- Guilt and shame
- Depression support
- 35 years experience
About Brian
Brian Smith is a Washington-licensed mental health counselor (LMHC) with 35 years of clinical experience. He works with adults who are dealing with stress, anxiety, and depression, and he also focuses on issues of guilt and shame. Brian practices in Washington and conducts sessions in English.
Brian listens for the practical patterns that keep a person stuck. He talks through how worry shows up in daily life, how low mood limits activity, and how guilt or shame affects choices and relationships. Conversations aim to clarify what matters now and what small changes might feel manageable.
In sessions he adapts the pace to each person. He will outline a simple plan, check how it fits, and adjust as progress or obstacles appear. Sessions tend to be straightforward and goal-oriented without unnecessary jargon.
He also helps people who feel isolated or who struggle with social anxiety and phobia. Discussions address how avoidance develops, what increases confidence in social moments, and how to re-engage with meaningful activities and relationships.
Brian accepts international clients and uses a subscription model for sessions that can be canceled at any time. If someone is considering work together, the next step is to use the See online therapy options button, complete a short matching questionnaire, and schedule an initial appointment.
Therapeutic methods and how online sessions work
Brian uses evidence-based therapeutic techniques that focus on present-day patterns and practical change. Cognitive approaches examine thoughts and beliefs that fuel anxiety, guilt, or low mood and test alternatives in everyday situations. Behavioral strategies break problems into small, concrete steps such as gradual exposure for social anxiety or activity scheduling for depression.Choosing the right approach is a collaborative process. Brian will work with each person to identify goals, try methods that fit those goals, and adjust based on what helps. The aim is to find a way of working that feels doable and relevant to a person's life and constraints.
Confirm the available session formats before booking since the biography does not list specific formats. Online work can make it easier to fit sessions into a busy schedule, allow shorter check-ins when needed, and reduce travel time. It can also accommodate people in different regions, which supports his acceptance of international clients.
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 help with?
He works with stress, anxiety, and depression, and has an additional focus on guilt and shame, isolation, life purpose, and social anxiety.
How would he approach feelings of guilt or shame?
He talks through how those feelings show up in daily life and helps identify small, practical steps to reduce their impact and improve decision-making.
What is his professional background?
He has 35 years of experience working in mental health and brings that long-term clinical perspective to session work.
What credential does he hold and where is he based?
He is an LMHC licensed in Washington and practices there.
Are sessions offered in other languages?
Sessions are offered in English.
Can people outside the United States work with him?
He accepts international clients.
How are sessions paid for and how much do they cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What steps do I take to begin working together?
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 or thinking about harming yourself, use the crisis numbers.