David Smith, LMHC

David Smith is a licensed mental health counselor (LMHC) in Iowa with 25 years of experience. He focuses on helping people who feel stuck by working alongside them to find clearer direction and meaningful change. He aims to be accessible, empathetic, and pragmatic while encouraging action that moves life forward.

He begins by listening to what matters most to each person and identifying strengths to build on. Sessions often look at patterns in thinking and behavior that keep problems going, then try small, practical steps to shift those patterns. He uses straightforward feedback and regular check-ins so clients can see whether the work is helping.

David draws on several therapy approaches rather than one single method. He emphasizes practical problem solving, cognitive and behavioral tools, motivational strategies, and ideas from family systems work when appropriate. He also uses relationship-focused methods when couples want guidance on communication and connection.

Over his career he has helped people manage stress and anxiety, work through anger and depression, and cope with big life changes such as separation or career shifts. He also supports people facing issues around aging, attachment, codependency, and the effects of family history.

Sessions are collaborative and grounded in respect for each person's story. He encourages honest feedback throughout therapy so plans can be adjusted. The goal is to help people make the everyday changes that lead to more joy, greater calm, and better relationships.

How David’s Approaches Work Online and in Sessions

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is useful when someone feels stuck or unclear about what matters most. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and uses practical steps to change patterns that worsen anxiety or depression. The Gottman Method focuses on connection and communication skills for couples and on reducing repetitive conflict patterns.

Finding the right approach is part of the work. David will talk with each person or couple about goals and preferences, then suggest methods that fit those needs. He views therapy as a collaborative process and checks in regularly so the plan can change as the work progresses.

The original biography does not list specific session formats, so confirm current options before booking. Many people find online therapy helpful because it can make scheduling easier, cut travel time, and let sessions fit into a busy day. Online work also allows shorter check-ins or sessions that do not require being on camera, which can suit different needs. Licensed professionals can adapt ACT, CBT, and relationship work to remote sessions while focusing on clear goals and useful homework to practice between meetings.