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DS Portrait of Denise Smith

Denise Smith

Experienced therapist using practical approaches

LPC Texas

Experience
17 years in practice
Focus areas
Stress, Anxiety, Addictions, LGBT
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Denise

About Denise

Denise Smith is a licensed professional counselor with 17 years of practice based in Texas who draws on cognitive behavioral principles to help clients make practical changes in daily life.

Background and approach

She blends CBT with client-centered and mindfulness-informed techniques to create individualized plans that fit each person’s situation and goals. Denise emphasizes respectful, sensitive, and compassionate engagement while tailoring conversations and interventions to what matters most to the client.

Her work covers a range of concerns including stress, anxiety, depression, bipolar disorder, addiction, trauma and abuse, relationship and intimacy issues, grief, parenting challenges, ADHD, and issues related to LGBT and alternative sexual cultures. She also addresses complex presentations such as co-morbidity, dissociation, codependency, and mood or panic disorders.

Denise approaches treatment collaboratively, helping clients explore coping strategies, emotional regulation skills, and behavior changes that support sustained progress. Clients can expect a therapist who values individualized attention and practical tools alongside empathic listening.

Denise meets people where they are and supports them through transitions, healing from past wounds, and developing skills for healthier patterns and improved day-to-day functioning.

How evidence-based approaches translate to online care

Denise uses Cognitive Behavioral Therapy to help clients identify unhelpful thinking patterns and build practical strategies for managing mood, anxiety, and addictive behaviors. CBT focuses on the connection between thoughts, feelings, and actions and is often applied when clients want concrete tools for symptom relief and behavior change.

She also draws from Client-Centered Therapy, which emphasizes empathetic listening and collaboration so clients feel heard and supported while exploring goals and values. Dialectical Behavior Therapy elements are integrated when emotion regulation and distress tolerance skills are needed, offering structured practices for managing intense feelings and improving interpersonal effectiveness.

Finding the best fit is a collaborative process: the therapist works with each person to align methods with their goals, preferences, and life context. Sessions can emphasize skill-building, reflective exploration, or a mixture of both depending on what the client and therapist determine together.

Online therapy provides flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to maintain continuity of care around work, family, or travel. These formats allow for regular check-ins, homework review, and timely support between visits while accommodating different communication styles and schedules.

Frequently asked questions

What types of concerns does Denise address?
She works with a wide range of issues including stress, anxiety, depression, bipolar disorder, addictions, trauma and abuse, grief, relationship and intimacy concerns, parenting, ADHD, and LGBT related matters.
What therapeutic style can I expect in sessions?
The approach combines client-centered care with practical methods; Cognitive Behavioral Therapy and mindfulness are used to develop skills while sessions stay grounded in the client's priorities.
How long has she been practicing clinically?
Denise brings 17 years of professional experience to her work, which informs both her clinical judgment and the tools she offers clients.
Where is Denise licensed and what are her credentials?
She is a Licensed Professional Counselor (LPC) practicing in Texas with the license TX LPC 64999.
Can someone who lives outside the United States work with her?
Yes, she accepts international clients and provides services to people outside the U.S. as part of her practice.
What session formats are offered for remote care?
Available formats include video calls, phone sessions, live chat, and text-based messaging to fit different communication preferences.
How are fees and billing handled for sessions?
Cost varies with location and therapist availability and sessions are delivered through a subscription that can be canceled at any time.
What steps are involved in beginning therapy with her?
To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsLGBTBipolar disorderDepression

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCoping with life changesADHD

Additional focus areas

Antisocial personalityBDSM, kink, and alternative sex cultureBlended family issuesCo-morbidityCodependencyDissociationDrug and alcohol addictionFamily problemsFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameMood disordersPanic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingInternal Family Systems

Experience

17+ years

Licensed

Texas

Languages

English