Lesley Smith, LCMHC
North Carolina · 25 years in practice
Lesley Smith is a licensed clinical mental health counselor with 25 years of practice.
License and registration
- LCMHC, North Carolina
- 20979 · expires June 2026
- NPI
- 1699141192 · national provider identifier
- Years in practice
- 25
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Lesley
Lesley Smith is a licensed clinical mental health counselor with 25 years of practice. She focuses on stress, anxiety, depression, relationship strain, self-esteem, and life transitions. Her style is straightforward and respectful, aimed at helping people move past what holds them back.
She uses a mix of approaches to match what each person needs. That can mean practical skills from cognitive behavioral therapy to change unhelpful thoughts and behaviors. It can also mean acceptance and commitment strategies to clarify values and build consistent action toward them.
Background and approach
Attachment-based ideas guide her work around relationship and family concerns, helping people notice patterns and try new ways of connecting. Emotionally-focused methods may be used when stronger attention to feelings and bonding helps make progress. Lesley treats trauma and grief with care and pacing, using techniques suited to each person’s readiness.
Clients can expect a collaborative, client-centered process. Sessions aim to identify small steps that feel doable and to build confidence over time. She also offers coaching-style support for career questions, motivation, and finding life purpose.
Lesley practices in North Carolina and works with adults facing a range of mood and stress-related issues. She accepts English-language sessions and uses a mix of conversation and practical exercises to help people cope and grow.
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
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- 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 familiar approaches translate to online care
Lesley commonly uses cognitive behavioral therapy and acceptance and commitment therapy when working online. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and testing new behaviors; it helps with anxiety, depression, and stress by teaching practical skills you can try between sessions. Acceptance and commitment therapy emphasizes clarifying values and taking small actions that align with those values while learning to live with difficult feelings. This approach is useful for life changes, motivation, and ongoing mood concerns.Finding the right approach is part of the work together. The therapist will discuss goals and preferences and recommend methods that fit each person's needs. Decisions about which methods to use are made collaboratively and can shift as progress is made.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions let people read facial expressions and use visual tools. Phone sessions need less bandwidth and can fit into a busy day. Live chat and text messaging support quick check-ins, brief coaching, or ongoing reflection between longer sessions. These options provide flexibility for scheduling and for matching the pace and style that feels most helpful.
We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.
Questions people ask
What types of concerns does Lesley help with?
She works with stress, anxiety, depression, relationship issues, self-esteem, trauma and grief, bipolar and other mood disorders, compassion fatigue, career challenges, and life changes.
What is her therapeutic style?
Her approach is client-centered and collaborative, combining practical techniques and longer-term emotion work to meet each person's goals.
How long has she practiced?
She brings 25 years of professional experience working with a wide range of mood, relationship, and stress-related concerns.
Where is Lesley licensed and based?
She holds the LCMHC credential and practices in North Carolina as noted in her profile.
Can sessions be conducted in other languages or internationally?
Sessions are offered in English. International clients are not currently accepted.
What formats are available for sessions?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How is cost handled for therapy?
Costs vary with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
More therapists in North Carolina
See allPamela Peoples
LCSW
Experienced LCSW helping with anxiety and life changes
- Stress, Anxiety
- Self esteem
- Depression
Dr. James Hunter Jr
LCMHC
Experienced counselor for life transitions
- Stress, Anxiety
- Depression
- Relationship
Dr. Kendra Corning
NC Psychologist
Compassionate psychologist guiding real-life change
- Stress, Anxiety
- Trauma and abuse
- Grief
Is this your profile?
Ask us to correct details or take the page down.
Contact us