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Katie Smith

Katie Smith, LCMHC

North Carolina

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LCMHC counselor - family and relationship concerns

  • Stress and anxiety
  • Blended family issues
  • CBT and mindfulness

About Katie

Katie Smith is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina with five years of clinical experience. She works with adults on concerns such as stress, anxiety, depression, trauma and abuse, relationship problems, and issues that come up in family life including blended family issues.

Katie has supported people who have faced domestic violence, sexual assault, military-related stresses, and prolonged emotional distress. She also lists areas like grief, intimacy-related problems, parenting concerns, and mood or personality disorder symptoms among the topics she addresses.

Her way of working combines cognitive behavioral ideas with person-centered care. That means she helps clients notice thoughts and behavior patterns, and then tests small changes to see what helps. She treats each person as the expert on their own life and works alongside them to set goals and try practical steps.

Katie uses skills-based methods drawn from mindfulness and therapies that focus on building emotion regulation and interpersonal effectiveness. She also applies motivated conversation techniques and short-term, goal-focused strategies to help people make steady progress.

In conversations she aims to identify manageable steps for dealing with pain, shame, or relationship strain. That can look like learning boundaries, practicing communication skills, or taking small behavioral experiments to reduce anxiety. The emphasis is on clear, practical actions people can use between sessions.

To begin, prospective clients complete a brief matching questionnaire and schedule a first session. The counselor notes that new clients should confirm current session options before booking so they know what formats are available.

How Katie uses evidence-based methods online

CBT, or cognitive behavioral therapy, focuses on spotting unhelpful thought patterns and testing small behavior changes to reduce anxiety or depression. It often uses short exercises and homework to practice new responses between sessions.

Dialectical behavior therapy emphasizes learning skills for regulating intense emotions and improving relationships. That can be helpful for people coping with chronic stress, relationship conflict, or repeated emotional crises.

Mindfulness therapy teaches simple attention skills to help reduce reactivity and increase present-moment focus. Practicing brief mindfulness exercises can support stress management and improve tolerance for uncomfortable feelings.

Finding the best approach is part of the work. The therapist will collaborate with the client to pick methods that fit their goals and daily life. That means trying things, reviewing what helps, and adjusting plans together.

Session formats are not listed in the base profile, so confirm which options are offered before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when time is limited, and reduce travel time. The practical aim is to make regular work on goals easier to keep up with alongside everyday responsibilities.

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesCareer difficultiesBipolar disorderCompassion fatigue

Additional focus areas

Blended family issuesCodependencyCommitment issuesCommunication problemsControl issuesDomestic violenceEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameVeteran and Armed Forces IssuesMood disordersPersonality disordersPost-traumatic stressSexual assault and abuseSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

5+ years

Listed in

North Carolina

Languages

English

Frequently asked questions

What kinds of problems does she help with?

She works with adults on stress, anxiety, depression, trauma and abuse, relationship and family concerns, and blended family issues among other topics.

What is her therapy style like?

Her approach blends cognitive behavioral ideas with person-centered listening and practical skill work such as mindfulness and emotion regulation.

How much experience does she have?

She has five years of clinical experience as a Licensed Clinical Mental Health Counselor.

Where is she licensed and practicing?

She holds an NC LCMHC credential and lists North Carolina as her location.

Which languages are supported and can she see international clients?

Sessions are offered in English and she is not accepting international clients at this time.

What formats are used for sessions?

Session formats are not specified in the basic profile; prospective clients should confirm current session options before booking.

How does pricing work?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

How do I start a first appointment?

Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.

Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.

Katie SmithLCMHC

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