Lesley Smith, LCMHC
Compassionate counselor for growth and relationships
- 25 years experience
- Licensed in NC and Texas
- Couples and individual therapy
About Lesley Smith
Lesley Smith is a Licensed Clinical Mental Health Counselor (LCMHC) with 25 years of professional experience, holding licenses in North Carolina and Texas. The LCMHC credential indicates specialized training to assess and treat a range of emotional and behavioral concerns using clinical counseling methods.
She has extensive experience supporting people facing stress and anxiety, motivation and confidence challenges, body image concerns, relationship difficulties as couples and individuals, career pressures, and symptoms of depression. Lesley also helps clients navigate major life transitions and develop practical coping strategies to manage ongoing challenges. Her work blends evidence-informed techniques with an emphasis on each person’s strengths and goals.
Lesley uses a compassionate, client-centered stance to empower individuals and couples to heal, grow, and thrive. She views clients as the experts of their own stories and partners with them to identify resources already present in their lives. Acknowledging that seeking change requires courage, Lesley offers steady support and practical guidance as people take steps toward a more fulfilling, resilient life.
She has extensive experience supporting people facing stress and anxiety, motivation and confidence challenges, body image concerns, relationship difficulties as couples and individuals, career pressures, and symptoms of depression. Lesley also helps clients navigate major life transitions and develop practical coping strategies to manage ongoing challenges. Her work blends evidence-informed techniques with an emphasis on each person’s strengths and goals.
Lesley uses a compassionate, client-centered stance to empower individuals and couples to heal, grow, and thrive. She views clients as the experts of their own stories and partners with them to identify resources already present in their lives. Acknowledging that seeking change requires courage, Lesley offers steady support and practical guidance as people take steps toward a more fulfilling, resilient life.
Areas of Expertise
Primary Focus
Also Specializes In
LGBTFamily conflictsTrauma and abuseGriefAnger managementCareer difficultiesBipolar disorderCoping with life changesCompassion fatigue
Additional Focus Areas
Attachment issuesBody imageCaregiver issues and stressCommitment issuesCommunication problemsDependent personalityDivorce and separationEmptinessFamily problemsForgivenessGuilt and shameIsolation / lonelinessLife purposeMoney and financial issuesMood disordersMulticultural concernsPostpartum depressionPregnancy and childbirthSelf-loveWomen's issuesWorkplace issuesYoung adult issues
Therapeutic Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Eye Movement Desensitization and Reprocessing (EMDR) Gottman Method Imago Relationship Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy Trauma-Focused Therapy Internal Family Systems
Frequently Asked Questions
How much experience does Lesley Smith have?
Lesley Smith has 25 years of professional experience in the mental health field.
Is Lesley Smith a licensed therapist?
Yes. Lesley holds the LCMHC credential. License details include NC LCMHC 20979.
In which languages does Lesley Smith provide therapy?
Lesley provides therapy in English.
Where is Lesley Smith located?
Lesley is located in North Carolina.
How can I work with Lesley Smith as my therapist?
You can work with Lesley through video calls, phone sessions, live chat, or text-based messaging.
Does Lesley Smith work with international clients?
Lesley does not currently work with international clients.
How much does therapy with Lesley Smith cost?
The cost of therapy can vary depending on factors such as your location and Lesley’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. Click the "Start Therapy" button and complete a short questionnaire that helps match you with Lesley. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Integrating Attachment and Acceptance in Online Care
Lesley draws from Acceptance and Commitment Therapy and Attachment-Based and Client-Centered approaches to guide her online work. Acceptance and Commitment Therapy (ACT) encourages people to notice difficult thoughts and feelings without getting stuck in them, clarify what matters most, and take committed actions toward a meaningful life - a useful framework for stress, anxiety, and life transitions. Attachment-Based Therapy explores patterns formed in close relationships, helping clients understand how early relational experiences shape current trust, intimacy, and communication, which can improve relationship and attachment concerns. Client-Centered Therapy emphasizes empathy, active listening, and respect for each person’s pace, supporting self-esteem, motivation, and personal insight.Finding the right approach is part of the therapeutic process. Lesley collaborates with clients to determine which methods fit their needs, goals, and preferences, adjusting strategies as the work unfolds so therapy remains relevant and helpful.
Online sessions offer practical flexibility - clients can meet by video, speak by phone, or use live chat and text-based messaging depending on what feels most accessible. These options make it easier to fit therapy into busy lives and to maintain continuity of care with licensed professionals and therapists when in-person visits are difficult.