Profile / United States
Paige Smart, LPC, LMHC
Missouri
LPC and LMHC - Mood and trauma concerns
See online therapy options- Anxiety and depression
- CBT and DBT techniques
- Trauma-informed work
About Paige
Paige Smart is a Licensed Professional Counselor (LPC) in Missouri and a Licensed Mental Health Counselor (LMHC) in Washington with six years of clinical experience. She helps people who are dealing with anxiety, depression, mood swings, trauma, relationship and family difficulties, and stress related to life changes. She also works with concerns such as addiction, grief, anger, self-esteem, and issues related to intimacy and LGBT matters.
Paige begins by asking clear questions about history and current struggles. She looks at biological, psychological, and social factors that shape how someone copes. That information guides practical, goal-focused work together. Sessions emphasize skills people can use between meetings to change unhelpful patterns.
Her practice draws on Cognitive Behavioral Therapy to notice and change thinking and behavior patterns. She also uses elements of Dialectical Behavior Therapy for emotion regulation and distress tolerance. For clients with traumatic experiences, she offers approaches that aim to reduce the impact of those memories on daily life.
Paige describes the therapeutic relationship as a partnership. She asks what matters most to each person and sets clear targets to measure progress. Work often includes brief experiments, skill practice, and problem-solving around everyday obstacles.
She has experience supporting people with complex or overlapping concerns, such as mood disorders combined with relationship strain or substance use. Sessions are conducted in English and reflect six years of working with a range of presentations and histories.
How CBT and skill-based work translate to online sessions
Paige commonly uses Cognitive Behavioral Therapy to help people notice thinking and behavior patterns and try different responses. CBT sessions focus on specific goals, homework or experiments between meetings, and practical strategies for mood and anxiety concerns. She also draws on Dialectical Behavior Therapy skills for emotion regulation and distress tolerance, which teach concrete coping techniques for intense feelings.Finding the right approach is part of the work. Paige will discuss options and decide together which methods fit a person’s goals and preferences. That collaborative planning can include adapting CBT exercises or DBT skills for the client’s daily life and checking what works over a few sessions.
Session formats are not specified in the profile, so confirm available online options before booking. Online work can help fit therapy into a busy week, make it easier to keep brief check-ins, and remove travel time that would otherwise need to be scheduled. Therapists use practical adjustments online too, such as shorter focused sessions when time is limited or screen-free exercises when needed. These choices help make sessions usable around work, caregiving, and other responsibilities.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
Washington, Missouri
Languages
English
Frequently asked questions
What kinds of problems does she usually help with?
She works with stress, anxiety, depression, bipolar symptoms, trauma and abuse, addictions, relationship and family challenges, grief, anger, self-esteem, and related concerns listed on her profile.
How does she use Cognitive Behavioral Therapy?
She uses CBT to identify unhelpful thoughts and behaviors and to try new ways of responding. Sessions often include small experiments and practice between meetings.
What is her background and experience level?
She has six years of clinical experience working with a range of presentations, including mood disorders, trauma, and relationship issues.
Which credentials and region apply to her practice?
She holds LPC in Missouri and LMHC in Washington and lists Missouri as a practice location.
Can I work with her if I live outside the US?
Sessions are offered in English and she does not accept international clients at this time.
What session formats are offered?
Confirm current session options before booking, as the profile does not specify which formats are used.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What do I do to begin working with her?
Select the See online therapy options button, complete a 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.