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MD, LCSW-C

Dominic Smith, MD, LCSW-C

  • Experience5 years
  • LocationMaryland
  • Focus areasStress and Anxiety, Trauma and abuse, and Grief
  • Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
  • LanguagesEnglish, Spanish, and French
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About Dominic

Dominic Smith is a licensed clinician practicing in Maryland who focuses on helping people navigate stress, anxiety, trauma and abuse, grief, depression, and major life transitions.

Background and approach

He brings five years of professional experience to his work and adapts conversations and strategies to each person’s circumstances, aiming to create a respectful and compassionate space for exploration. Originally from Ireland, Dominic speaks English, Spanish, French, and Portuguese, which allows him to communicate with a diverse range of clients.

His approach blends several evidence-informed methods including Internal Family Systems, Acceptance and Commitment Therapy, Attachment-Based work, client-centered techniques, and cognitive behavioral strategies to address patterns like abandonment, dissociation, emptiness, and relational difficulties.

Dominic emphasizes collaboration in crafting treatment plans and supports clients through challenges such as forgiveness, guilt and shame, immigration-related concerns, impulsivity, infidelity, isolation, and questions about life purpose. He encourages taking the first step toward change and offers tailored guidance as clients work toward greater resilience and clarity.

Therapeutic Approaches and Online Care

Dominic integrates Internal Family Systems and Acceptance and Commitment Therapy alongside attachment-based ideas to guide online work. Internal Family Systems helps clients explore internal parts and their interactions to reduce internal conflict and understand protective roles. ACT focuses on values-driven action and learning to make room for difficult thoughts and feelings while pursuing meaningful goals. Attachment-based perspectives look at relational patterns from early bonds to help address communication problems, abandonment concerns, and trust issues.

Finding the right approach is a collaborative process. Dominic works with each client to assess which methods best fit their concerns, goals, and preferences, and adapts the plan over time as needs evolve. He frames therapy as a partnership where client experience guides clinical choices.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to support flexibility and accessibility. These formats make it easier to keep continuity of care around work, family, and travel, while allowing clinicians to use ACT, IFS, and attachment-informed interventions in ways that suit each person's routine and comfort.

Frequently asked questions

What concerns does Dominic commonly address?
He works with stress, anxiety, trauma and abuse, grief, depression, and coping with life changes, and also focuses on issues like abandonment, dissociation, and loneliness.
What is Dominic's therapeutic style and approach?
He uses a collaborative, tailored style drawing on Internal Family Systems, ACT, attachment-based work, client-centered techniques, and CBT to match methods to each client's needs.
How much clinical experience does he have?
Dominic has five years of professional experience working with a range of emotional and relational concerns.
What are his credentials and where is he located?
He holds MD and LCSW-C credentials with license number MD LCSW-C 27358 and practices in Maryland.
Can sessions be conducted in languages other than English?
Yes. He speaks English, Spanish, French, and Portuguese and accepts international clients.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or through text-based messaging to fit different preferences.
How does billing and cost work for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are required to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefDepressionCoping with life changes

Additional focus areas

AbandonmentAvoidant personalityCommitment issuesCommunication problemsDissociationEmptinessFamily of origin issuesFatherhood issuesForgivenessGuilt and shameImmigration issuesImpulsivityInfidelityIsolation / lonelinessLife purposeMidlife crisisMood disordersMulticultural concernsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-love

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Jungian TherapyNarrative TherapyPsychodynamic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

5+ years

Licensed

Maryland

Languages

English, Spanish, French, Portuguese