About Lance

Dr. Lance Smith is a licensed marriage and family therapist with 25 years of clinical experience. He helps people who are struggling with anxiety, stress, depression, relationship strain, ADHD, grief, trauma, and problems with intimacy.

He aims to create a calm, respectful space where clients can talk about what’s hardest for them and find clearer ways forward. He takes a practical, down-to-earth approach in sessions. Conversations focus on what matters most to the person in front of him and on small, doable steps that can reduce distress.

Background and approach

He uses straightforward tools to help people notice patterns, try new behaviors, and repair connection where it has frayed. Dr. Smith draws from several well-known therapy methods, including attachment-based ideas, client-centered practice, and cognitive behavioral techniques.

He blends these approaches to match each person’s goals rather than following one fixed method. Sessions may include problem-solving, communication practice, and attention to how past relationships shape present reactions. Over his career he has supported people facing addiction, parenting stress, caregiving strain, panic attacks, bipolar mood challenges, and family-origin issues.

He also works with concerns such as forgiveness, guilt, multicultural stress, and end-of-life counseling. Those topics often appear alongside anxiety, trauma, or life transitions. Dr.

Smith holds a Licensed Marriage and Family Therapist credential in California and brings a measured, compassionate presence to sessions. He offers work in English and provides several ways to meet, including video, phone, chat, and text messaging.

Approaches that guide online sessions

Attachment-based work focuses on how early relationships shape current patterns of closeness and distance; it helps people understand why they react strongly in close relationships and learn different ways to connect. Client-centered therapy centers the person’s experience and priorities, giving space to be heard while the therapist follows the client’s pace and goals. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches practical techniques to reduce anxiety, manage mood, and change unhelpful habits.

Finding the right approach is part of the work. The therapist will discuss goals and preferences and together decide which methods to try. That collaborative process often begins with a few sessions to identify what helps most and to adapt the plan as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls let people use face-to-face conversation for communication practice and body language cues. Phone sessions can be a good option when bandwidth is limited or a simpler check-in is needed. Live chat and text messaging allow brief check-ins, written reflection, or flexible communication that fits around work and caregiving responsibilities. These options make it easier to keep continuity of care and to fit sessions into a busy life while using the therapist’s attachment, person-centered, and CBT skills effectively.

Questions people ask

What kinds of concerns does he help with?
He works with stress, anxiety, depression, relationship and family issues, addictions, trauma, grief, ADHD, and related concerns like anger and self-esteem.
How would you describe his therapy style?
Sessions are practical and person-focused, with clear conversation and small steps to try between meetings. The emphasis is on what the client wants to change and on building useful skills.
What is his clinical background?
He has 25 years of experience providing counseling across a wide range of concerns and has worked with people facing long-term and acute challenges.
Where is he licensed and based?
He holds a Licensed Marriage and Family Therapist credential in California and practices out of California.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How is cost handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

What this therapist works with

Most often

Experience
25 years
Licensed
Oklahoma, Utah, California
Languages
English

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