Katie Smith , LCMHC

An important note before getting started: Katie Smith is currently living overseas and is offering messaging ONLY services to new clients due to the time difference.

Katie Smith is a Licensed Clinical Mental Health Counselor (LCMHC) practicing with a focus on helping adults, teens, and families work through stress, anxiety, trauma and abuse, low self-esteem, depression, and complex relationship issues. With five years of professional experience, she has worked in both individual and group settings and has supported survivors of trauma, domestic violence, and sexual assault, as well as military spouses and people managing mood and personality disorders. She has specific experience with borderline personality disorder and has extensive training in Dialectical Behavior Therapy (DBT) to support people facing chronic suicidal thoughts and turbulent interpersonal relationships.

Her approach blends person-centered care with cognitive behavioral methods - meaning she respects each person’s unique perspective while working collaboratively to identify and shift unhelpful thoughts and behaviors. Katie aims to empower clients to clarify their goals and develop practical skills for coping with life changes, grief, parenting challenges, career stress, and intimacy-related concerns. She emphasizes a strong therapeutic relationship, unconditional positive regard, and practical strategies to help clients move toward the life they want.

Katie provides services in English and practices from North Carolina as an LCMHC, which denotes licensure to provide clinical mental health counseling in that state.

Combining evidence-based approaches with online convenience

Dialectical Behavior Therapy (DBT) focuses on building skills for emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It is often used to help people who experience intense emotions, unstable relationships, or chronic suicidal thoughts by teaching concrete tools to navigate difficult moments.

Cognitive Behavioral Therapy (CBT) helps people identify and reframe unhelpful thought patterns and behaviors. It is a practical, goal-oriented approach that can reduce symptoms of anxiety and depression and improve daily functioning by teaching strategies to test and change negative assumptions.

Mindfulness Therapy encourages present-moment awareness and nonjudgmental acceptance of thoughts and feelings. It supports stress management and helps clients develop a calmer relationship with internal experiences.

Finding the right approach is part of the therapeutic process, and Katie will collaborate with each person to determine which methods best match their needs, goals, and preferences. She works together with clients to tailor interventions and adjust the plan over time.

Online therapy offers flexible options such as video calls, phone sessions, live chat, and text-based messaging, allowing clients to access care around work and family schedules and from different locations. These formats make it easier to maintain continuity of care and to practice new skills between sessions with support from licensed professionals and therapists.