David Spann, LCSW, LISW

David Spann is a licensed clinical social worker who uses attachment-focused and client-centered methods to help people move past trauma, addiction, and persistent mental health challenges. He brings 29 years of experience and a practical, strengths-based approach to sessions. He aims to help people reduce anxiety, manage mood problems, and rebuild relationship intimacy.

He draws on work in outpatient, residential, and hospital settings, including time at a Naval Hospital serving Active Duty Marines. That background informs how he talks about stress on family relationships when trauma, addiction, or mental illness are involved. He also combines clinical work with experience in leadership, coaching, and program development.

In sessions he uses approaches such as attachment-based therapy, cognitive behavioral techniques, dialectical behavior strategies, mindfulness, and motivational interviewing. He often focuses on problem solving, improving communication, and building skills for coping with life changes and grief. He also helps people address codependency, boundaries, and relationship patterns that interfere with daily life.

David holds a Master of Social Work from Florida Gulf Coast University and completed undergraduate study in psychology at the University of Virginia. His licenses include LCSW and LISW. He practices in North Carolina and conducts work in English.

He offers a pragmatic, compassionate style that centers the person’s goals. People who want to explore recovery from substance issues, work through post-traumatic stress, or improve relationship functioning may find his mix of clinical and coaching experience helpful.

How attachment work and CBT translate to online therapy

Attachment-based therapy focuses on patterns in close relationships and how early connections shape current reactions. Online sessions can help people notice those patterns, practice new ways of relating, and bring specific relationship concerns into conversation.

Cognitive behavioral therapy breaks problems into thoughts, feelings, and actions and uses practical exercises to test and change unhelpful patterns. Delivered virtually, CBT often includes brief skill practice between sessions and clear steps to try in daily life.

Finding the right therapeutic approach is part of the work. The therapist will collaborate with each person to choose strategies that match their goals, needs, and preferences. That decision is revisited as progress is made and needs change.

Confirm the session formats offered before booking, as specific options are not listed here. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. It also lets people use mindfulness exercises, worksheets, and behavioral experiments between meetings, so the work continues outside the appointment time.