- ACT strategies
- Attachment focus
- CBT and DBT skills
About Joshua
Dr. Joshua Smith is an LPC - Licensed Professional Counselor in Louisiana with 17 years of clinical experience. He works with adults facing addictions, relationship struggles, trauma and abuse, intimacy-related issues, and depression. He also addresses concerns such as abandonment, attachment issues, body image, codependency, and coping after separation or disaster.
He describes therapy as a partnership. He brings guidance from years of practice and expects clients to take active steps. Sessions focus on practical steps people can use between meetings. The work is collaborative and action-oriented rather than directive alone.
His background includes long-term clinical work helping people through crises, grief, and conflict. He uses a mix of approaches depending on the problem at hand. Those methods include acceptance and commitment strategies, attachment-focused perspectives, client-centered conversation, cognitive-behavioral techniques, and skills drawn from dialectical behavior approaches.
In a typical session he will listen for what matters most to the client, name patterns that maintain guilt or shame, and suggest experiments to test new behaviors. He encourages tracking small changes and noticing what helps reduce stuck feelings. He also supports building clearer communication and boundaries when relationships are a source of pain.
Dr. Smith accepts international clients and offers services in English. Before booking, clients should confirm current session options and scheduling details through the practice intake process.
How his approaches translate to online work
Dr. Smith commonly uses Acceptance and Commitment Therapy, which helps people notice painful thoughts and choose actions that align with personal values rather than getting stuck in avoidance. He also draws on Attachment-Based Therapy to look at how early and current relationship patterns shape guilt, shame, and trust. Cognitive Behavioral Therapy is used to identify unhelpful thinking and practice concrete behavior changes that reduce distress.Choosing the right approach is a collaborative process. He will work with the client to figure out which methods fit their goals and preferences. That may mean combining skills-based work with deeper relational exploration over several sessions rather than using one approach only.
The biography does not specify session formats, so confirm current options before booking. Online work can make it easier to fit therapy into busy days and to keep regular contact without commuting. It can allow shorter check-ins, sessions that don’t require video, or scheduling that fits work and family routines. Licensed professionals can adapt exercises, homework, and skill practice to remote formats so the work continues between sessions.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
17+ years
Listed in
Louisiana
Languages
English
Frequently asked questions
What kinds of guilt or shame issues does he address?
He works with guilt and shame connected to addictions, relationships, trauma, intimacy struggles, and depression, as well as abandonment and codependency concerns.
How does he approach feelings of guilt or shame?
He combines acceptance and commitment ideas, attachment perspectives, and cognitive-behavioral tools to help people name patterns and try small experiments outside sessions.
How much clinical experience does he have?
He holds 17 years of professional clinical experience working with crises, grief, conflict, and a wide range of relational and emotional concerns.
Is he a licensed counselor and where is he based?
He is an LPC - Licensed Professional Counselor based in Louisiana and practices under that credential.
Can I work with him if I live outside the United States?
International clients are accepted; sessions are offered in English.
What session formats are offered?
The original biography does not list specific session formats; please confirm current online and in-person options before booking.
How does payment and cost work?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.