Dominic Smith , MD, LCSW-C

Dominic Smith is licensed in Maryland and brings five years of professional experience supporting people through stress, anxiety, trauma and abuse, grief and loss, and depression. He combines clinical training with a compassionate, respectful approach to tailor conversations and treatment plans to each person’s specific needs and goals.

He holds MD and LCSW-C credentials. MD denotes a medical doctor and LCSW-C indicates a licensed clinical social worker with clinical training, credentials that inform his collaborative and holistic view of care. Originally from Ireland, he provides therapy in English, Spanish, French, and Portuguese to better meet clients where they are.

Dominic emphasizes sensitivity and respect in every interaction, adapting both the dialogue and therapeutic strategies to fit an individual’s circumstances. He acknowledges that taking the first step toward a more fulfilling and happier life requires courage and positions himself as a steady source of support throughout that process.

Approaches for Online Therapy and Relational Healing

Dominic draws on Acceptance and Commitment Therapy and Attachment-Based Therapy to guide online work. Acceptance and Commitment Therapy (ACT) helps clients clarify personal values and develop practical skills for accepting difficult thoughts and feelings while taking meaningful action - it is often used for anxiety, stress, and life transitions. Attachment-Based Therapy focuses on patterns of relating that emerge from early relationships and helps people address issues like abandonment, trust, and intimacy by exploring relational needs and building more secure connections.

Finding the right approach is part of the therapeutic process. Dominic works collaboratively with each person to determine which methods fit their needs, goals, and preferences, adapting techniques over time as progress and circumstances evolve. This partnership helps ensure therapy aligns with what matters most to the client.

Online sessions offer flexibility and accessibility for busy or geographically distant clients. Licensed professionals and therapists can meet by video calls, phone sessions, live chat, or text-based messaging, allowing appointments to fit varied schedules and communication styles while maintaining a consistent therapeutic relationship.