Paige Smart , LPC, LMHC

Paige Smart is a Licensed Mental Health Counselor in Washington and a Licensed Professional Counselor in Missouri. With five years of clinical experience, she has worked with people from diverse backgrounds who are facing a range of challenges, including depression, anxiety, psychosis, mood swings and bipolar symptoms, relationship and family difficulties, personality concerns, communication problems, grief and loss, and trauma.

She has particular experience supporting clients who have survived traumatic events, helping them reduce the ways those experiences interfere with everyday life. Her therapeutic stance is warm and accepting, intended to create a welcoming, nonjudgmental setting where clients can build trust and work collaboratively toward their goals. Paige emphasizes partnership in care, inviting clients to participate in shaping the direction and pace of treatment.

When beginning work together, she uses a biopsychosocial framework to understand how biological, psychological, and social factors have contributed to a client’s current concerns. From that foundation she draws on a range of evidence-informed interventions, including trauma-informed cognitive behavioral techniques, elements of dialectical behavior therapy, solution-focused strategies, strengths-based approaches, motivational interviewing, and mindfulness practices. Her aim is to help clients develop practical skills and a clear plan for progress so they can move toward greater wellbeing and the life they want.

Approaches and Support Available Through Online Therapy

Paige integrates Cognitive Behavioral Therapy (CBT) to help clients identify and change thought and behavior patterns that contribute to distress. CBT is practical and skills-focused, often used for anxiety, depression, and mood symptoms. She also draws on Dialectical Behavior Therapy (DBT) techniques, which teach coping skills for emotional regulation, distress tolerance, and interpersonal effectiveness - useful for intense emotions, relationship struggles, and impulsivity. For clients whose challenges stem from traumatic experiences, she is informed by EMDR principles and trauma-focused CBT strategies that aim to reduce the ongoing impact of traumatic memories and improve daily functioning.

Finding the right approach is part of the therapeutic process. Paige works collaboratively with each person to explore which methods fit their needs, goals, and preferences, adjusting techniques over time as progress is made and priorities shift.

Online therapy with Paige is offered via video calls, phone sessions, live chat, or text-based messaging to provide flexible access to care. These options make it easier to fit sessions into a busy schedule, maintain continuity when travel or life changes occur, and choose the communication style that feels most comfortable while working with licensed professionals and therapists.