About Lydia
Lydia Frazier, LISW, helps people who are feeling overwhelmed by anxiety, depression, trauma, or big life shifts. She writes short goals with clients and focuses on steps that fit each person's day-to-day life. Lydia brings 25 years of experience to sessions and keeps language clear and direct so parents can understand what to expect.
Lydia draws on methods that encourage action and present-moment clarity. Sessions look at what matters most to each person and build small, manageable habits.
Background and approach
She pays attention to how sleep, movement, and routines affect mood and focus, and she works with clients to adjust those areas over time. Her approach is flexible and strengths-based. That means Lydia starts with what is already working, and then adds tools tailored to the problem.
Clients find this useful for stress, relationship conflict, grief, addiction concerns, and attention-related struggles like ADHD. Lydia also considers attachment and relationship patterns when they show up in someone's life. Conversations often include ways to communicate more clearly and to set boundaries that reduce conflict and anxiety.
Practical skills are paired with exploration of underlying patterns. In sessions Lydia mixes skill-building and reflective conversation. She may use cognitive techniques to challenge unhelpful thoughts and acceptance-based strategies to increase values-driven action.
The focus is on real-world changes you can test between meetings.
How specific approaches translate online
Acceptance and Commitment Therapy helps people notice thoughts without getting stuck and take actions that match their values. It is useful for persistent worry, low mood, and when someone wants clearer life goals. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors. It often helps with anxiety, depression, and managing attention and focus by building concrete skills.Lydia treats approach selection as a team effort. She will talk with each person about their goals and daily routines, then suggest a mix of methods that fit those needs. Together they try techniques and adjust the plan based on what is working in real life.
Online therapy with Lydia can happen by video calls, phone sessions, live chat, or text-based messaging. Video calls allow face-to-face conversation and skill practice. Phone sessions can fit a short break at work or when bandwidth is limited. Live chat and text messaging make it possible to check in between meetings or to use brief coaching-style support. These options give flexibility for different schedules and communication preferences.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 25 years
- Licensed
- Iowa
- Languages
- English
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