Dominic Smith, MD, LCSW-C

Dominic Smith is a licensed clinician based in Maryland who helps people manage stress, anxiety, trauma and abuse, grief, depression, and major life changes. He uses clear, direct conversation to make difficult problems easier to face. Dominic speaks English, Spanish, French, and Portuguese and aims to meet people where they are.

He draws on cognitive behavioral techniques to identify patterns that keep problems stuck. He also uses Acceptance and Commitment Therapy to help people notice what matters most and move toward it. Attachment-based ideas inform how he talks about relationship wounds and their lasting effects.

Sessions are collaborative. Dominic listens first, then helps set small, doable steps. He focuses on practical tools people can try between meetings so progress carries into daily life.

Dominic trained as a medical doctor and holds the credential LCSW-C, which means he practices as a licensed clinical social worker. He has five years of professional experience working with a range of concerns related to mood, stress, and trauma.

People who contact him can expect respectful, straightforward care that adapts to their needs. He tailors the pace, topics, and exercises to each person’s situation and goals. Dominic encourages questions and shared decision making throughout the process.

How Dominic uses practical approaches in online therapy

Dominic commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in his online work. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and testing small changes to reduce symptoms like anxiety and depression. Acceptance and Commitment Therapy (ACT) helps people clarify values, accept difficult feelings, and take committed actions toward a meaningful life.

Finding the right approach is part of the process and happens collaboratively. Dominic listens to each person's goals and preferences, explains different options, and adjusts methods as needed so the work fits the individual's needs. He aims to build practical plans together rather than imposing a single method.

Online therapy offers flexible ways to stay connected between appointments. Video calls let people see facial cues and work through exercises live. Phone sessions can be easier when bandwidth is low or for shorter check-ins. Live chat and text-based messaging are useful for quick updates, check-ins, and continuing work between sessions. These options make it simpler to fit therapy into busy days and continue progress across different settings.