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LMHC

David M Poles, LMHC

  • Experience24 years
  • LocationMassachusetts
  • Focus areasADHD, Addictions, and Relationship
  • Therapy approachesAttachment-Based Therapy and Client-Centered Therapy
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About David

David M Poles is a licensed mental health counselor (LMHC) with 24 years of clinical experience who integrates attachment-focused and client-centered principles with practical cognitive behavioral tools.

Background and approach

He emphasizes building stronger connections and clearer communication in relationships while helping people recover from setbacks, manage mood and stress, and cope with complex issues such as trauma, grief, addictions, and ADHD. His approach balances empathy and direct feedback to promote growth and healthier patterns of relating.

Based in Massachusetts, he works with adults facing concerns including anxiety, depression, bipolar disorder, anger, self-esteem struggles, sleep disruption, career stress, and compassion fatigue. He also addresses relational themes like intimacy challenges, parenting and fatherhood issues, family of origin wounds, divorce or separation, and difficulties with attachment, impulsivity, and money.

David aims to help clients find meaning in adversity, increase self-understanding, and translate insights into concrete changes in daily life.

Integrating Attachment and Practical Skills in Online Care

David uses attachment-based work to explore how early relationship patterns shape current emotional responses and interpersonal expectations, which can help people understand connection, trust, and intimacy challenges. Client-centered therapy forms the foundation of sessions by prioritizing empathetic listening and the client’s own goals, creating space for self-exploration and personal meaning. Cognitive behavioral techniques are used to identify unhelpful thought patterns and develop concrete coping skills for issues like anxiety, mood disturbances, sleep problems, impulsivity, and stress.

Finding the right mix of approaches is part of the therapeutic process, and he collaborates with each person to tailor methods to their needs, goals, and preferences. This collaborative search helps determine when to focus on emotional patterns, when to practice behavioral experiments, and when to emphasize skill-building versus deeper relational work.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility for varying schedules and comfort levels. These formats allow clients to access licensed professionals from different locations while maintaining continuity of care and using methods that fit day-to-day life and communication styles.

Frequently asked questions

What kinds of concerns does this therapist address?
He works with a broad range of issues including addictions, anxiety, depression, bipolar disorder, trauma and abuse, grief, relationship and intimacy problems, parenting concerns, and ADHD among others.
What is the general therapeutic style used in sessions?
Sessions combine attachment-based and client-centered perspectives with cognitive behavioral therapy techniques, offering empathic understanding alongside practical strategies to change unhelpful thoughts and behaviors.
How much clinical experience does the therapist have?
He brings 24 years of experience in mental health practice, drawing on long-term clinical work to support people through mood disorders, relationship issues, and life transitions.
Where is the therapist licensed and located?
He is licensed as an LMHC with the designation MA LMHC 5667 and practices out of Massachusetts.
Are services available in languages other than English?
Sessions are provided in English and he is not accepting international clients at this time.
What session formats are offered for remote work?
Remote options include video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and scheduling needs.
How is cost handled for therapy sessions?
Cost varies by location and therapist availability; services are offered via a subscription model that can be canceled at any time.
What steps are involved in beginning therapy?
To start, select the Start Therapy button, complete a brief matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

AddictionsRelationship issuesFamily conflictsAnger managementSelf esteem

Also works with

Stress, AnxietyTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesCareer difficultiesBipolar disorderDepressionCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesCommunication problemsControl issuesDivorce and separationFamily of origin issuesFatherhood issuesForgivenessGuilt and shameImpulsivityLife purposeMen's issuesVeteran and Armed Forces IssuesMoney and financial issuesMood disordersNarcissismProcess addiction (porn, exercise, gambling)Self-loveSocial anxiety and phobia

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)

Experience

24+ years

Licensed

Massachusetts

Languages

English

About

David M Poles is a Licensed Mental Health Counselor practicing in Massachusetts, with 24 years of experience, not currently accepting new clients.