About David
David Spann uses relationship-focused and evidence-informed approaches to help people move past trauma, addiction, mood struggles, and ongoing stress. He draws on nearly three decades of clinical work and leadership experience. David is an LCSW and an LISW and practices from North Carolina.
He speaks English and offers sessions by video, phone, live chat, or text messaging. His style centers on attachment-based and client-centered care. He helps people look at how past hurts, family patterns, and substance use affect current relationships and daily functioning.
How David works
Sessions often include practical skills from cognitive behavioral therapy and dialectical behavior therapy. Mindfulness and motivational interviewing are also used to support change. David has worked in outpatient clinics, residential programs, and hospital settings.
That experience includes time at a naval hospital with active duty Marines and roles in program development and leadership. He has also delivered trainings in crisis intervention and grief, and led community seminars on communication, boundaries, and relational enrichment. People come to him for addiction concerns, trauma and post-traumatic stress, mood disorders such as depression and bipolar, and anxiety or chronic stress.
He also addresses family and blended family issues, codependency, parenting strain, intimacy and relationship challenges, and financial or career stress. Practical tools, coaching, and support for life transitions are part of the work. Sessions aim to identify patterns, build coping skills, and create steps toward clearer goals.
To start, a short matching questionnaire is completed and scheduling is arranged according to availability.
David lists 8 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
- Family conflicts
- Trauma and abuse
Also listed
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Grief
- Intimacy-related issues
- Life purpose
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Stress, Anxiety
- Veteran and Armed Forces Issues
- Workplace issues
Training and background
| Registers | LCSW, LISW |
|---|---|
| Years in practice | 29 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate to online work
Attachment-based work focuses on how early and current relationships shape feelings and reactions. Online sessions use conversations and reflective exercises to identify those patterns and to build safer ways of relating. Client-centered therapy emphasizes listening and empathy to help people feel heard and to clarify their goals; in an online session the therapist follows the client's pace and priorities to shape the work. Cognitive behavioral therapy (CBT) targets unhelpful thoughts and behaviors with clear, teachable tools that people can practice between sessions to reduce anxiety, depression, or substance-related urges. Choosing the right approach is a collaborative process. The therapist will talk with the client about concerns, goals, and preferences and then try methods that fit those needs. Adjustments are made along the way based on what helps most. Online formats offer flexibility for different days and routines. Video calls allow face-to-face conversation and visual cues, while phone sessions can be easier when video is not practical or bandwidth is limited. Live chat and text-based messaging work well for brief check-ins, coaching-style guidance, or when a written record of suggestions is helpful. These options make it simpler to fit sessions into work breaks, caregiving schedules, or other responsibilities while still accessing licensed professionals and structured therapeutic approaches.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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