01 · Who David works with

David works with stress, Anxiety, trauma and abuse and self esteem

David lists 18 specialisms and 18 further focus areas. Specialisms are the subjects David chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In David's own words

What David says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hello! I’m David Affolter, I have been helping people most of my adult life. It just seems that has been a major motivation for me. After college and service in the Air Force, I really was confronted with the reality that I needed to choose a direction in life. I made a decision that it had to be something that would bring me lasting satisfaction. I would feel good about myself. I became a high school teacher and coach, and I loved doing that for almost twenty years. I experienced the joy of seeing young people do things they thought they couldn’t ever do. In my teaching, I always seemed to be drawn to the students who seemed like they were struggling to find their way. Students came to me for someone to listen to them and help them find their way. I have the joy today of keeping in touch via social media, and I watching as they grow their own families and follow their own path. After those teaching years and my own daughters moved on to college and adult life, I felt the urge to keep helping people, but I felt moved to go into counseling. With the support of my wife, I completed a graduate/professional degree in Community Counseling at The University of Akron in 1994 and became a Licensed Professional Clinical Counselor in Ohio and am also a Licensed Mental Health Counselor in Florida. It really was a smooth transition, and I have learned that a significant part of counseling is giving people new information and perspectives and helping them decide where they want to go and how to get there. I have continued now for over twenty years in helping people deal with a variety of problems in their lives, and the large majority are able to feel good about themselves and able to move in the direction they choose. I have learned how life has wounded people and how to help them heal from those wounds. I have seen people who thought their lives were over but have learned in therapy how to build new ways of being and living that lead them to new destinations-destinations that many never thought they would arrive at in the beginning. I know when I reflect on my own journey over the past fifty years or so, I am amazed at the variety of things life has brought my way, and the lessons I have learned along the way. It is a very humbling experience watching people gain the courage to change and move forward in ways they never believed they could. If this kind of experience is something that you believe would be helpful to you, then you are in the right place. I can join you on your journey and help you find your way to your new destination-a new way of looking at yourself, a new career path, finding new friends, or finding a new spirituality to give new meaning and purpose to your life. I look forward to assisting you on your journey to your new destination!

David Affolter, on the BetterHelp listing · read 9 Oct 2026

03 · How David works

The 8 approaches David lists, in plain English

These are the clinical methods David lists. The descriptions are Maker Therapy's, not David's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how David runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

David 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 David's own practice, and not a promise about how quickly anything happens.

1. 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 David at this point.

2. Naming David specifically

   BetterHelp matches algorithmically by default, so asking for David 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 David.

3. 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.

4. 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.

5. 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.

05 · Before you commit

4 questions worth asking David

Built from what David actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not David's - David has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 27 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.

06 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

Ohio

Licence

FL LMHC MH6268, OH LPCC E.2102075

Licence number

MH6268

Licence expires

31 Mar 2027

NPI

1033388053

Years in practice

27

Gender

Male

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

David'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 9 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 David. 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.

Something on this page wrong or out of date? Report it and it will be checked against the source.