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DS Portrait of David Spann

David Spann

Experienced LCSW blending CBT and relational work

LCSW, LISW North Carolina

Experience
29 years in practice
Focus areas
Addictions, Family, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages
English

About David

David Spann brings a cognitive behavioral orientation to a broad clinical practice informed by nearly three decades of experience. He integrates CBT with attachment-focused and client-centered perspectives to help people address trauma, addiction, mood disorders, grief, relationship concerns, and persistent mental health challenges.

Background and approach

David earned a psychology degree from the University of Virginia and a master's from Florida Gulf Coast University, and he has worked across outpatient, residential, and hospital settings including service with a Naval Hospital supporting Active Duty Marines.

His background includes work with dual diagnosis and co-occurring disorders, and he incorporates trauma-focused approaches, motivational interviewing, mindfulness, and family systems ideas when helpful. David also draws on extensive experience in leadership development, crisis intervention training, teacher and family education, and public speaking to support clients seeking greater relational intimacy, improved communication, and life purpose.

He holds LCSW and LISW licenses and practices in North Carolina, offering a strengths-based, solution-focused orientation aimed at practical skills and personal growth.

Integrating evidence-informed approaches with online care

David uses Cognitive Behavioral Therapy to help clients identify and change unhelpful thinking and behavior patterns, which can be useful for anxiety, depression, and coping with life changes. Attachment-Based Therapy is also part of his approach and focuses on how early relational patterns shape current relationships and emotional regulation, aiding work on intimacy, trust, and family issues. He blends these approaches with client-centered techniques that emphasize the individual's strengths and goals and support personal growth in a collaborative way.

Finding the best-fit approach is treated as a shared process. The therapist works together with each person to clarify goals, try specific strategies, and adjust methods based on what is most effective and comfortable for the client, so treatment evolves from the client's needs and preferences.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to provide flexibility for different schedules and communication styles. These remote formats make it easier to access care from wherever the client is located in North Carolina and to continue work between meetings, supporting consistent progress while accommodating busy lives and varying access needs.

Frequently asked questions

What kinds of concerns does he address?
He works with a wide range of issues including addictions, trauma and abuse, grief, anxiety, depression, relationship and intimacy-related issues, parenting, bipolar disorder, and compassion fatigue.
What is his general therapeutic style?
His approach is strengths-based and solution-focused, combining Cognitive Behavioral Therapy with attachment-informed and client-centered elements to build practical skills and deepen relational insight.
How much clinical experience does he have?
He has 29 years of practice experience across outpatient, residential, and hospital settings and has worked with Active Duty Marines in a Naval Hospital environment.
Which credentials and location apply to his practice?
He holds LCSW and LISW credentials with license details NC LCSW C008137 and OH LISW I.1700680 and practices in North Carolina.
Does he provide services in other languages or to international clients?
Sessions are offered in English, and he is not currently accepting international clients.
What session formats are available for therapy?
He meets with clients through video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and needs.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
How do I begin working with him?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

AddictionsFamily conflictsTrauma and abuseGriefCoaching

Also works with

Stress, AnxietyRelationship issuesIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderDepressionCoping with life changesCompassion fatigue

Additional focus areas

Attachment issuesBlended family issuesCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDivorce and separationDomestic violenceDrug and alcohol addictionLife purposeVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsPost-traumatic stressSelf-loveSex addictionSexual assault and abuseWorkplace issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

29+ years

Licensed

North Carolina, Ohio

Languages

English