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- CBT
- DBT skills
- Mindfulness
About Katie
LCMHC (Licensed Clinical Mental Health Counselor) in North Carolina with five years of experience, Katie Smith helps adults navigate stress, anxiety, trauma, and mood concerns. She works with issues that include depression, relationship and family problems, grief, parenting challenges, career questions, and concerns related to LGBT identity. Katie also focuses on compassion fatigue, bipolar and other mood disorders, and post-traumatic stress.
Katie offers direct, practical support. She uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy alongside mindfulness, motivational interviewing, and solution-focused techniques. Sessions involve talking through current problems, identifying unhelpful thinking and behavior patterns, and building specific skills for coping and communication. She encourages clients to set clear goals and track small changes between meetings.
Her background includes work with survivors of trauma, domestic violence, and sexual assault, and experience supporting military spouses. She has provided individual and group work in clinical settings and community programs. These experiences inform a focus on safety, stability, and practical problem solving.
Katie emphasizes collaboration. She asks questions, suggests experiments to try between sessions, and reviews what helps. She draws on DBT skills when emotion regulation and relationship patterns are central concerns, and uses CBT tools for shifting thoughts and behaviors that contribute to anxiety and depression.
Practical matters are discussed up front. Katie uses a subscription-based payment model that can be canceled at any time. Prospective clients complete a short matching questionnaire to schedule a first session and confirm current messaging or session options before booking.
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How her approaches are used in online sessions
CBT helps people notice and test the thoughts that keep anxiety and low mood active. In online work this often means tracking situations, recording thoughts, and trying behavioral experiments between sessions to see what changes.DBT focuses on emotion regulation, distress tolerance, and improving communication. A therapist uses DBT skills coaching to practice grounding techniques, plan for intense moments, and role-play conversations that have been difficult in the past.
Finding the right approach is part of the work. Katie will collaborate with each person to choose methods based on current needs, goals, and preferences. She reviews what’s working and adjusts plans so sessions stay focused and practical.
The biography notes messaging-only services for new clients while she is overseas, so confirm current session options before booking. If other formats are later offered those would be discussed during the matching process. Online work can make it easier to fit therapy into busy days, allow shorter check-ins when needed, and let people try skill practice between messages or sessions without travel.
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Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
North Carolina
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, trauma and abuse, depression, self-esteem, grief, relationship and intimacy-related issues, parenting and career concerns, and compassion fatigue among other topics.
What approaches and style does she use in sessions?
She uses Cognitive Behavioral Therapy, Dialectical Behavior Therapy, mindfulness, motivational interviewing, and solution-focused techniques. Sessions focus on setting goals, practicing skills, and testing small changes between meetings.
How much clinical experience does she have?
She has five years of professional experience working in individual and group settings with adults and teens, including work with trauma survivors and military-connected clients.
What are her credentials and where is she based?
She is an LCMHC - Licensed Clinical Mental Health Counselor - licensed in North Carolina and practices under that credential.
Which languages are supported and are international clients accepted?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
The biography indicates messaging-only services for new clients while she is living overseas; confirm current session formats before booking in case options change.
How are fees handled?
Session cost varies by location and the service uses a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session once matched.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.