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Luciana Smalls

Profile / United States

Luciana Smalls, LPC

South Carolina

Licensed Professional Counselor - Anxiety and Relationships

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  • Cognitive Behavioral Therapy
  • DBT skills
  • Mindfulness techniques

About Luciana

Luciana Smalls is a Licensed Professional Counselor (LPC) in South Carolina with nine years of clinical experience. She works with people who are facing anxiety, depression, relationship and parenting challenges, addiction concerns, ADHD, grief, trauma, and other life changes. Sessions also address self-esteem, anger, intimacy issues, career stress, and compassion fatigue.

She uses practical strategies drawn from Cognitive Behavioral Therapy and client-centered work to help people notice unhelpful thoughts and try different responses. She also draws on Dialectical Behavior Therapy skills, Imago relationship ideas, and mindfulness to broaden coping options. Conversations focus on specific problems and on small steps that can change daily habits.

Her background includes long experience in human services and direct clinical work with people involved in adoption and foster care, blended family issues, and caregiver stress. She has supported clients through hospice and end-of-life concerns, divorce and separation, family of origin problems, and challenges around commitment and communication.

In sessions she helps people build skills for impulse control, managing guilt and shame, and addressing body image or identity-related stress. Work can include coaching-style goal setting, motivational interviewing techniques, and narrative approaches to reframe difficult experiences.

Luciana conducts therapy in English and practices in South Carolina as an LPC. Before booking, confirm the current session formats offered and any scheduling details through the matching process on the site.

How her approaches translate to online work

Luciana uses Cognitive Behavioral Therapy to break down problems into thoughts, feelings, and actions, then practices alternative responses. CBT is useful for anxiety, depression, stress, and habits that interfere with daily life. She also uses client-centered methods that focus on the person’s goals and perspective, helping people set and refine those goals as sessions progress. Dialectical Behavior Therapy skills are employed when stronger emotion regulation, distress tolerance, and interpersonal effectiveness tools are needed.

Finding the right mix of approaches happens together. She will discuss which methods fit the issue, the person’s preferences, and what feels manageable. That collaborative decision guides the session structure and homework between meetings.

Confirm the current session options before booking, since formats are not listed here. Online work can make it easier to fit therapy into a busy routine and may reduce time spent traveling. Some formats also let people choose shorter check-ins when schedules are tight or use audio-only sessions when video would be difficult. Ask about format options and scheduling in the matching questionnaire so sessions match practical needs and daily life.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsParenting issuesSelf esteem

Also works with

AddictionsLGBTTrauma and abuseGriefIntimacy-related issuesAnger managementCareer difficultiesDepressionCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Adoption and foster careBlended family issuesBody imageCaregiver issues and stressCommitment issuesCommunication problemsDivorce and separationFamily of origin issuesFamily problemsFatherhood issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityIntellectual disabilityIsolation / lonelinessLife purposeMidlife crisisMulticultural concernsPostpartum depressionSeasonal Affective Disorder (SAD)Self-loveWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Imago Relationship TherapyMindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

9+ years

Listed in

South Carolina

Languages

English

Frequently asked questions

What concerns does she commonly address?

She works with stress, anxiety, depression, addiction, relationship and parenting challenges, grief, trauma, ADHD, and related life changes.

How does she use Cognitive Behavioral Therapy?

She uses CBT to help people identify unhelpful thoughts and test different ways of responding. Sessions focus on practical exercises and small behavior changes.

What is her clinical background?

She has nine years of clinical experience as a Licensed Professional Counselor and over 20 years in the human services field.

Where is she licensed to practice?

She is a Licensed Professional Counselor (LPC) practicing in South Carolina.

Which languages are supported?

Sessions are offered in English.

Can people from other countries work with her?

She does not accept international clients at this time.

How are session costs handled?

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

What are the steps to begin?

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Luciana Smalls

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