Katie Smith , LCMHC

Katie Smith is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with five years of clinical experience. She has worked with adults, teens, and families in both individual and group settings, offering support to survivors of trauma, domestic violence, and sexual assault, as well as military spouses and people managing anxiety, depression, and borderline personality disorder. Her background includes intensive training in Dialectical Behavior Therapy (DBT), and she has substantial experience supporting individuals who struggle with chronic suicidal thoughts and unstable interpersonal relationships.

Katie’s approach blends person-centered respect for each individual with cognitive behavioral strategies that target unhelpful thought and behavior patterns. She emphasizes collaboration, viewing clients as experts on their own lives while working together to clarify goals and develop practical skills. Her work often focuses on building tools for stress management, improving communication in relationships, navigating life transitions, and addressing issues related to self-esteem and trauma recovery.

In sessions she aims to foster a strong therapeutic relationship grounded in unconditional positive regard, helping clients identify actionable steps that move them toward their goals. Katie holds an LCMHC credential - a Licensed Clinical Mental Health Counselor in North Carolina - and is not accepting clients at this time.

Integrating Therapeutic Approaches into Online Care

Katie Smith commonly uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy alongside mindfulness-based techniques to guide online work. Cognitive Behavioral Therapy (CBT) helps people identify and reframe unhelpful thoughts and develop practical behavior changes that reduce symptoms of anxiety and depression. Dialectical Behavior Therapy (DBT) focuses on emotional regulation, interpersonal effectiveness, and distress tolerance - useful for those managing intense emotions or unstable relationships. Mindfulness therapy teaches simple attention and acceptance practices to reduce reactivity and increase present-moment awareness, which supports stress management and relapse prevention.

Finding the right approach is part of the collaborative process. Katie works with each person to understand their needs, goals, and preferences, and adjusts methods so therapy fits the individual rather than forcing a one-size-fits-all model. This collaborative stance helps shape a plan that feels manageable and relevant.

Online therapy through video calls, phone sessions, live chat, or text-based messaging offers flexibility for scheduling and lets people access consistent care from varied locations. These options can make it easier to maintain continuity of treatment, fit sessions into busy lives, and use different communication styles to match personal comfort and therapeutic goals.