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LISW

Lydia Frazier, LISW

  • Experience25 years
  • LocationIowa
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Lydia

Lydia Frazier is a licensed independent social worker (LISW) with 25 years of clinical experience who helps people navigating stress, anxiety, depression, trauma, and the life challenges that follow.

Background and approach

She approaches each person as an individual, taking a holistic view that considers family history, biology, sleep, diet, and activity when exploring current difficulties and goals. Lydia draws on a range of evidence-informed methods to tailor a plan that fits the client's needs and values.

Her practice emphasizes strengths and collaboration, focusing on building practical skills and a clearer sense of direction. Lydia integrates approaches such as cognitive behavioral techniques, acceptance-based strategies, attachment-focused work, and emotion regulation methods to address issues including relationship struggles, grief, addiction, ADHD, parenting concerns, and identity-related stress.

She encourages clients to define an authentic life and supports them in creating a realistic, sustainable plan to move forward.

How evidence-based approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take committed steps toward a meaningful life while learning to notice and accept difficult thoughts and emotions rather than getting entangled in them. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and replacing them with practical strategies to reduce anxiety, depression, and stress responses. Attachment-Based Therapy explores early relationship patterns and how they shape current connections, aiming to improve emotional regulation and relational trust.

Choosing the right approach is a collaborative process. Lydia partners with clients to review goals, preferences, and what has or has not worked in the past, then blends methods from ACT, CBT, attachment-focused work, and other modalities to create a tailored plan that can evolve as progress is made.

Online sessions offer flexibility for people balancing work, family, or mobility needs by providing video calls, phone sessions, live chat, or text-based messaging. These options make it easier to maintain continuity of care, practice skills between sessions, and fit therapy into a busy schedule while working with a licensed professional who adapts tools and exercises to the online setting.

Frequently asked questions

What kinds of concerns does she address?
She works with a wide range of issues including stress, anxiety, depression, trauma and abuse, grief, relationship and intimacy-related problems, addictions, parenting and career difficulties, ADHD, and identity-related concerns.
What is her therapeutic style like?
Her style is collaborative and strengths-based, blending client-centered listening with practical skills training from approaches such as CBT, ACT, DBT, and attachment-informed work.
How much clinical experience does she have?
She brings 25 years of experience in behavioral health practice, working with people across many life stages and challenges.
What are her credentials and where is she licensed?
She is a LISW with license number IA LISW 05464 and practices in Iowa.
Does she offer services in languages other than English?
All sessions are conducted in English and she is not accepting international clients at this time.
In what formats are sessions available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and needs.
How are sessions priced and billed?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What is the process for beginning therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on therapist availability.

Areas of expertise

Also works with

AddictionsLGBTFamily conflictsGriefIntimacy-related issuesParenting issuesAnger managementCareer difficultiesCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGuilt and shameHoardingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Licensed

Iowa

Languages

English

What Lydia can help with

Lydia Frazier works with clients on stress and anxiety, relationship issues, trauma and abuse, self esteem, and depression.

Lydia works with depression, anxiety, and current or past trauma.

Lydia works with adolescents.

How Lydia approaches therapy

Lydia's clinical approaches include Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Mindfulness Therapy, and Motivational Interviewing.

Experience and training

Lydia is a Licensed Independent Social Worker practicing in Iowa, with 25 years of clinical experience.