About Denise
Denise Smith is a Licensed Professional Counselor (LPC) in Texas with 17 years of clinical experience. She focuses on helping people manage stress and anxiety and supports those coping with mood challenges and addiction. Denise works with people across a wide range of concerns, including LGBTQ issues, intimacy and relationship struggles, grief, and parenting stress.
Her style centers on listening first and adapting the process to each person. Sessions emphasize clear goals and practical steps.
Background and approach
She uses straightforward tools that people can try between appointments to ease daily pressure and improve coping. Denise draws on cognitive behavioral approaches to help change unhelpful thoughts and behaviors. She also uses client-centered techniques to keep conversations grounded in each person's values, and she brings elements of mindfulness and dialectical skills to manage intense emotions.
Motivational interviewing helps when people are ambivalent about change. Across 17 years of practice she has worked with people experiencing trauma, panic attacks, co-occurring substance use, and a variety of mood concerns. She is comfortable talking about alternative sexual cultures and gender questions, and she pays attention to how life transitions and family stresses affect day-to-day functioning.
Her approach is respectful and nonjudgmental. Denise aims to create clear plans that fit each person's life and goals. She supports international clients and conducts sessions in English.
Using focused approaches in online therapy
Denise integrates cognitive behavioral techniques and mindfulness into online work to help people manage anxiety and stress. Cognitive behavioral therapy (CBT) involves identifying thought and behavior patterns that contribute to distress and trying concrete experiments to change them. Mindfulness therapy teaches attention and breathing practices to reduce reactivity and improve moment-to-moment coping.She also uses client-centered principles, which means sessions start by listening and then tailoring the plan to each person's goals and values. Finding the right approach is a collaborative process; the therapist will review options and adjust methods based on what feels most helpful for the client's needs and preferences.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow a fuller conversation and visual cues, phone sessions work well when bandwidth is limited, live chat suits brief check-ins, and text messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into work, family, or travel schedules while keeping the focus on practical tools and steady progress.
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What this therapist works with
Most often
Also listed
- ADHD
- Anger management
- Antisocial personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Co-morbidity
- Codependency
- Coping with life changes
- Depression
- Dissociation
- Drug and alcohol addiction
- Family conflicts
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Texas
- Languages
- English
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