Profile / United States
James Smith, LMHC
Massachusetts
LMHC - Stress and Anxiety
See online therapy optionsAbout James
James Smith is an MA, Licensed Mental Health Counselor (LMHC) practicing in Massachusetts with 17 years of experience. He helps people manage stress, anxiety, addictions, relationship and family concerns, and depression. He also supports people facing grief, trauma and intimacy-related issues. Sessions are delivered in English and international clients are accepted.
James uses straightforward, problem-focused methods. He pays attention to how thoughts, feelings and actions interact. He helps people notice unhelpful thinking and try practical alternatives. Meetings are conversational and goal-oriented so progress can be reviewed each week.
His work blends several approaches. Cognitive Behavioral Therapy (CBT) is a common part of sessions to identify thinking patterns and change behaviors. Client-Centered methods keep the conversation focused on the person’s priorities and experiences. Dialectical Behavior Therapy skills can be used for emotion regulation and coping strategies when stress or anger escalate.
Mindfulness practices are introduced when helpful to improve attention and reduce rumination. Elements of Emotionally-Focused Therapy are used when relationship or attachment issues are central topics. James also draws on motivational interviewing techniques when addiction or behavior change are the focus.
He has practical experience across a wide range of concerns including parenting stress, ADHD, bipolar disorder, sleep problems, career transitions, and family-of-origin issues. The emphasis is on clear steps people can try between sessions and reviewing what works. To begin, users complete a short matching questionnaire and schedule a first session through the site.
How his approaches translate to online work
James commonly uses Cognitive Behavioral Therapy to map the links between thoughts, behaviors, and mood, then tests concrete changes to those patterns. CBT helps with anxiety, depression, sleep problems, and many stress-related issues by breaking problems into small, manageable steps.He also uses Client-Centered Therapy to keep sessions focused on what matters most to the person. That approach emphasizes listening and responding to the client’s priorities. Dialectical Behavior Therapy (DBT) provides practical skills for emotional regulation, distress tolerance, and clearer communication when emotions run high.
Finding the right mix of methods is a collaborative process. The therapist and client review goals, try approaches, and adjust based on what helps. This means the plan can change as needs and priorities become clearer.
Session format options are not specified in the original biography, so confirm current session choices before booking. Many people find online sessions fit around work, caregiving, or travel by removing commute time and making shorter check-ins possible. Others appreciate being able to continue regular meetings while traveling or living abroad. The focus is on making therapy practical and easier to fit into everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
17+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of problems does he address most often?
He works with stress, anxiety, addictions, relationship and family concerns, and depression, plus related topics such as grief, trauma, sleep, parenting, and career issues.
How would he describe his therapeutic style?
He uses practical, structured methods that focus on thoughts, behaviors, and skill building, with conversations guided by the client’s goals.
What is his professional background?
He holds an MA and has 17 years of clinical experience working with a wide range of concerns including addictions and family conflict.
Where is he licensed and based?
He is a Licensed Mental Health Counselor (LMHC) licensed in Massachusetts and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Can clients from other countries work with him?
He accepts international clients; confirm any licensing or regional rules that may apply before booking.
How do sessions and fees work?
Cost varies with location and sessions use a subscription that can be canceled at any time; specific pricing is provided during sign-up.
What are the first steps to begin?
Click the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.