David Smith, LMHC

David Smith is an Iowa-licensed mental health counselor with 25 years of experience. He helps people who are dealing with stress, anxiety, relationship strain, anger, depression, and major life changes. He also pays attention to aging and geriatric issues and related family concerns.

He takes a straightforward, practical approach in sessions. Clients can expect an accessible and empathetic presence that focuses on finding workable steps forward. Sessions often emphasize identifying what’s keeping someone stuck and testing small changes that can improve day-to-day life.

David draws on several therapeutic styles to fit each person’s situation. He uses cognitive behavioral ideas to examine patterns of thought and behavior, acceptance and commitment concepts to clarify values and committed action, and client-centered methods that prioritize the person’s perspective. He also brings elements of existential thought and relationship-focused techniques when useful.

Work in sessions moves between talking things through and trying practical exercises. He encourages feedback so the work stays useful and focused. Therapy is presented as a collaborative effort where the client’s goals guide the plan.

Outside of the counseling room, his background includes long clinical practice across common adult concerns like addiction, family of origin issues, communication problems, and grief around life transitions. He supports adults and couples in navigating these challenges and in creating clearer choices for their futures.

How David’s Approaches Translate to Online Therapy

David often uses Acceptance and Commitment Therapy to help people name their values and take small committed steps toward them, which can reduce avoidance and increase meaningful activity. Cognitive Behavioral Therapy is also a common part of his work and focuses on spotting and changing unhelpful thought and behavior patterns to produce clearer results.

Finding the right approach is part of the process. He collaborates with each person to choose methods that match their goals and preferences, and he regularly checks in to see what is helping and what needs to change. That conversation guides whether sessions focus more on skills practice, values-based work, or relationship tools.

If you are considering online therapy, confirm the current session formats before booking. Online work can make it easier to fit sessions into a busy week, shorten check-ins when time is limited, or allow for video or phone options if that helps with logistics. Licensed professionals can use these formats to keep therapy practical and connected to everyday life.