About Scott
Scott Smith is a licensed mental health counselor with 14 years of experience helping people who feel stuck by worry, low mood, or repeated unhelpful patterns. He practices in Massachusetts and offers a calm, nonjudgmental approach. He aims to make the first steps feel manageable for someone checking therapy out on their phone.
Scott focuses on common everyday struggles such as stress, anxiety, low self-esteem, depression, career worries, and ADHD-related concerns.
Background and approach
He also helps with relationship strain, communication problems, social anxiety, and compassion fatigue. Coaching-style work is available for people looking for practical change and goal-focused work. In sessions he blends techniques from Cognitive Behavioral Therapy, psychodynamic therapy, and Emotionally-Focused Therapy.
That means talking through current thoughts and behaviors, looking at long-standing patterns that affect mood, and attending to emotional experience in relationships. Motivational Interviewing ideas are used to support people who want to make decisions and stick with them. Scott aims to build a working plan with each person.
He uses straightforward language and concrete steps - small experiments, communication practice, or thought records - so progress feels trackable. The pacing is collaborative and adjusts to how quickly someone wants to move. People who prefer a direct but empathetic guide may find this style helpful.
Scott balances affected emotions with problem-solving, and he focuses on what people can do between sessions to notice change.
How his approaches translate to online therapy
Attachment-based work focuses on patterns in close relationships and helps people notice how they respond emotionally to others. Online sessions use conversations to identify those patterns and practice new ways of relating that reduce repeated conflict or distance.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors connect. In video or messaging sessions a person and therapist track unhelpful thoughts, test small behavioral changes, and review homework like thought records or behavioral experiments.
Emotionally-Focused Therapy (EFT) helps people name and sit with strong emotions so they can be expressed differently in relationships. This approach translates to online work by using focused discussion and role-play to try new responses and notice emotional shifts.
Finding the right approach is part of the process. The therapist works collaboratively to choose techniques that match a person's goals, preferences, and day-to-day life. He checks in about what feels useful and adjusts pace or methods as needed.
Online formats - video calls, phone sessions, live chat, or text messaging - make it easier to fit therapy into busy days. Video lets people read facial cues and try communication exercises. Phone sessions can be lower bandwidth and convenient during a work break. Live chat or text-based messaging supports brief check-ins, quick coaching, or continued practice between longer sessions.
Questions people ask
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What this therapist works with
Most often
Also listed
- ADHD
- Career difficulties
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Relationship issues
- Social anxiety and phobia
Therapeutic approaches
- Experience
- 14 years
- Licensed
- Massachusetts
- Languages
- English
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