Stuck.
Anxious.
In the middle of something hard?
This is what therapy is for.
Therapy for anxiety, men, couples and relationships in Frisco, TX, Colorado —and online across both states.
Therapy with Rhett
What Brings You In
Most people who find their way to therapy have been thinking about it for a while. Something has felt off in themselves, in a relationship, in the direction their life is heading. And somewhere along the way it became hard to ignore.
That's usually what brings people here. Not a crisis necessarily. Just the quiet sense that something needs to change.
At the heart of it, most people want the same thing. We want to feel loved and safe. We want to have someone bear witness to what we are carrying. And over time, to learn to steward our pain rather than be ruled by it. That's what good therapy makes possible.
My Approach
I hold graduate degrees in both divinity and marriage and family therapy, and I've spent years reading and writing at the intersection of philosophy, psychology, and theology. I practice as a therapist who draws from the best of all three traditions to understand what it means to be human and how people actually heal. My faith background informs my work, but I work with people of all backgrounds and beliefs. What matters is that you're ready to do the work.
Getting Started
Many new clients come through a direct referral and we get started without any prior conversation. If you'd prefer to talk briefly before scheduling, I offer a free 15-minute consultation. Reach out and we'll set that up.
Before your first session you'll complete a short intake form so I arrive with some context about your situation. In that first session my goal is to make sure I understand what's bringing you in, what you're hoping for, and what you need. I'll ask questions, but I also want you to feel free to share anything I'm not asking about.
The first session is as much about you getting a sense of me as it is about me getting a sense of you. What's it like to be in the room with me? How do I work? Does this feel like a place you could do real work?
Before you leave that first session you won't wonder what happens next. I'll follow up with next steps and usually some homework to get the process going, because insight without practice is just information, and I want you leaving with something concrete to work with.
Most clients know within the first session whether we're a good fit. I'll give you my honest read on what I think would help and what I'd recommend we do next.
Sessions are 55 minutes. I see clients in person in Frisco, TX — near Plano, McKinney, Prosper, The Colony, and Little Elm — and online via telehealth anywhere in Texas or Colorado.
“Be patient toward all that is unsolved in your heart and try to love the questions themselves...Live the questions now.
Perhaps you will then gradually, without noticing it, live along some distant day into the answer.” — RAINER MARIA RILKE
My Areas of Expertise
Anxiety
Anxiety isn't just worry. It's the tight chest, the racing thoughts, the rumination that loops endlessly. But here's something most people don't realize about anxiety. Anxiety isn't actually a feeling. It's a coping behavior. A response to deeper, underlying feelings that haven't yet been heard or addressed.
That's why just managing anxiety rarely works. You can chase the symptom forever without ever getting to what's driving it. Real healing requires going to the root and understanding what's underneath the anxiety, bringing truth and insight into that place, and then building an intentional practice of new responses.
Part of that work is learning to befriend your anxiety rather than fight it. To create space to encounter it and ask — is this anxiety here to harm me, or to help me? That discernment changes everything. Because anxiety, approached the right way, isn't your enemy. It's an invitation to reframe your anxiety as an opportunity to grow — which I begin to work out in my first book, The Anxious Christian.
Couples and Relationships
Most couples think they're fighting about the issue. They're not. It's the underlying pattern that keeps them stuck. The same cycle, playing out over and over. The arguments change but the dynamic stays the same.
In one of our first sessions I'll often get up and draw something on the board. Two simple concepts — love and trust. Love is about identity: being known, wanted, valued, and belonging. Trust is about safety: openness, vulnerability, predictability, and fairness. None of us experience those things perfectly growing up. And those violations — to our identity and our sense of safety — create feelings and coping behaviors that become our patterns.
Here's the shift that changes everything for most couples: that pattern didn't start with your partner. It existed long before you met them. Your partner didn't create the cycle, rather they just became the person you do it with. When couples understand that, something opens up. Instead of blaming each other, they start taking responsibility for how they're each showing up.
The other thing I work hard on with couples is emotional self-regulation and self-differentiation. Self-differentiation is essentially the question: what does it mean to be me in this relationship? Where do I end and you begin? That clarity of knowing yourself as a distinct person within the relationship is not distance or coldness. It's actually the foundation of real intimacy. You can't truly show up for someone else if you don't know who you are apart from them. And you are not responsible for managing your partner's emotions, and they are not responsible for managing yours. It's only when each person is free from that burden that they can actually choose each other. Real intimacy requires that freedom.
