About David
David M Poles is a licensed mental health counselor with 24 years of experience helping people navigate relationship and life challenges. He focuses on clear communication, emotional understanding, and practical steps people can use right away. He works with adults on issues such as anxiety, depression, mood disorders, bipolar disorder, and ADHD.
He also helps with addictions, grief, trauma and abuse, and stress-related concerns. David aims to make hard problems feel more manageable through steady, straightforward work.
Background and approach
In sessions he emphasizes attachment-based ideas and a client-centered stance. That means he pays attention to how relationships shape feelings and priorities, and he listens closely before offering direction. Cognitive Behavioral Therapy is also part of his approach when people need to change patterns of thinking or behavior.
David encourages honest but caring feedback and practical homework between sessions when it helps progress. He helps people build better communication, address impulsivity and control issues, and improve self-esteem. He also supports those dealing with career strain, money worries, and fatherhood concerns.
Clients can expect a calm, direct style that focuses on small, usable changes. David practices in Massachusetts as an MA LMHC and offers common session formats for online work. He aims to help people make meaning from adversity and feel better in their relationships.
How his approaches translate to online therapy
Attachment-Based Therapy focuses on how relationship patterns shape feelings and reactions. Online sessions using this approach help people notice interaction habits, repair misunderstandings, and feel more connected to others over time.Client-Centered Therapy emphasizes listening and understanding. In this style the therapist follows the client's lead, offers empathic reflection, and helps clients find their own solutions to relationship or life problems.
Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors. It is useful for anxiety, mood symptoms, impulsivity, and sleep problems by teaching practical skills and short exercises people can practice between sessions.
Finding the right approach is a collaborative process. He will discuss goals, preferences, and what has or hasn't helped in the past, then tailor techniques to the client's needs. That collaborative planning helps decide whether attachment work, client-centered support, or CBT techniques will be emphasized.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation; phone sessions can be easier when bandwidth or cameras are limited; live chat and messaging suit brief check-ins or written reflection. These options make scheduling more flexible and allow people to fit therapy into busy lives.
Questions people ask
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What this therapist works with
Most often
- Addictions
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Life purpose
- Men's issues
- Money and financial issues
- Mood disorders
- Narcissism
- Parenting issues
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 24 years
- Licensed
- Massachusetts
- Languages
- English
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