Brian Smith
LMHC
Therapist in Washington
Steady, experienced counselor for everyday struggles
Continue with Brian- Experience 35 years
- Languages English
- Sessions Online
- 35 years experience
- Washington LMHC
- Focus on loneliness
About Brian
He adapts conversations and treatment plans to fit each person’s situation. Sessions are built around the goals a person brings and the pace they prefer. Brian aims to help people find steps that feel manageable and meaningful.
Many clients seek help with feelings of guilt, shame, and isolation or loneliness. He also addresses questions about life purpose and social anxiety. The approach is practical - talking through what’s happening now and trying small changes that can make a difference.
Brian invites honest conversation and focuses on strengths people already have. He offers steady support while clients try new ways of coping. The work is collaborative and focused on real-life problems and routines.
With decades of experience, Brian draws on a broad base of clinical work to guide sessions. He welcomes people who want a thoughtful, steady therapist who listens closely and helps plan next steps.
How evidence-based techniques adapt to online work
Brian uses well-established, evidence-based therapeutic techniques to guide sessions. One approach focuses on identifying unhelpful thought patterns and testing them against lived experience to reduce anxiety and depressive thinking; this helps people notice small shifts in mood and behavior. Another approach emphasizes practical coping skills and behavioral changes - such as scheduling activities, setting small goals, and trying graded exposure for social anxiety - to rebuild confidence and reduce avoidance.Finding the right approach is a collaborative process. Brian works with each person to decide which techniques match their needs, goals, and preferences. He checks in regularly and adjusts the plan if something isn’t working or if priorities change.
Online therapy can make it easier to fit sessions into a busy life by removing travel time and allowing for more flexible scheduling. Because the specific session formats are not listed in the biography, please confirm which formats are available before booking. Many people find that remote sessions help them maintain regular contact with a therapist and apply new skills between meetings.
License and NPI
| LMHC | Washington · No. LH00004711 |
|---|---|
| NPI | 1275420507 |
As shown on the therapist's profile. You can check a license with the state board and an NPI with the national registry.
Areas of expertise
Primary focus
Additional focus areas
Experience
35+ years
Credentials
Washington
Languages
English
Frequently asked questions
What concerns does Brian commonly help address?
He works with people managing 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 therapy sessions?
Sessions are tailored to each person’s needs with a practical, conversational style. He aims to plan steps that fit daily life and personal goals.
What kind of experience does he bring?
Brian has 35 years of professional experience working with a range of mental health concerns in Washington.
What are his credentials and where is he based?
He is a Licensed Mental Health Counselor, listed as LMHC in Washington.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with him?
International clients are accepted, so people outside the U.S. may connect for therapy.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with Brian?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.