Lydia Frazier, LISW
Support for anxiety and life change
Details
| Name | Lydia Frazier |
|---|---|
| Credentials | LISW |
| Based in | Iowa |
| Licensed in | Iowa |
| Session format | Online |
| Languages | English |
| Years in practice | 25 |
About Lydia
Lydia Frazier, LISW, focuses on helping people who feel overwhelmed by anxiety, depression, stress, or the fallout from past trauma. She speaks plainly and listens closely to understand what each person is dealing with now. Lydia emphasizes practical steps so people can notice relief and move toward the life they want.
She uses a strengths-based, individual approach that centers the person's story. That means she pays attention to how relationships, sleep, diet, and daily routines affect mood and behavior.
Background and approach
Sessions aim to build small, doable changes rather than quick fixes. Lydia draws from Narrative Therapy to help people reframe their life stories and find new meanings. She also uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy techniques to address unhelpful thoughts and to support values-driven action.
Attachment-based and client-centered ideas guide how she forms a working relationship with each person. With 25 years of experience and an Iowa LISW credential, Lydia combines practical problem solving with a respectful, listening stance. She helps people name patterns, try new strategies, and notice what changes.
The work is collaborative and paced to each person's needs. People who come to Lydia often want clear steps and a therapist who hears their whole situation. She offers conversation, skills practice, and planning that aim to reduce symptoms and increase meaningful connection to daily life.
What this therapist works with
Her listing names Stress, Anxiety, Relationship issues, Trauma and abuse among the things Lydia works with, alongside the areas below.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Self esteem
- Depression
- Addictions
- LGBT
- Family conflicts
- Grief
- Intimacy-related issues
- Parenting issues
- Anger management
- Career difficulties
- Coping with life changes
- Compassion fatigue
- ADHD
- Abandonment
- Adoption and foster care
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Acceptance and Commitment Therapy (ACT): Listed by Lydia among the ways she works.
- Attachment-Based Therapy: Listed by Lydia among the ways she works.
- Client-Centered Therapy: Listed by Lydia among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Lydia among the ways she works.
- Dialectical Behavior Therapy (DBT): Listed by Lydia among the ways she works.
- Emotionally-Focused Therapy (EFT): Listed by Lydia among the ways she works.
- Mindfulness Therapy: Listed by Lydia among the ways she works.
- Motivational Interviewing: Listed by Lydia among the ways she works.
- Psychodynamic Therapy: Listed by Lydia among the ways she works.
- Solution-Focused Therapy: Listed by Lydia among the ways she works.
- Trauma-Focused Therapy: Listed by Lydia among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Lydia directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Lydia directly how she uses it and what a session usually looks like.
Online session options
How narrative and skills work online
People can use Narrative Therapy to tell and reframe their life story, separating a problem from the person. This helps with identity questions, trauma meaning, and relationship patterns. Acceptance and Commitment Therapy (ACT) encourages noticing thoughts and feelings without getting stuck, then choosing actions that match personal values; it is useful for anxiety, depression, and life transitions. Attachment-Based Therapy looks at how early bonds shape current relationships and helps people shift patterns in intimacy and trust.Choosing an approach is a joint process. Lydia will talk with each person about goals, preferences, and what has helped or not helped before. Together they try methods, check what fits, and adjust the plan so the work feels relevant and doable.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make therapy flexible. Video calls allow face-to-face conversation and shared exercises. Phone sessions can work when bandwidth is limited or a shorter check-in is needed. Chat and messaging let people keep a conversation going between appointments and fit support into busy days.
Common questions about this listing
What issues does Lydia commonly address?
She helps with stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, grief, addictions, self-esteem, ADHD, and parenting concerns.
What style of therapy can I expect in sessions?
Sessions are conversational and practical, blending Narrative Therapy with ACT, CBT, attachment work, and a client-centered stance to match your needs.
How long has she been practicing?
Lydia brings 25 years of clinical experience to her practice and has worked with a wide range of concerns over that time.
Where is Lydia licensed and practicing?
She holds an Iowa LISW credential and practices from within Iowa.
Which languages are supported for sessions?
Sessions are offered in English.
How are sessions conducted online?
She provides video calls, phone sessions, live chat, and text-based messaging to fit different schedules and communication preferences.
How does payment and cost work?
Cost varies with location and therapist arrangements; sessions use a subscription that can be canceled at any time.
What is the first step to begin therapy?
Use the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.
Contacting this therapist
Sessions with Lydia are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Lydia where she has space. Ask about fees, and whether she holds a licence or registration where you live.
Or see other therapists in Iowa »
This is a partner link. We will earn a commission if you sign up through it, at no cost to you. It does not change what you pay or the order of the listings.
Other listings in Iowa
- Christine Topping, LMFT - Iowa
- Bradley Chamberlain, LCSW, CSW - Iowa
- Matthew Manz, LMHC - Iowa
- Lacey Schmitt, LISW - Iowa
- All therapists for stress, anxiety »