David Smith, LMHC
Iowa · 25 years in practice
David Smith is a licensed mental health counselor 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 in Iowa with 25 years of experience. He focuses on helping people who feel stuck by listening, asking practical questions, and working with their existing strengths. He aims to make sessions straightforward and useful for daily life.
He draws on existential ideas to help people face big life questions and make meaning from difficult moments. He also uses acceptance and commitment strategies and cognitive-behavioral tools to address anxiety, stress, depression, and anger.
Background and approach
Sessions often include clear, step-by-step plans and real-world experiments to try between meetings. David is comfortable working with relationship concerns and communication problems. He also helps people dealing with divorce and separation, family of origin issues, codependency, commitment concerns, and fatherhood matters.
He brings experience with substance use, first responder stress, aging and geriatric issues, and feelings of emptiness, guilt, or shame. His style is accessible and pragmatic. He encourages feedback and checks in regularly so therapy stays on track.
People who want to look honestly at their choices and try new ways of coping will find a straightforward, collaborative approach. Sessions are offered in English and are structured to blend talking with practical exercises and skill building. The goal is to help people move toward more connection, clearer choices, and steadier day-to-day functioning.
Focus areas and approaches
Everything David lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Anger management
- Depression
- Coping with life changes
- Aging and geriatric issues
- Attachment issues
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Self-love
- Sex addiction
- Sexuality
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Approaches David names
- Existential Therapy
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Gottman Method
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Systemic Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How therapeutic approaches translate to online work
Existential therapy helps people examine life choices, meaning, and values in simple, direct conversation. Online sessions use these questions to clarify what matters and to set goals that reflect personal values.Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings without letting them dictate actions. In teletherapy this often means learning small exercises and commitments to try between sessions to build more flexible behavior.
Client-centered therapy prioritizes the person's own perspective and lets the therapist follow the client's lead. Online formats keep that collaborative spirit by centering conversations on the client's concerns and pacing.
Finding the right approach is part of the work. The therapist will discuss options and collaborate with the client to choose methods that fit their goals, needs, and comfort level. Plans are adjusted as progress is reviewed so the approach evolves over time.
Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging. Video is useful for full conversation and visual cues, phone works when bandwidth or camera use is limited, chat or messaging can be good for brief check-ins or processing between sessions. These options make it easier to fit therapy into busy schedules and different daily routines.
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Questions people ask
What concerns does David commonly address?
He works with stress, anxiety, depression, anger, relationship and communication problems, and coping with life changes. He also focuses on issues like addiction, family of origin, fatherhood, and grief around aging.
How would you describe his therapeutic style?
His style is accessible, pragmatic, and collaborative. He blends existential reflection with action-focused exercises and cognitive-behavioral strategies.
What is his background and experience?
He has 25 years of professional experience working with adults on a range of mood and relationship concerns. He emphasizes practical change and regular feedback during therapy.
What credentials and location are listed?
He is an IA LMHC, which is a Licensed Mental Health Counselor in Iowa, and he practices from that state.
Which languages are supported for sessions?
Sessions are offered in English and he also accepts international clients.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How is cost handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
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