David Smith, LMHC
Experienced Iowa LMHC for life changes
- 25 years experience
- Solution-focused approach
- Individuals and couples
About David Smith
David Smith is a Licensed Mental Health Counselor (LMHC) practicing in Iowa with 25 years of professional experience. He approaches therapy with accessibility, empathy, and a pragmatic, action-oriented focus, honoring the courage it takes to seek counseling and the decision to make change.
David draws on an eclectic set of methods while emphasizing solution-focused strategies, cognitive and behavioral techniques, motivational approaches, and family-systems perspectives. He helps clients assess the obstacles that keep them from reaching goals and works collaboratively to explore alternative ways of thinking, feeling, and behaving. He is comfortable working with both individuals and couples to address stress, anxiety, relationship concerns, anger, depression, and coping with life changes, along with related issues such as attachment and codependency, communication and commitment problems, addiction concerns, grief and emptiness, and fatherhood or family-origin challenges.
Believing that each person is the expert on their own story, David centers the client’s strengths and engages in ongoing check-ins to ensure the work is effective and aligned with clients’ goals. He supports people through transitions and helps them pursue greater joy, connection, and well-being through practical, collaborative care.
David draws on an eclectic set of methods while emphasizing solution-focused strategies, cognitive and behavioral techniques, motivational approaches, and family-systems perspectives. He helps clients assess the obstacles that keep them from reaching goals and works collaboratively to explore alternative ways of thinking, feeling, and behaving. He is comfortable working with both individuals and couples to address stress, anxiety, relationship concerns, anger, depression, and coping with life changes, along with related issues such as attachment and codependency, communication and commitment problems, addiction concerns, grief and emptiness, and fatherhood or family-origin challenges.
Believing that each person is the expert on their own story, David centers the client’s strengths and engages in ongoing check-ins to ensure the work is effective and aligned with clients’ goals. He supports people through transitions and helps them pursue greater joy, connection, and well-being through practical, collaborative care.
Areas of Expertise
Primary Focus
Additional Focus Areas
Aging and geriatric issuesAttachment issuesCodependencyCommitment issuesCommunication problemsControl issuesDivorce and separationDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersPanic disorder and panic attacksSelf-loveSex addictionSexualitySocial anxiety and phobiaWorkplace issuesYoung adult issues
Therapeutic Approach
Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Existential Therapy Gottman Method Jungian Therapy Mindfulness Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Systemic Therapy
Frequently Asked Questions
How much experience does David Smith have?
David Smith has 25 years of professional experience.
Is David Smith a licensed therapist?
Yes. He holds the credential LMHC and is licensed as IA LMHC 00254.
In which languages does David Smith provide therapy?
David Smith provides therapy in English.
Where is David Smith located?
David Smith is located in Iowa.
How can I work with David Smith as my therapist?
You can work with David Smith through video calls, phone sessions, live chat, or text-based messaging.
Does David Smith work with international clients?
Yes, David Smith works with international clients.
How much does therapy with David Smith cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic Approaches and Online Support
David Smith commonly uses Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Client-Centered Therapy in his work. ACT helps people clarify their values and take meaningful action even when difficult thoughts or feelings arise - it is often useful for stress, anxiety, and life transitions. CBT focuses on identifying and changing unhelpful thought and behavior patterns, making it a practical option for anxiety, depression, and anger. Client-Centered Therapy emphasizes a supportive, nonjudgmental relationship in which the therapist listens deeply and helps the client access their own resources for growth, which can be especially helpful for relationship or self-esteem concerns.
Choosing the right approach is part of the therapeutic process. David works collaboratively with each person to determine which methods best match their needs, goals, and preferences, and he adjusts the work as progress and feedback guide the treatment.
Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity during life changes, and connect with licensed professionals from different locations, all while preserving the therapeutic relationship and progress toward personal goals.