James Smith
Supportive family-focused LMHC
- Credentials
- LMHC
- Experience
- 17 years
- Licensed in
- Massachusetts
- Languages
- English
- Format
- Online sessions
About James
James Smith is a licensed mental health counselor who focuses on family and parenting concerns alongside a broad range of personal and relationship issues. He speaks English and works with people managing stress, anxiety, depression, and problems related to addiction. He emphasizes respect, sensitivity, and a compassionate tone when meeting someone for the first time.
In sessions he adapts the conversation and plan to each person’s needs. He aims to make the first steps feel manageable and acknowledges how hard it can be to reach out for help.
Background and approach
He brings 17 years of experience as a clinician licensed in Massachusetts - MA LMHC LMHC10594 - and uses that background to guide practical care. James draws on several therapy methods that fit different problems and personalities.
He uses client-centered work to follow what matters most to the individual, cognitive behavioral techniques to address thoughts and behaviors, and dialectical skills to help manage intense emotions. He also applies emotionally-focused work and mindfulness tools when they suit the situation. His approach is collaborative and straightforward.
Parents or family members can expect clear conversation about goals, simple skills to try between sessions, and adjustments to plans as needs change. He invites people to start where they are without judgment. Sessions can be scheduled through the platform’s matching process and offered in a variety of online formats.
James focuses on creating a practical, compassionate path forward for families and individuals facing change or ongoing struggles.
How his approaches translate to online work
Client-Centered Therapy focuses on listening and following what matters most to the client. It creates space for parents and family members to describe concerns and choose goals that fit their lives. Cognitive Behavioral Therapy, or CBT, breaks down problems into thoughts, feelings, and actions and teaches concrete techniques to change patterns that cause distress. Dialectical Behavior Therapy - DBT - adds skills for tolerating strong emotions and improving communication when feelings run high.Picking the right approach is part of the process. He works with each person to figure out which methods fit their goals and situation. That decision is collaborative and can change as progress is made or new needs appear.
Online sessions include video calls, phone sessions, live chat, and text-based messaging to fit busy family schedules. These formats make it easier to connect from home, handle childcare or work conflicts, and keep momentum between meetings. The options offer flexibility while allowing practical skill building and consistent follow-up over time.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Massachusetts
- Languages
- English
Next step
Talk to James
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point