David Spann, LCSW, LISW

David Spann is a licensed clinical social worker who blends practical therapies with a focus on relationships and addiction recovery. He is an LCSW and LISW with 29 years of experience and works from North Carolina. He helps people untangle how trauma, mood struggles, and substance use affect daily life and close relationships.

He uses therapy approaches that aim to build safety in relationships and strengthen coping skills. Sessions tend to focus on understanding patterns, learning new ways to manage stress and emotions, and improving communication. Motivational interviewing and mindfulness practices are part of his toolkit to support change and relapse prevention.

Spann's background includes work in outpatient, residential, and hospital settings, including time working with active duty Marines at a Naval Hospital. That experience informs his understanding of how trauma and stressors ripple through family life and work roles. He also brings years of leadership and program development experience from management and training roles.

He often addresses co-occurring challenges such as addiction alongside mood disorders or trauma. Other common topics include grief, relationship intimacy, parenting strain, anger, and life transitions. His approach emphasizes strengths and practical steps people can try between sessions.

People who choose him will find a clinician who combines clinical methods with coaching skills. He supports conversations about life purpose, career concerns, financial stress, and multicultural issues while keeping the focus on achievable changes and clearer relationships.

How his approaches guide online work

Attachment-Based Therapy focuses on patterns in close relationships. It helps people identify how early bonds shape expectations, communication, and reactions to stress. This can be useful when addiction or trauma has damaged trust or closeness.

Client-Centered Therapy centers the person's goals and experience, with the therapist offering empathic listening and collaborative problem solving. It supports people who want a paced, supportive space to sort feelings about life changes, grief, or relationship strain.

Finding the right approach is part of the work. The therapist will talk with each person about their needs, goals, and preferences and then suggest which methods to try. Decisions about techniques and pacing are collaborative and can change as goals evolve.

Confirm the current online session options before booking so you know what formats are offered. Online work can make it easier to fit therapy into a busy week, shorten travel time, and allow for brief check-ins when needed. It can also support regular practice of skills learned in sessions without rearranging major parts of daily life.