LCMHC
Lesley Smith, LCMHC
- Experience25 years
- LocationNorth Carolina
- Focus areasStress and Anxiety, Relationship, and Self esteem
- Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
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About Lesley
Lesley Smith is a licensed clinical mental health counselor (LCMHC) with 25 years of experience who centers her work on collaborative, client-centered care. She integrates Internal Family Systems with practical, evidence-informed methods to address stress, anxiety, depression, relationship struggles, and challenges like body image or career transitions.
Background and approach
Her approach honors each person as the expert on their life while offering structure and tools to navigate difficult emotions and life changes. Drawing on Acceptance and Commitment Therapy, attachment-focused ideas, and cognitive-behavioral techniques, Lesley helps clients clarify values, strengthen coping skills, and repair patterns in relationships.
She also supports people facing grief, trauma and abuse, bipolar and other mood concerns, caregiver stress, and compassion fatigue. Lesley frames therapy as a partnership aimed at growth, healing, and increased resilience, and she brings a calm, supportive presence to the work.
Licensed in North Carolina as LCMHC NC 20979, she offers services in English and provides flexible session formats including video, phone, live chat, and text-based messaging. Prospective clients can expect an individualized plan that draws from multiple approaches to match their needs and goals.
Integrating Internal Work and Practical Tools Online
Lesley uses Internal Family Systems (IFS) to help clients notice and dialogue with different parts of themselves, reducing internal conflict and increasing self-leadership; this approach can be especially helpful for people dealing with trauma responses, shame, or persistent self-criticism. She also uses Acceptance and Commitment Therapy (ACT) to support values clarification and committed action, helping clients move toward meaningful goals even when difficult thoughts or feelings are present. Additionally, Attachment-Based Therapy informs her focus on relational patterns and how early bonds influence current relationships and emotional regulation.Finding the right fit is treated as a collaborative process. The therapist will work with each person to explore which approaches best match their needs, goals, and preferences, and may draw from multiple methods over the course of care to tailor the plan to the individual's situation.
Online therapy is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different lifestyles and schedules. These options make it easier to maintain continuity of care during life transitions, accommodate busy days, and access therapy from varied locations, all while allowing therapists to adapt exercises and interventions to the format that works best for the client.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Licensed
North Carolina
Languages
English