Lesley Smith, LCMHC
Therapist in North Carolina
Lesley Smith, LCMHC, uses a client-centered approach to guide people through stress, anxiety, depression, and major life changes.
- License 20979 · North Carolina Expires June 2026
- NPI 1699141192 · national registry
- Experience and languages 25+ years in practice English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Lesley
Lesley Smith, LCMHC, uses a client-centered approach to guide people through stress, anxiety, depression, and major life changes. She draws on practical methods to help clients notice what matters to them and take steady steps forward. Lesley speaks plainly and meets people where they are in the moment.
With 25 years of experience, she blends several approaches to match each person's needs. Lesley includes the Gottman Method when addressing relationship patterns alongside attachment-focused ideas to better understand bond and closeness.
Background and approach
She also uses Acceptance and Commitment Therapy and cognitive behavioral tools to help people shift habits and cope with difficult feelings. Sessions focus on skills you can use between appointments. Lesley helps people practice new ways of communicating, manage overwhelming emotions, and set goals that feel achievable.
She also supports those facing grief, trauma, career stress, caregiver strain, and challenges with self-esteem or body image. Her style is direct and compassionate. Lesley encourages small, concrete changes and builds on each person's strengths.
She frames problems as things that can be understood and worked through together. Lesley is licensed as an LCMHC in North Carolina and brings a pragmatic, steady presence to therapy. She guides people through the practical steps of coping, healing, and moving toward a clearer sense of purpose.
Credentials
- LCMHC (North Carolina)
- License 20979 · expires June 2026
- NPI
- 1699141192 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the therapist lists and checks neither.
Focus areas and approaches
Everything Lesley lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Self esteem
- Depression
- Coaching
- LGBT
- Family conflicts
- Trauma and abuse
- Grief
- Anger management
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- Attachment issues
- Body image
- Caregiver issues and stress
- Commitment issues
- Communication problems
- Dependent personality
- Divorce and separation
- Emptiness
- Family problems
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Postpartum depression
- Pregnancy and childbirth
- Self-love
- Women's issues
- Workplace issues
- Young adult issues
Approaches Lesley names
- Gottman Method
- 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)
- Imago Relationship Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
These are the approaches Lesley names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
Online support
How Lesley's Approaches Work Online
Lesley often integrates the Gottman Method to look at relationship patterns and communication habits, helping people spot reactive cycles and practice clearer ways to connect. She also uses Acceptance and Commitment Therapy - ACT - which helps people notice painful thoughts and choose actions that match their values. Attachment-Based Therapy is part of her work too, focusing on how early bonding and attachment styles affect current relationships and coping.Finding the right approach is collaborative. Lesley listens to each person's goals and life context, then suggests methods to try together. She checks in frequently about what is helping and adjusts the plan based on progress and preference.
Online therapy offers flexibility for different needs. Video calls let people work in real time with visual cues for skill practice. Phone sessions can be useful when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging provide brief, written ways to share updates, get coaching between sessions, or handle quick concerns. These options make it easier to fit therapy into busy schedules and different routines.
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Frequently asked
What concerns does Lesley commonly address?
She helps with stress, anxiety, depression, relationship struggles, self-esteem, grief, trauma and abuse, anger, career issues, and coping with life changes.
What is her therapeutic style like?
Lesley uses a client-centered, practical style that combines goal work with emotion-focused and behavioral techniques.
How much experience does she have?
She has 25 years of professional experience working with a wide range of concerns.
Where is Lesley licensed and based?
Lesley is licensed as an LCMHC in North Carolina.
In which languages are sessions offered?
Sessions are offered in English.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging.
How are costs and billing handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with Lesley?
Choose the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
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