About David
David M Poles uses attachment-based, client-centered, and cognitive behavioral approaches. He focuses on helping people who struggle with addiction, mood challenges, anxiety, and relationship difficulties. David approaches sessions with clear, direct conversation and practical steps people can try between meetings.
He holds an MA and is a licensed mental health counselor, LMHC, with 24 years of experience in Massachusetts. In sessions he listens first and then helps identify patterns that cause pain.
How David works
He explains how thoughts, feelings, and behaviors connect, and then offers small experiments to try differently. Many concerns he addresses include grief, trauma and abuse, anger, low self-esteem, and problems with intimacy and sleep. David also helps people facing life changes such as divorce, career shifts, or fatherhood adjustments.
He addresses family of origin issues, communication problems, control issues, and financial stress in straightforward terms. He works with mood disorders including bipolar disorder and depression, and with challenges related to ADHD and impulsivity. His style is conversational and candid.
He offers feedback that aims to be both honest and caring. Sessions may include short assignments, role-play, or skill practice to build better communication and emotional regulation. Therapy is offered in English through video calls, phone sessions, live chat, or text-based messaging.
Sessions use a subscription model that can be canceled at any time. To begin, a person taps Start Therapy, completes a short matching questionnaire, and schedules according to availability.
David lists 3 ways of working on the entry:
What David works with
The areas below are the ones David selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Addictions
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Life purpose
- Men's issues
- Money and financial issues
- Mood disorders
- Narcissism
- Parenting issues
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Veteran and Armed Forces Issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 24 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Massachusetts |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches work in online sessions
Attachment-based therapy looks at how early bonds shape current relationships and emotional reactions. Online work can help people notice attachment patterns and practice new ways of relating in real time. Client-centered therapy focuses on listening closely and following the person's pace and priorities, creating space for people to find their own answers during sessions. Cognitive behavioral therapy, or CBT, breaks down how thoughts and behaviors keep problems going and provides practical strategies to change them, which can be practiced between meetings.Choosing the right approach is a collaborative process. The therapist will talk with each person about their goals and preferences, then suggest methods that fit those needs. Plans are adjusted as progress is made so the work stays practical and relevant.
Online therapy offers flexibility and many ways to connect. Video calls let people read facial cues and try communication practice. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat and text-based messaging can fit into a busy day for brief support or ongoing notes between sessions. These options make it simpler to keep therapy consistent during life transitions.
Start online instead of waiting
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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