Brian Smith has been in practice 35 years and is licensed in Washington. Brian lists stress, Anxiety and depression among 6 subjects on the BetterHelp roster.
Everything below is either quoted from Brian's own
BetterHelp listing, taken from public licensing records, or written by
Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a
rating.
35years in practice
6subjects listed
01 · Who Brian works with
Brian works with stress, Anxiety and depression
Brian lists 2 specialisms and 4 further focus areas. Specialisms are the subjects Brian chose to list first, which is the closest a listing
gets to “this is my actual practice”.
Specialisms
Stress, Anxiety
Depression
Also experienced with
Guilt and shame
Isolation / loneliness
Life purpose
Social anxiety and phobia
02 · In Brian's own words
What Brian says about the work
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
I am licensed in Washington with 35 years of professional work experience. I have experience in helping clients with stress, anxiety, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
Brian Smith, on the BetterHelp listing · read 7 Oct 2026
03 · What happens next
From this page to a first session
Brian practises through BetterHelp, so the route in is BetterHelp's. This is that sequence,
written by Maker Therapy from the platform's published process - not a description of
Brian's own practice, and not a promise about how quickly anything happens.
A questionnaire, not a booking form
BetterHelp opens with a set of questions about what you are dealing with, what you want from
therapy, and any preferences on the therapist. You are not booking Brian at this point.
Naming Brian specifically
BetterHelp matches algorithmically by default, so asking for Brian is a step you have to
take. There is a field for requesting a specific therapist during sign-up, and you can switch
afterwards from your account. Starting from a link on this page does not by itself assign you to
Brian.
If the caseload is full
You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is
easy to assume a match is the person you asked for.
The first conversation
A first session is typically history and orientation: what brought you, what has been tried,
what you want to be different. It is also where the questions in the next section belong.
If the fit is wrong
Changing therapist on BetterHelp does not need a reason. A first session that does not click is
common and is not a verdict on therapy. That option existing is the main practical difference
between a platform and a private practice.
04 · Before you commit
2 questions worth asking Brian
Built from what Brian actually lists, so they are answerable and specific rather than generic.
Maker Therapy's, not Brian's - Brian has not seen them and is under no obligation to answer
any of them.
“With 35 years in, what has changed most in how you work?”
Long experience is only an advantage if it has been examined. This tends to surface whether it has.
“How do you handle the gap between sessions if something comes up?”
On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.
05 · Practical details
Credentials and licensing
Credential
LMHC
Licensed in
Washington
Licence
WA LMHC LH00004711
Licence number
LH00004711
Licence expires
23 Apr 2027
NPI
1275420507
Years in practice
35
Gender
Male
Languages
English
International clients
Accepted
Listed since
15 May 2026
06 · Provenance
Where every line on this page came from
Brian's name, credential, state, subjects, approaches and biography
are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.
The plain-English method descriptions, the first-session walkthrough and the questions are
written by Maker Therapy and labelled as such wherever they appear.
Maker Therapy is not BetterHelp, does not take bookings, and has not met Brian. There are no reviews
or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.
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