today for your confidential appointment; you too can have a “happily ever after” story!


greg_madReal life success stories 

Greg and Tonya and lily









You owe it to yourself and to those you love to at least explore the benefits counseling can bring to your situation. It isn’t money spent, it is money invested in your happiness.  Call now: 479 883-5492 or email. You will be glad you did.

What do you need help with?

  • parenting and family problems
  • premarital counseling
  • conflicts over money
  • divorce and remarriage, blended families
  • boredom, anxiety or depression
  • low esteem
  • career and workplace issues
  • lack of affection
  • infidelity
  • underlying resentment
  • poor communication
  • little to no sex in marriage
  • abuse and addictions
  • anger management
  • ADD
  • PTSD
  • grief
  • other life issues

Let Dr.Tom help.  He has experience and professional skills to help you through this.   He has Skype clients as far away as Japan, so distance is not a problem.  Call  to arrange a time that is convenient for you.

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