Paige Smart , LPC, LMHC

Paige Smart is a licensed mental health professional who blends warmth, acceptance, and clinical skill to support people facing a wide range of life challenges. With 6 years of experience, she holds licensure as a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) - designations that reflect formal training and state-level approval to provide therapeutic services. Based in Missouri and also licensed in Washington, she has worked with individuals experiencing depression, anxiety, psychosis, bipolar symptoms, relationship and family difficulties, personality disorder presentations, communication struggles, grief and loss, and trauma among other concerns.

Paige approaches treatment from a collaborative stance, creating a nonjudgmental space where clients and therapist work together to identify goals and practical steps forward. She uses a biopsychosocial framework to understand how biological, psychological, and social factors interact in each person’s life, then draws on a range of evidence-informed techniques to address current struggles. Her toolkit includes Trauma-Informed Cognitive Behavioral Therapy, techniques from Dialectical Behavior Therapy, Solution-Focused methods, Strengths-Based strategies, Motivational Interviewing, and Mindfulness Therapy.

Throughout the therapeutic process Paige partners with clients to develop individualized plans aimed at improving daily functioning, emotional regulation, and overall well-being. Her focus is on helping people build coping skills, reduce the impact of traumatic experiences, and move toward the healthier, more satisfying life they want to create.

Therapeutic approaches and online care with Paige Smart

Paige Smart commonly integrates Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) into her online practice. Client-Centered Therapy focuses on building a trusting, empathetic relationship so the client feels heard and supported while exploring personal goals and values. CBT offers practical, structured strategies to identify and change unhelpful thoughts and behaviors, which can be useful for depression, anxiety, and mood symptoms. DBT provides tools for emotion regulation, distress tolerance, and interpersonal effectiveness, making it helpful for intense emotions, impulsivity, and relationship challenges.

Choosing the right approach is part of the therapeutic work. Paige partners with each person to assess needs, preferences, and goals, and then tailors interventions collaboratively so the plan fits the individual’s circumstances and values. This collaborative process helps determine which methods will be most helpful over time.

Online therapy with Paige is offered through video calls, phone sessions, live chat, or text-based messaging, giving clients flexibility to engage in ways that suit their schedules and comfort levels. These options make it easier to access consistent care from licensed professionals and therapists even when in-person visits are difficult, helping clients maintain momentum toward their goals.