About Dominic
Dominic Smith, MD, LCSW-C helps people facing stress, anxiety, trauma, grief, depression, and big life changes. He keeps sessions straightforward and focused on the issues people bring. His style is calm and respectful, with an emphasis on listening first and building a plan that fits each person's life.
He uses practical tools from cognitive behavioral approaches to help shift unhelpful thoughts and reactions. He also draws on acceptance and commitment ideas to clarify values and small steps people can take toward them.
Background and approach
Attachment-based work is used to look at relationship patterns and how early bonds can shape present‑day struggles. Dominic has five years of professional experience and holds an MD and a licensed clinical social work certificate in Maryland. He spent time outside the United States and speaks English, Spanish, French, and Portuguese.
That background informs a multicultural approach and an ease with different cultural perspectives. Therapy conversations with him are shaped by the client's goals. Sessions are tailored to address issues like abandonment, communication problems, dissociation, loneliness, and questions about life purpose.
Dominic aims to use plain language and concrete steps so people can try things between sessions. He encourages people to take small, doable actions and to track what helps. Progress is measured in practical terms - clearer thinking, steadier mood, better coping with setbacks, and stronger connection to personal values.
Dominic matches strategies to a person's needs rather than applying a single method.
How Dominic’s Approaches Work Online
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to a person and taking small committed steps toward those values while learning to accept difficult thoughts and feelings. It can help when anxiety or avoidance keeps someone from living in line with their priorities.Cognitive Behavioral Therapy (CBT) looks at the relationship between thoughts, feelings, and actions and offers straightforward techniques to test and change unhelpful thinking patterns. It is useful for stress, anxiety, and mood concerns because it breaks problems into manageable parts.
Attachment-Based Therapy examines patterns in close relationships and how early experiences influence current reactions. This approach helps people understand repeated relationship struggles and try different ways of connecting.
Finding the right mix of approaches is part of therapy. Dominic works collaboratively to identify which methods match a person's goals, preferences, and life situation. He adjusts techniques over time based on what helps and what feels workable for the person.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to give flexibility. Video calls let people maintain face-to-face interaction, phone sessions can fit better when bandwidth is limited, live chat offers a shorter check-in option, and text messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into a busy schedule and to try different formats to see what works best.
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What this therapist works with
Most often
Also listed
- Abandonment
- Avoidant personality
- Commitment issues
- Communication problems
- Coping with life changes
- Depression
- Dissociation
- Emptiness
- Family of origin issues
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Immigration issues
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
Therapeutic approaches
- Experience
- 5 years
- Licensed
- Maryland
- Languages
- English, Spanish, French, Portuguese
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