Dr. Lance Smith, LMFT

Dr. Lance Smith is a licensed marriage and family therapist with 25 years of clinical experience. He helps people who are struggling with anxiety, depression, relationship strain, grief, addiction, trauma, and parenting stress. He also supports those coping with ADHD, bipolar challenges, anger, self-esteem issues, and major life changes.

Dr. Smith draws on approaches such as cognitive behavioral therapy, attachment-based methods, and client-centered work to match practical strategies to what each person needs. Sessions focus on clear goals, real-life skills, and improving communication. He aims to make sessions straightforward and useful so people can try new ways of coping between meetings.

His background includes long experience working with individual concerns and relationship problems. Over the years he has helped people address family-of-origin issues, blended family challenges, and caregiver stress. He has also supported people facing multicultural concerns, hospice and end-of-life questions, and the aftermath of abuse or loss.

Dr. Smith keeps an emphasis on understanding attachment wounds and patterns that repeat in relationships. He blends tools to reduce symptoms with conversations that repair trust and connection. That mix helps people manage immediate distress while working toward lasting change.

People who choose him will find a calm, respectful therapist who listens closely and offers concrete steps. He encourages active collaboration so therapy fits each person’s priorities and daily life.

Approaches that guide online sessions

The therapist commonly uses cognitive behavioral therapy to help people identify unhelpful thought and behavior patterns and practice new skills to reduce anxiety, depression, or impulsive reactions. He also uses attachment-based ideas to spot repeating relationship patterns, repair trust, and improve emotional connection in partnerships. Client-centered work provides a responsive, listening-based stance that keeps each session focused on the person's own goals and priorities.

Finding the right mix of approaches is part of the work. The therapist collaborates with each person to decide which methods fit best based on needs, goals, and what feels comfortable. That collaborative planning helps tailor sessions so they feel relevant and doable.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which make it easier to fit therapy into busy days. Video allows face-to-face conversation for deeper emotional work, while phone calls use less bandwidth and can be simpler during a short break. Live chat or texting can support quick check-ins, brief skill practice, or ongoing support between longer sessions. These options aim to make therapy more flexible and accessible for different routines and communication preferences.