I work with couples to identify their patterns, understand what's driving them, and build a genuinely different way of being together — not just better communication skills, but a fundamentally different relationship with themselves and each other.
And if your partner won't come to therapy, you don't have to wait. Individual relationship therapy is for people who want to understand their own patterns and show up differently, whether their partner ever joins them or not. That work is deep and often transformative even when only one person is in the room.
Therapy for Men
Here's something I've learned after years of working with men: most of them are ready to talk. They just needed someone to finally create the space for it.
Men are often told directly or indirectly, that opening up is weakness. So we find other ways to cope. We stuff our feelings, numb out, or pour everything into achieving and performing. Performative masculinity pulls us away from authentic relationship with ourselves and with the people we love. It works, until it doesn't.
One of the most powerful things that happens in a first session with a man is simple. I help him put language to what he's feeling and how he copes with those feelings. Most men have never had that language. And when they find it, something shifts. They feel understood, often for the first time. And they go home with something real to work with.
We also live in a confusing moment for men. Most were raised in a culture that defined them by their ability to provide. But the expectations have changed — be more emotionally present, more engaged at home, more vulnerable in relationships. Men are trying to sort out what it means to be a man in a world that keeps redefining the answer. That's real, important work. And it's work I take seriously.
I go deep with men to help them find the roots of their patterns and pain. But I also give them empowering, practical tools to take action and build something different. Because insight without practice is just information.
This work is close to my heart — close enough that I wrote a book about it. What It Means to Be a Man explores these questions in depth. It might be a good place to start.
FAQ’s
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Individual therapy sessions are $225 for 55 minutes.
Couple and family sessions are $265 for 55 minutes.
90 minute sessions are often recommended for couples at the beginning of the therapy process ($397.50)
Full payment is due at each session.
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I am an out-of-network provider and do not accept insurance directly. However, I can provide a superbill after each session that you can submit to your insurance carrier for potential reimbursement. Many PPO plans offer out-of-network benefits that cover therapy in full or in part.
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My primary framework is Restoration Therapy, founded by Dr. Terry Hargrave — a model rooted in Contextual and Intergenerational Family Therapy that focuses on love, trust, emotional regulation, and healing the patterns that keep people stuck. It's the lens through which I approach all my therapeutic work.
As a Licensed Marriage and Family Therapist, I'm also deeply grounded in systems theory. I draw from other models where helpful — existential therapy, narrative therapy, CBT — and use tools like EMDR and psychodrama when appropriate.
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Therapy focuses on deeper exploration of underlying patterns, emotional history, and past experiences — working toward healing and restoration. Coaching focuses on present challenges and forward movement. My approach brings the best of both together — the depth to understand what's actually driving your patterns, and the practical tools to build something different.
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Yes. I offer tele-health therapy for clients located in Texas and Colorado, where I am licensed.
Coaching is available online to clients anywhere in the world.
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That's okay — let's go where the energy and initiative is. One person working on themselves can change a relationship and can change an entire system they inhabit. I often tell clients: any individual therapy is marriage therapy. The degree to which you work on yourself, you change your relationships.
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It depends on what you're working on. Some people come in a handful of times and get exactly what they need. Others work through something significant over six months to a year. Generally I encourage people to commit to a few months — somewhere in the range of 6 to 12 sessions. But if you're not sure, we can take it a session at a time.
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I work with individuals, couples, and families.
My minimum age is 16.
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5300 Town and Country Blvd, Suite 240 (Therapy Space), Frisco, TX 75034 — in southwest Frisco near the corner of Legacy Drive and Highway 121, right next door to the Westin Dallas Stonebriar Golf Resort & Spa.
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Book directly at rhettsmith.clientsecure.me, email me at rhett@rhettsmith.com, or call/text (469) 304-9022. I'll follow up within one business day to help you schedule or set up a brief consultation.
Ready to take the first step?
Reaching out is often the hardest part. If you're ready to start or just want to explore whether this might be a good fit, I'd love to hear from you.
Book directly at rhettsmith.clientsecure.me, email me at rhett@rhettsmith.com, or call/text me at (469) 304-9022. I'll follow up within one business day.