Lesley Smith, LCMHC

Approaches that guide online care and connection

Emotionally-Focused Therapy (EFT) helps people and partners notice interaction patterns and the emotions that drive them. It focuses on creating new moments of connection and clearer emotional expression to reduce repeated conflict and distance.

Acceptance and Commitment Therapy (ACT) teaches ways to accept difficult thoughts and feelings while committing to actions that match personal values. It is useful for anxiety, stress, depression, and when life changes make it hard to move forward.

Attachment-Based Therapy looks at how early bonds shape current relationships and coping. It helps people recognize attachment patterns and try new ways of relating to others and to their own emotions.

Finding the right approach is part of therapy. Lesley will work collaboratively to choose methods that match a person’s goals, needs, and preferences. That may mean combining EFT, ACT, and other techniques over time while checking in about what feels most helpful.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules and situations. Video is good for deeper conversations and reading nonverbal cues. Phone calls require less bandwidth and can work well for focused check-ins. Live chat or text messaging allow brief check-ins and ongoing support between sessions. These options make it easier to keep therapy consistent around work, caregiving, and busy days.