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
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Caregiver issues and stress
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Oklahoma, Utah, California
- Languages
- English
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