David Smith, LMHC

Iowa · 25 years in practice

David Smith is a licensed mental health counselor (LMHC) in Iowa with 25 years of experience.

License and registration

LMHC, Iowa: 00254 · expires September 2026
NPI: 1508370198 · national provider identifier
Years in practice: 25
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About David

David Smith is a licensed mental health counselor (LMHC) in Iowa with 25 years of experience. He focuses on helping people who are dealing with stress, anxiety, relationship struggles, anger, depression, or major life changes. He aims to be straightforward and approachable so people can talk about what matters most to them.

He frames therapy as a collaborative effort. Sessions look at what’s keeping someone stuck and what strengths they can use to move forward.

Background and approach

He uses practical tools to test new ways of thinking and acting, and he checks in regularly to make sure work is useful and on target. David combines ideas from several approaches rather than relying on a single method. He draws on systemic thinking to see how relationships and roles shape problems.

He also uses techniques from cognitive behavioral approaches and Acceptance and Commitment Therapy to change unhelpful patterns and clarify values. Over his career he has worked with people facing a wide range of concerns, including family of origin issues, communication and commitment problems, addiction, fatherhood and aging-related matters, and guilt or shame.

He also addresses issues common to first responders and those coping with separation or divorce. Sessions are offered by video, phone, live chat, or text-based messaging, and David can work with people in other countries as well. He encourages clients to treat therapy as a joint project where feedback and adjustments guide progress.

Focus areas and approaches

Everything David lists on their public professional profile, in their own terms.

Approaches David names

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Online support

Approaches that shape online sessions

David often uses Acceptance and Commitment Therapy and Client-Centered methods when working online. Acceptance and Commitment Therapy helps people notice painful thoughts and feelings without getting stuck in them, then take small actions that match what matters most. Client-Centered work focuses on listening carefully and following the client’s pace so people feel heard and can find their own solutions.

He also brings systemic thinking into sessions to look at how relationships and roles influence current problems. That perspective can highlight patterns that repeat across interactions and point to practical changes in how people relate to one another. Choosing which approach to use is a joint decision made with the client based on their goals and what feels most useful in early sessions.

Online formats - video calls, phone sessions, live chat, and text-based messaging - allow flexibility for different needs. Video is useful for deeper conversations where nonverbal cues matter. Phone sessions can work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging are handy for brief check-ins, homework, or when a shorter contact fits a busy day. These options make it easier to fit therapy into work, travel, or family schedules while keeping the focus on real-life changes.

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Questions people ask

What problems does this therapist help with?

He helps people managing stress, anxiety, anger, depression, relationship concerns, and coping with major life changes. Additional focus areas include addiction, family problems, fatherhood issues, aging and geriatric concerns, and attachment or codependency matters.

What is his therapeutic style like?

Sessions are collaborative and practical. He aims to be accessible and action-oriented while checking in regularly to make sure the work is helpful.

How much experience does he have?

He has 25 years of professional experience working with a wide range of concerns and life stages.

What credentials and location are on file?

He is listed as an LMHC - Licensed Mental Health Counselor - and practices in Iowa.

In which languages can sessions be held and are international clients supported?

Sessions are offered in English and he accepts international clients.

What session formats are available?

Sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.

How does pricing work?

Cost varies with location and therapist availability and services are provided through a subscription model that can be canceled at any time.

How do I begin working together?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

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