Find the best therapist in Lancaster, South Carolina – without the wait

My name is Blake Smith and I provide creative and compassionate mental health counseling with over 25 years of professional experience working in diverse school counseling and therapeutic settings. I graduated with honors from Western Carolina University in 2003 with a Master’s Degree in education & school counseling. I am honored to professionally support adolescents, families, and adults & young adults as they navigate life’s various transitions, challenges and opportunities. My range of focus is diverse and includes: anxiety, depression, life transitions, relationship repair and growth, bullying, self-leadership and wellness goals. My approach is grounded in empathy, collaboration, creativity, and evidence-based practices, ensuring that each client feels heard, understood, and empowered to create meaningful choices and change. I believe in creating a safe, nonjudgmental environment where individuals can explore their emotions, develop coping strategies, and build a stronger sense of self-worth. My goal is to help clients uncover their strengths, gain clarity, and create a path toward personal calm, connectedness, and lasting contentment.

I am an open-minded and supportive therapist who specializes in anxiety, mood disorders, neurodiversity, relationship and family challenges, and trauma. I graduated from Appalachian State University with a focus on Marriage and Family Counseling and hold graduate certificates in Expressive Arts Therapy and Addictions Counseling. I am also a Trust Based Relational Intervention Practitioner which involves specific training to meet the complex developmental needs of children who have experienced trauma and attachment insecurity. My main focus in therapy is to help you feel safe and to understand your challenges from your viewpoint. My goal is to help build on your strengths and develop new skills so that challenges feel workable. Being stuck or overwhelmed can feel isolating and I don't want you to feel alone, we can work together. My hope is that you finish therapy with greater self-awareness, confidence, and connection.

Brian F. Lann, MA, LPC, LPC-S, LAC is an accomplished mental health professional with over 23 years of experience delivering clinical care across outpatient, inpatient, and telehealth settings. He brings deep expertise in the treatment of substance use disorders and complex mental health conditions, including OCD and related anxiety disorders such as Generalized Anxiety Disorder, Social Anxiety Disorder, Agoraphobia, Panic Disorder, Excoriation Disorder, Trichotillomania, Hoarding Disorder, and Major Depression. As Owner and Therapist at Midlands Center for Addiction Treatment, LLC / Premier Care, LLC, Brian provides substance abuse treatment for opioid-dependent populations and leads daily clinical and financial operations. He manages multidisciplinary staff—including physicians, counselors, nurses, and nurse practitioners—conducts chart audits, and ensures adherence to regulatory standards, while also overseeing counseling, treatment planning, discharge planning, and care coordination. Brian’s clinical approach is grounded in evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Habit Reversal Therapy (HRT), and other trauma-focused interventions. He has completed more than 40 hours of specialized training in ERP and HRT, as well as advanced training in Dialectical Behavioral Therapy (DBT), Cognitive Processing Therapy, Prolonged Exposure Therapy, Trauma-Focused CBT, and Written Exposure Therapy. In addition to his private practice work, Brian serves as Managing Partner at Upstate Center for Addiction Treatment, LLC, providing oversight of clinical and operational functions for addiction treatment programs. Previously, he worked as Outpatient Utilization Manager at Cenpatico Behavioral Health, where he reviewed outpatient treatment requests, led staff across South Carolina and Georgia markets, and conducted audits and medical rounds. Brian holds licensure as a Licensed Professional Counselor in South Carolina and Texas, a Licensed Professional Counselor Supervisor and Licensed Addiction Counselor in South Carolina, and a Licensed Mental Health Counselor in Florida and North Carolina. He earned his MA in Counseling from Webster University in St. Louis, Missouri, and his BS in Psychology/Political Science from Charleston Southern University in Charleston, South Carolina.

I hold a Master of Social Work degree from Winthrop University and have been providing therapy since 2018. I am licensed in multiple states and work with children, families, couples, and individuals. I treat concerns including anxiety, depression, stress, school-related challenges, and self-esteem difficulties. My approach is collaborative and empowering, emphasizing shared goal-setting and ongoing progress assessment so clients remain active participants in their care. When working with children, I involve the family system, recognizing the impact of relational and environmental factors on functioning. For clients who desire it, I am also comfortable incorporating faith and spiritual concerns into treatment in a respectful and client-centered way.

Dr. Bowes is the clinician people turn to when they need real clarity and answers. With experience treating teens and adults facing anxiety, depression, OCD, trauma, phobias, and sleep issues, she uses CBT, exposure, DBT, and mindfulness-based strategies. Her passion for assessment helps clients understand what’s beneath their symptoms and get the right support, accommodations, and next steps.