Laura Small , LMHC

Laura Small is a licensed outpatient therapist in Massachusetts with over 10 years of clinical experience. As an LMHC (Licensed Mental Health Counselor), she uses evidence-based methods to help people navigate stress, anxiety, grief, low self-esteem, depression, and major life changes. Her work also addresses a wide range of related concerns including abandonment, adoption and foster care issues, attachment difficulties, autism and Asperger Syndrome, avoidant personality tendencies, blended family dynamics, body image, cancer-related challenges, caregiver stress, chronic illness and pain, codependency, commitment and communication problems, and other co-morbid conditions.

Her style is warm and interactive, rooted in respect, sensitivity, and compassion rather than stigmatizing labels. She integrates cognitive-behavioral, humanistic, psychodynamic, and rational-emotive approaches and adapts conversations and treatment plans to meet each person’s specific needs. She has supported many people who have experienced trauma and emotional abuse as well as clients coping with OCD, ADHD, parenting struggles, relationship challenges, and career concerns.

Seeking change often requires courage, and Laura focuses on empowering people to explore their goals, develop coping skills, and pursue a more satisfying daily life. Her work is individualized and collaborative, with attention to practical strategies that fit each client’s circumstances.

Evidence-Based Approaches for Online Care

Laura Small commonly uses cognitive-behavioral techniques, which focus on identifying and changing unhelpful thinking and behavior patterns to reduce symptoms and build practical coping skills. This approach can be useful for anxiety, depression, stress, and many everyday challenges.

She also draws on humanistic methods that emphasize empathy, respect, and the client’s own strengths, helping people explore values, increase self-understanding, and improve relationships. Additionally, psychodynamic ideas may be used to examine longer-standing patterns and how past experiences influence present difficulties, which can be helpful for attachment, relationship, and identity concerns.

Finding the right approach is part of the therapeutic process. Laura works collaboratively with each person to identify which techniques and goals feel like the best fit based on needs, values, and preferences, and she adjusts the plan as work progresses.

Online therapy offers flexibility in how sessions are scheduled and delivered. Video calls, phone sessions, live chat, and text-based messaging allow clients to connect with licensed professionals from home or other locations, making it easier to balance care with work, family, and daily life while maintaining continuity of support.