Lesley Smith, LCMHC
Therapist in North Carolina
Lesley Smith is a licensed clinical mental health counselor (LCMHC) with 25 years of experience.
- Licensed inNorth Carolina
- License20979
- NPI 1699141192
- Experience25+ years
- LanguagesEnglish
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 is a licensed clinical mental health counselor (LCMHC) with 25 years of experience. She focuses on building stronger relationships with oneself and others, and on addressing stress, anxiety, depression, and self-esteem concerns. Her style is direct and supportive, aimed at practical change rather than long lectures.
She uses an attachment-based lens to help people understand how early connections shape current relationships and reactions. That perspective is paired with Acceptance and Commitment Therapy and client-centered techniques to help clients notice what matters and take steps toward it.
Background and approach
Cognitive Behavioral Therapy and Emotionally-Focused Therapy are also part of her toolkit for managing mood and relationship patterns. Lesley helps people who are coping with major life changes, grief, trauma and abuse, career transitions, and compassion fatigue. She works with issues around body image, commitment, communication problems, and feelings of emptiness or isolation.
She also supports clients facing mood disorders, bipolar concerns, and the stress of caregiver roles. Sessions are practical and conversational. Lesley listens closely, offers ways to reframe unhelpful thoughts, and suggests small behaviors to try between meetings.
She encourages clients to identify values and take tiny steps toward them. Lesley practices in North Carolina and conducts sessions in English. Her approach combines long experience with a focus on what clients want to change now and how to get there.
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
- Attachment-Based Therapy
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- 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 attachment and values work online
Attachment-Based Therapy helps people see how early relationship patterns affect current behavior and feelings; it is useful for improving connection, trust, and emotional responses. Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed action despite difficult thoughts or feelings, which works well for anxiety, depression, and life transitions. Client-Centered Therapy centers the person in the room, using empathic listening to help people find their own answers and build confidence.Choosing an approach is a team decision. Lesley will talk with each person about their goals, preferences, and what has or hasn’t worked before. Together they decide whether attachment work, values-based action, or a client-centered path fits best, and this plan can shift as the work progresses.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different needs. Video calls allow face-to-face connection and nonverbal cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and messaging let people keep momentum between sessions or check in without scheduling a full call. These options make therapy more flexible for busy schedules and those who travel or live far from providers.
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Frequently asked
What concerns does Lesley commonly address?
She works with stress, anxiety, depression, relationship struggles, low self-esteem, grief, trauma and abuse, and career or life transition challenges.
What is her general therapy style?
Her style is client-centered and compassionate, focusing on listening, practical steps, and helping people connect values to action.
How much clinical experience does she have?
She has 25 years of professional experience supporting people through mood concerns, relationship issues, and major life changes.
What credentials and region are listed for this therapist?
She is an LCMHC licensed in North Carolina and practices there.
Which languages are offered for sessions?
Sessions are offered in English.
What session formats are available online?
Lesley offers video calls, phone sessions, live chat, and text-based messaging for remote work.
How are costs handled for sessions?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.
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