- Client-centered
- Skills focused
- Trauma aware
About Denise
Denise Smith is a Licensed Professional Counselor (LPC) based in Texas with 17 years of clinical experience. She focuses on helping people manage stress, anxiety, mood concerns, and addictions. Denise offers attentive, respectful care and aims to make the first step toward change feel more manageable.
She works in a client-centered way, shaping conversations around each person’s priorities. Denise uses practical techniques from cognitive behavioral therapy to identify unhelpful thinking and make small, workable changes. She also draws on dialectical behavior therapy skills for managing intense emotions and on mindfulness practices to build present-moment awareness.
Her background includes supporting people across a wide range of concerns, including depression, bipolar disorder, trauma and abuse, grief, and relationship and intimacy-related issues. She also addresses codependency, ADHD, and challenging family dynamics in individual sessions. Denise is experienced with issues related to LGBTQIAA+ identities and alternative sexual cultures, and she approaches these topics with sensitivity.
Denise adapts each treatment plan to fit a person’s goals and life demands. Sessions focus on clear steps clients can try between meetings, plus skills to reduce overwhelm and improve daily functioning. She emphasizes steady progress rather than quick fixes.
People who want straightforward, respectful support for mood, anxiety, addiction, or relationship concerns may find her style helpful. She offers services in English and accepts international clients through the practice process.
How Denise Uses Evidence-Based Approaches Online
Denise integrates client-centered therapy and cognitive behavioral therapy into her online work. Client-centered therapy means conversations focus on what matters most to the person. The therapist listens closely and shapes sessions around the client’s goals. Cognitive behavioral therapy helps identify patterns of thinking that worsen mood or anxiety and teaches concrete steps to change those patterns.She also uses dialectical behavior therapy tools when strong emotions are getting in the way of daily life. DBT-style skills include emotion regulation, distress tolerance, and interpersonal effectiveness exercises that can be practiced between appointments. These methods are useful for managing anxiety, mood swings, intense reactions, and relationship stress.
Finding the right approach is part of the process. Denise will work with each person to choose which methods fit their needs, goals, and preferences. That decision is collaborative and can change over time as needs evolve.
If you are considering online sessions, confirm the specific session formats offered before booking. The main practical benefit is flexibility - remote work can make it easier to fit meetings into a busy week, allow shorter check-ins when needed, and reduce travel time. Discuss scheduling and session length during the intake so appointments align with day-to-day life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
17+ years
Credentials
Texas
Languages
English
Frequently asked questions
What types of concerns does she address?
She helps people with stress, anxiety, depression, bipolar disorder, addictions, codependency, trauma and related relationship or intimacy issues.
What is her general therapy style?
She practices a client-centered approach and combines practical skills so sessions focus on the client’s goals and usable strategies.
How much clinical experience does she have?
She has 17 years of professional work experience in counseling and related clinical settings.
Where is she licensed and based?
She is a Licensed Professional Counselor, LPC, licensed in Texas and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the US work with her?
She accepts international clients through the practice process; check any regional limits that may apply during intake.
How are fees and payments handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What should I do to begin working together?
Click the Start Therapy button, complete a short matching questionnaire, and schedule based on the therapist’s availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.