Lesley Smith, LCMHC
North Carolina · 25 years in practice
Lesley Smith, LCMHC, uses a practical, client-centered approach to help people handle stress, anxiety, depression, and life changes.
License and registration
- LCMHC, North Carolina
- 20979 · expires June 2026
- NPI
- 1699141192 · national provider identifier
- Years in practice
- 25
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Lesley
Lesley Smith, LCMHC, uses a practical, client-centered approach to help people handle stress, anxiety, depression, and life changes. She brings 25 years of experience to sessions and emphasizes simple, useful steps people can take right away. Lesley works with relationship concerns and communication problems, and she helps people facing grief, anger, caregiver strain, and career uncertainty.
She also supports those dealing with body image, self-esteem, and mood disorder challenges. Her background includes work with trauma and abuse and techniques such as EMDR to address difficult memories.
Background and approach
Her style is straightforward and respectful. Lesley treats each person as the expert on their own life and builds on existing strengths. Sessions focus on clear goals, practical tools, and manageable steps toward change.
She blends several approaches to fit the person in front of her, including cognitive behavioral techniques to change unhelpful patterns, acceptance and commitment strategies to clarify values, and emotionally focused work to improve connection and communication. Attachment-based ideas help when relationship patterns from the past keep repeating. Lesley is licensed clinical mental health counselor, LCMHC, and practices from North Carolina.
She offers short-term coaching and longer therapeutic work depending on what someone needs. To begin, people complete a short matching questionnaire and then schedule sessions that fit their availability.
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
- Eye Movement Desensitization and Reprocessing (EMDR)
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Gottman Method
- Imago Relationship Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy, or ACT, focuses on clarifying personal values and taking small, committed actions toward them. It helps people who feel stuck, overwhelmed, or unsure about what matters most. Cognitive Behavioral Therapy, or CBT, looks at the connection between thoughts, feelings, and behavior and teaches practical skills to reduce anxiety and change unhelpful patterns. Emotionally-Focused Therapy targets emotional responses and communication patterns to improve closeness and repair hurt in relationships.Finding the best approach is part of the work. Lesley will discuss different methods and collaborate with each person to choose what fits their needs and goals. Together they decide whether short-term coaching, skill-building, or deeper therapeutic work is the right path.
Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility. Video is useful for deeper conversation and visual cues, phone works well when bandwidth is limited, and chat or text messaging allows for quick check-ins or ongoing support between sessions. These options make it easier to schedule sessions around work, caregiving, or travel while still accessing consistent care from licensed professionals.
We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.
Questions people ask
What kinds of concerns does Lesley address?
She helps with stress, anxiety, depression, self-esteem, relationship and communication issues, trauma and abuse, grief, anger, career and life changes, and compassion fatigue.
What is her therapeutic style like?
Her approach is client-centered and practical, focusing on goals, small steps, and building on a person's existing strengths.
How much experience does she have?
Lesley brings 25 years of professional experience working with a wide range of concerns including mood disorders and attachment issues.
Where is she licensed and located?
She holds an LCMHC license and practices in North Carolina.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients see her?
International clients are not currently accepted.
What session formats are available?
Lesley offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How do I get started with scheduling?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
More therapists in North Carolina
See allMary Kallenbach
LCMHC
Experienced counselor who uses practical therapies
- Stress, Anxiety
- Relationship
- Trauma and abuse
Janet Stone-Nielsen
LCSW
Trauma-informed LCSW focused on practical support
- Stress, Anxiety
- Relationship
- Family
Is this your profile?
Ask us to correct details or take the page down.
Contact us