- Stress and anxiety
- Addictions support
- CBT and DBT methods
About James
James Smith is a Licensed Mental Health Counselor (LMHC) practicing in Massachusetts with 17 years of experience. He works with adults facing stress, anxiety, addictions, relationship concerns, family matters, and depression. He also supports people dealing with trauma and abuse, grief, intimacy issues, sleep problems, parenting strain, and ADHD.
James frames sessions around clear, practical conversation. He listens to what is happening now and helps clients set short-term goals. He uses straightforward methods to reduce symptoms and improve day-to-day functioning. Sessions focus on skills people can try between meetings and on checking what helps.
His approach draws on client-centered ideas to follow the client’s lead. He also uses cognitive behavioral techniques to identify thinking patterns and DBT strategies for strong emotional regulation. Mindfulness practices and emotionally-focused work are used when they fit the client’s concerns.
James has worked with issues that often come up in blended households, like co-parenting stress, loyalty conflicts, and merging routines. He discusses practical steps for communication, boundary-setting, and managing workflow at home. He encourages small, testable changes rather than sweeping plans.
Sessions are conversational and goal-directed. Clients can expect a focus on what to do between sessions and concrete tools to try. James asks about past experiences that shape current patterns and helps people translate that into manageable next steps.
Therapeutic approaches and working online
James commonly uses client-centered work, which means sessions follow the person’s priorities and pace while the therapist provides reflective listening and practical feedback. This approach helps when someone needs to sort out immediate concerns and decide what to try next.He also uses cognitive behavioral therapy (CBT) to help identify unhelpful thoughts and shift behaviors that maintain anxiety or low mood. CBT is useful for stress, sleep problems, and mood-related issues because it breaks problems into concrete steps that can be practiced. Dialectical behavior therapy (DBT) is used for building emotional regulation and distress tolerance skills. DBT techniques are often taught as specific skills for managing intense feelings or strong reactions.
Finding the right mix of approaches is a collaborative process. The therapist will work with each person to choose methods based on their concerns, goals, and what feels manageable. Expect adjustments over the first few sessions as priorities and techniques are tested.
The biography does not list specific session formats, so confirm current online options before booking. Online work can make it easier to fit sessions into a weeknight or a break at work, allow a shorter check-in when time is limited, and remove travel time. These practical benefits often help people keep therapy consistent while managing day-to-day life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
17+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of problems does he help with?
He works with stress, anxiety, addictions, relationship and family concerns, depression, trauma, grief, parenting stress, ADHD, and related issues listed in his specialties.
How would he describe his therapeutic style?
He uses a practical, conversational style that focuses on clear goals and skills. Methods include client-centered listening alongside CBT, DBT, EFT, and mindfulness techniques.
How much experience does he have?
He has 17 years of professional experience working with adults on a range of emotional and behavioral concerns.
What are his credentials and where does he practice?
He is an LMHC (Licensed Mental Health Counselor) with practice in Massachusetts.
Does he see people who live outside the United States?
He accepts international clients and conducts sessions in English.
What session formats are available?
Session formats are not specified in the biography. Confirm current session options before booking to know how meetings are offered.
How does billing and cost work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Use the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.