About David
David M Poles is a licensed mental health counselor (LMHC) with 24 years of clinical experience. He focuses on anxiety and related difficulties and aims to help people feel steadier and more effective in daily life. He uses practical, straightforward methods in sessions and offers a calm, direct style.
David draws on attachment-based work to look at relationship patterns that affect mood and anxiety. He also uses client-centered approaches to build a respectful, listening space where people can talk through what matters to them.
Background and approach
Cognitive Behavioral Therapy is used to identify thoughts and habits that keep stress and worry active, then practice alternative ways of responding. He helps people work through a wide range of concerns. Common topics include addiction, stress, trauma and abuse, depression, grief, sleep trouble, anger, and relationship or intimacy-related difficulties.
He also supports those dealing with life change, career questions, and challenges tied to attention or mood disorders. Sessions are practical and goal-focused. David gives clear feedback and teaches skills people can use between meetings.
He encourages people to notice small changes that add up over time. David practices in Massachusetts and sees people in English. He offers multiple remote session formats including video calls, phone sessions, live chat, and text-based messaging.
Getting started involves a short matching intake and scheduling based on availability.
How his methods translate to online therapy
Attachment-based work looks at patterns in relationships and how early connection styles affect current responses. Online sessions can help people notice these patterns, practice new ways of relating, and repair connection habits that feed anxiety and mistrust.Client-centered therapy emphasizes being heard and understood without pressure. In remote sessions this approach uses active listening and reflective responses so people feel safe to talk about painful or confusing topics and to guide their own pace of change.
Cognitive Behavioral Therapy focuses on the links between thoughts, feelings, and behavior. Through video or messaging, the therapist helps clients identify unhelpful thinking, try small behavioral experiments, and use concrete tools to reduce worry and improve sleep or mood.
Choosing the right approach is a joint process. The therapist will discuss goals and preferences, try methods that fit the person's needs, and adjust the plan based on what helps most. That collaborative process continues across sessions to refine skills and focus.
Online formats offer practical benefits. Video calls allow face-to-face conversation and shared worksheets. Phone sessions work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging let people check in between sessions, handle brief coaching, or fit therapy into a busy day. These options make it easier to keep therapy consistent and flexible around real life.
Questions people ask
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What this therapist works with
Most often
- Addictions
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Life purpose
- Men's issues
- Money and financial issues
- Mood disorders
- Narcissism
- Parenting issues
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 24 years
- Licensed
- Massachusetts
- Languages
- English
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