About Denise
Denise Smith uses a client-centered approach to guide people toward clearer thinking and better coping. She blends practical skills with compassion to address stress, anxiety, depression, and mood concerns. Denise is an LPC - Licensed Professional Counselor - with 17 years of experience in Texas.
She meets people where they are and focuses on achievable steps toward feeling better. Denise tailors conversations and plans to each person's situation. She works with people facing addictions, bipolar disorder, and panic attacks.
How Denise works
She also helps those navigating LGBT concerns, gender dysphoria, and intimacy-related issues. Sessions often target day-to-day coping, mood regulation, and managing triggers. Her methods include cognitive behavioral techniques to reshape unhelpful thoughts and dialectical behavior skills for emotional regulation.
Mindfulness practices are used to increase present-moment awareness, and motivational interviewing helps people find their own reasons for change. These tools are brought together in ways that fit each person's goals and pace. Denise also addresses relationship strain, blended family concerns, fertility stress, grief, and work-related pressures like first responder issues.
She pays attention to co-occurring problems such as substance use, codependency, dissociation, and antisocial personality concerns. The goal is to reduce distress and improve daily functioning. She offers sessions in English and accepts international clients.
People typically begin by matching to her through the site's process and then scheduling sessions that fit their routines.
Denise lists 6 ways of working on the entry:
What Denise works with
The areas below are the ones Denise selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- ADHD
- Anger management
- Antisocial personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Co-morbidity
- Codependency
- Coping with life changes
- Depression
- Dissociation
- Drug and alcohol addiction
- Family conflicts
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 17 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Denise’s Approaches Work Online
Denise commonly uses cognitive behavioral therapy and dialectical behavior therapy in online sessions. CBT looks at patterns of thought and behavior and teaches practical skills to change them, which helps with anxiety, depression, and panic. DBT focuses on emotional regulation, distress tolerance, and interpersonal effectiveness, which is useful for mood instability and intense emotions.She treats the selection of an approach as a collaborative process. Together the therapist and client discuss goals, preferences, and day-to-day challenges to decide which methods to try. The plan can be adjusted over time based on what helps the client make steady progress.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for different routines. Video sessions allow face-to-face conversation and skill coaching. Phone sessions can be a good option when bandwidth is limited or a quick check-in is needed. Live chat and texting work well for brief check-ins, homework discussion, or when a written conversation fits a schedule. These options make it easier to keep therapy consistent around work, parenting, or travel.
Start online instead of waiting
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Common questions
What kinds of concerns does Denise address?
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How do I begin working with Denise?
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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