Lydia Frazier, LISW - Therapist in Iowa

CBT methods
Acceptance based tools
Attachment work

About Lydia

Lydia Frazier is an Iowa-licensed independent social worker (LISW) with 25 years of experience. She focuses on stress, anxiety, depression, trauma and abuse, and related concerns such as self-esteem and relationship difficulties. Lydia regularly works with issues connected to ADHD, grief, addictions, and intimacy-related problems.

She uses straightforward, practical methods in sessions. Lydia draws on approaches such as cognitive behavioral techniques and acceptance-based strategies to help people notice unhelpful patterns and test new behaviors. She also integrates attachment-focused work to look at how past relationships shape current reactions.

In conversations she looks at daily routines and life circumstances that affect mood. Topics like sleep, diet, movement, and family of origin are considered as part of understanding what keeps problems going. That gives concrete things to try between sessions.

Lydia describes her approach as eclectic and strength-focused. She borrows tools from several models and adapts them to each person’s concerns. She emphasizes creating clear goals and steps for moving forward rather than relying on jargon.

People who come to her can expect practical plans and skill-building alongside deeper work on attachment and trauma where needed. Her background includes long-term clinical practice with adolescents and young adults, and she brings that experience to many presenting issues.

How Lydia integrates approaches in online sessions

Acceptance and Commitment Therapy (ACT) encourages noticing difficult thoughts and feelings without fighting them and choosing actions that match personal values. It can help when anxiety or avoidance limits everyday life. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors to reduce distress and improve functioning. That often suits anxiety, mood, and many stress-related problems. Attachment-Based Therapy looks at how early relationships affect current patterns and communication, and can be useful for intimacy concerns and relationship patterns.

Lydia treats finding the right method as a collaborative process. She works with each person to pick which approaches fit their needs and goals, and she adjusts plans as progress and preferences become clear. The focus is on practical steps and on building skills that feel useful in daily life.

Confirm the current online session options before booking, since formats were not specified in the biography. Online work can make it easier to fit appointments around school, work, or caregiving. It can also allow shorter check-ins when a quick, focused session is more helpful, or reduce travel time so therapy fits a busy week. Licensed professionals can combine skill practice, homework, and conversation so therapeutic work continues between visits.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuse Self esteem Depression

Also works with

Addictions LGBTFamily conflictsGrief Intimacy-related issuesParenting issuesAnger managementCareer difficultiesCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issues Communication problems Control issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgiveness Guilt and shameHoardingImpulsivity Infidelity Isolation / loneliness Jealousy Life purposeMidlife crisisMoney and financial issues Mood disorders Obsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationWomen's issues Workplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Listed in

Iowa

Languages

English

Frequently asked questions

What kinds of concerns does she work with?

She works with stress, anxiety, depression, trauma and abuse, and related areas like self-esteem, grief, addictions, ADHD, and relationship difficulties.

What is her general therapeutic style?

She describes an eclectic, strength-focused approach that mixes practical skill work and deeper attachment or trauma work as needed.

How much clinical experience does she have?

She has 25 years of experience as a clinician working with a range of concerns and age groups, including adolescents and young adults.

What credential does she hold and where is she based?

She is an Iowa LISW and practices in Iowa.

Which languages are supported?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How are sessions paid for?

Cost varies by location and sessions use a subscription model that can be canceled at any time.

How do I begin and schedule a first appointment?

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.