Mark Smith, LCSW

Mark Smith is a licensed clinical social worker with 34 years of experience. He helps people cope with stress, anxiety, depression, and major life transitions, including concerns related to LGBT identity and midlife changes. He focuses on practical ways to manage emotions and get through difficult moments.

In sessions he aims to create an open, nonjudgmental space where people can talk about painful or confusing feelings. He works collaboratively with each person to understand what matters most and to set realistic steps forward. Conversations tend to be direct and grounded in everyday concerns rather than jargon.

Mark uses a client-centered approach, listening carefully and following each person's pace. He emphasizes understanding, acceptance, and building on a person's strengths. That approach can help with relationship stress, questions about life purpose, and issues such as guilt, shame, or attachment struggles.

He has supported people through hospice and end-of-life counseling, sexual identity questions, and non-monogamous relationship concerns. He also addresses men’s issues, forgiveness work, and recovery from traumatic events. His style is steady, patient, and focused on practical coping skills.

Mark is licensed in Florida and North Carolina as an LCSW, and practices from North Carolina. He accepts international clients and conducts sessions in English. To begin, clients complete a short matching questionnaire and schedule sessions based on availability.

Client-centered care and online therapy

Client-centered therapy focuses on listening closely and following the person's lead. The therapist creates a respectful space, reflects what you say, and helps you find your own solutions. This approach can be useful for anxiety, depression, questions about identity, and navigating life changes.

Because the work is collaborative, the therapist and client decide together which methods to use. Finding the right approach is part of the process. The therapist will check in about goals, preferences, and what feels most helpful, then adjust the style accordingly.

The biography does not list specific session formats, so confirm which online options are offered before booking. In general, online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It can also help people keep therapy going while living in a different state or country since this therapist accepts international clients. Talk with the therapist when you schedule to learn which online formats are currently available and what will work best for your situation.