About Joshua
Dr. Joshua Smith offers calm, practical help for people dealing with addiction, relationship strain, trauma, intimacy concerns, and depression. He writes in plain language and focuses on real changes that make daily life easier.
He presents himself as a partner in the work rather than an authority who fixes everything for someone else. Joshua has 17 years of clinical experience and holds an LPC credential in Louisiana. He draws on several approaches to match each person's needs, including methods that focus on values, thinking patterns, emotional regulation, and attachment dynamics.
Background and approach
Sessions focus on skills you can try between meetings and on understanding patterns that keep problems repeating. Many people seek him out for abandonment or attachment issues, communication and commitment struggles, codependency, or problems tied to blended family life and separation. He also supports recovery from drug and alcohol addiction and helps people manage caregiver stress or the aftermath of trauma.
His style is straightforward and collaborative. He listens first, then helps set practical steps. Expect therapy to include goal-setting, behavior changes, and strategies to notice and shift unhelpful thoughts and reactions.
Joshua aims to help people build steadier relationships with themselves and others. He encourages small, sustainable steps and checks progress as therapy continues. People who want a focused, interactive approach that mixes skill-building with personal reflection often find this approach useful.
Therapeutic approaches and online care
Acceptance and Commitment Therapy (ACT) helps people clarify their values and take action toward them even when strong feelings are present. It is useful for depression, avoidance, and problems where meaning and direction feel lost. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors, which can reduce symptoms of depression and help with addiction relapse prevention. Attachment-Based Therapy looks at how early relationship patterns shape current reactions and helps people build steadier ways of relating to others.Choosing the right approach is part of the work. The therapist collaborates with each person to identify what fits their goals and preferences. Sessions often mix methods so the plan evolves based on how someone responds and what feels most helpful.
Online therapy offers flexible ways to connect: video calls for in-depth sessions, phone sessions for lower bandwidth or no-camera check-ins, live chat for brief back-and-forth, and text-based messaging for ongoing support between meetings. These options make it easier to fit therapy into a busy life and to try different formats until one feels right.
Questions people ask
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What this counselor works with
Most often
- Addictions
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Existential Therapy
- Gottman Method
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 17 years
- Licensed
- Louisiana
- Languages
- English