- Stress and anxiety
- Depression support
- Life purpose focus
About Brian
Brian Smith is a Licensed Mental Health Counselor (LMHC) in Washington with 35 years of professional experience. He works with people dealing with stress, anxiety, and depression and pays attention to related concerns such as guilt and shame, isolation and loneliness, life purpose, and social anxiety.
He focuses on clear, practical conversation. Sessions look at what is causing distress now and what small steps could reduce it. He encourages straightforward reflection and plans that fit daily life rather than abstract theory.
Many people come for help after a big change - a job shift, relationship ending, or a health problem - when what mattered before feels uncertain. He helps people untangle what matters next and examine how habits, thoughts, and routines keep problems going.
His work includes talking through feelings of guilt and shame and addressing social anxiety so people can feel less stuck in avoidance. For loneliness and isolation he explores ways to rebuild connection that match a person’s comfort and rhythm.
Brian uses an evidence-informed approach and adjusts methods to the person in front of him. He explains options, watches what helps, and changes course when needed. The emphasis is on practical steps, one decision at a time, toward clearer direction and steadier daily functioning.
Therapeutic approaches and online sessions
Brian works from evidence-based techniques that focus on changing unhelpful thoughts and behaviors and on building practical skills. Cognitive approaches look at patterns of thinking that increase anxiety or depression and teach ways to test and reframe those thoughts. Behavioral approaches emphasize gradual exposure and new routines to reduce avoidance and increase confidence in social or stressful situations.Finding the right approach is collaborative. He will talk with you about goals, try methods that suit your needs, and adjust based on what helps. The process is about testing what works and making changes together rather than following a fixed plan.
Session formats are not specified in the biography, so confirm current online options before booking. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, or reduce travel time. Therapists licensed in Washington can offer support across time zones when regional practice rules permit, and international clients are accepted, so check the available formats and scheduling when you sign up.
Areas of expertise
Primary focus
Additional focus areas
Experience
35+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of concerns does he address?
He works with stress, anxiety, and depression and also focuses on guilt and shame, isolation and loneliness, life purpose, and social anxiety and phobia.
How does he approach someone who feels stuck?
He uses practical conversation to identify current patterns and small steps that reduce distress, adjusting the plan as the person responds.
What experience does he bring?
He has 35 years of professional experience working with people facing mood and anxiety concerns.
What are his credentials and where is he based?
He is a LMHC licensed in Washington and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can people outside the U.S. work with him?
He accepts international clients; confirm any regional details before booking.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Use the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.