About Denise
Denise Smith is an LPC (Licensed Professional Counselor) practicing in Texas with 17 years of experience. She focuses on helping adults facing stress, anxiety, mood challenges, addictions, and ADHD. She aims to create a respectful, nonjudgmental space where people can speak honestly about their struggles.
Denise adapts conversations and plans to each person's needs. She uses clear, practical methods to manage symptoms and build strengths. Sessions include concrete tools for mood regulation, coping with cravings, and improving daily focus.
Background and approach
She also supports people navigating relationship strain, grief, intimacy concerns, fertility stress, and identity matters such as gender dysphoria. Denise is familiar with diverse sexual lifestyles and is comfortable talking about kink and alternative sex culture when that is part of a client's life.
Her approach mixes client-centered listening with focused techniques drawn from cognitive behavioral work, dialectical behavior strategies, mindfulness, and motivational interviewing. That combination helps people notice unhelpful patterns, practice new skills, and stay motivated through difficult changes. Denise works with adults across a range of co-occurring issues like mood disorders, panic attacks, substance use, codependency, dissociation, and trauma.
She welcomes international clients and conducts sessions in English. She frames therapy as a collaborative effort toward workable goals.
Practical approaches for online care
Denise combines client-centered therapy with cognitive behavioral therapy to support change. Client-centered therapy means the conversation begins with what matters most to the person and follows their pace. Cognitive behavioral therapy offers clear steps to identify unhelpful thoughts and try new behaviors that improve mood and focus.She also uses Dialectical Behavior Therapy skills for emotional regulation and distress tolerance when feelings feel overwhelming. DBT skills can help reduce impulsive reactions, manage panic, and improve relationships. Finding the right mix of approaches is collaborative - Denise works with each person to pick methods that match their goals, needs, and comfort level rather than using a single plan for everyone.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to make care easier to fit into life. Video is useful for deeper conversations and skill practice, phone sessions work well when bandwidth is limited or for check-ins, live chat offers a quicker way to touch base, and messaging can support short updates or ongoing check-ins between sessions. These options provide flexibility so people can keep therapy consistent around work, family, or travel.
Questions people ask
What kinds of concerns does she address?
What is her therapeutic style?
How much experience does she have?
Where is she licensed and based?
Which languages are supported for sessions?
What session formats are offered?
How is cost handled?
How do I get started with her?
What this therapist works with
Most often
Also listed
- ADHD
- Anger management
- Antisocial personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Co-morbidity
- Codependency
- Coping with life changes
- Depression
- Dissociation
- Drug and alcohol addiction
- Family conflicts
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Texas
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.