David Spann, LCSW, LISW

David Spann is a Licensed Clinical Social Worker (LCSW) and Licensed Independent Social Worker (LISW) with 29 years of experience helping people untangle stress, trauma, addiction, and mood struggles. He focuses on practical steps that reduce anxiety, improve relationships, and restore daily functioning. His tone is straightforward and goal-oriented while remaining empathetic to each person's situation.

He uses cognitive behavioral approaches to help people notice unhelpful thoughts and try new behaviors. Attachment-based ideas guide work on closeness, boundaries, and trust. He also uses client-centered methods to keep sessions focused on the person's goals and values.

David has worked in outpatient, residential, and hospital settings, including time at a naval hospital supporting active duty Marines. That background informs how he talks about stress on family systems, trauma, and co-occurring addiction or mental health conditions. He pairs clinical experience with years of leadership and coaching in community and agency settings.

Sessions often blend skills practice, motivational interviewing, and mindfulness exercises. He aims to make therapy useful from week one - building tools for coping, managing mood, and improving communication. The approach emphasizes strengths and real-life changes rather than jargon.

He offers video calls, phone sessions, live chat, and text-based messaging for flexibility. Sessions are provided in English and based in North Carolina. Getting started begins with a short matching questionnaire and scheduling through the Start Therapy flow.

Approaches that translate well to online therapy

David uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts, test those thoughts in real life, and practice new behaviors that reduce anxiety and depression. CBT is action-oriented and often includes homework between sessions so progress can show up quickly.

Attachment-Based Therapy is part of his work when issues of trust, closeness, or boundaries come up. This approach looks at how early and current relationship patterns shape reactions and teaches ways to build safer connections and clearer communication.

He approaches sessions collaboratively, helping clients choose the best mix of strategies based on their goals and preferences. Finding the right approach is a shared process - he will adapt methods as needs change and track what helps most over time.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video calls let people work face to face from different locations. Phone sessions can be a good fit when bandwidth is limited or for short check-ins. Live chat and messaging are useful for quick skill practice, brief updates between appointments, and people who prefer writing over speaking. These formats make scheduling easier and help therapy fit into busy lives.