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- Addictions support
- Mood and anxiety
- Caregiver stress
About Selma
LCMHC (Licensed Clinical Mental Health Counselor) in North Carolina with 11 years of clinical experience, Selma Smith focuses on addictions, mood concerns, stress and life transitions. She works with people who struggle with anxiety, depression and bipolar symptoms, as well as those facing parenting strain, sleeping problems, grief, and career-related stress. Sessions are conducted in English and the practice does not accept international clients at this time.
Selma commonly helps people manage substance and alcohol issues alongside problems like guilt, shame, and control struggles. She also supports those coping with trauma, domestic violence, dissociation, and the fallout of adoption or abandonment. First responder stresses and caregiver burnout are among the practical strains she addresses.
Her approach emphasizes evidence-based therapeutic techniques applied in straightforward conversation. That means focusing on steps people can try between sessions and adjusting the plan as progress or obstacles arise. Selma places attention on building motivation, increasing self-esteem, and developing concrete coping skills for stress and compassion fatigue.
She frames therapy as a collaborative process. Early sessions typically clarify immediate goals and identify small, achievable changes. Over time the work can expand into more depth around trauma, relationship patterns, or longer-term mood management depending on what the person wants.
Practical matters such as fees vary by location and use a subscription that can be canceled at any time. To begin, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
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How evidence-based techniques translate to online sessions
Selma works from evidence-based therapeutic techniques that focus on practical changes and coping skills. One common approach helps people learn concrete strategies for managing anxiety and depression, such as breaking problems into smaller tasks and practicing behavioral experiments to test new ways of responding. Another approach concentrates on relapse prevention and coping for addictions, including identifying triggers and building step-by-step plans to reduce harmful use.Choosing the best approach is collaborative. The therapist will review your goals and current struggles, try approaches that fit those needs, and adjust over time if something is not helping. That process is meant to be straightforward and goal-oriented rather than theoretical.
Session formats are not listed in the biography, so confirm current session options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when time is tight, and remove travel time from appointments. Therapists and licensed professionals often use these practical benefits to help people maintain regular sessions around family, work, and caregiving responsibilities.
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Areas of expertise
Also works with
Additional focus areas
Experience
11+ years
Listed in
North Carolina
Languages
English
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Frequently asked questions
What concerns does she address?
She works with addictions, anxiety, depression, bipolar disorder, trauma and related issues such as grief, sleeping problems, and parenting stress.
What is her therapeutic style?
She uses evidence-based therapeutic techniques and focuses on clear, practical steps people can try between sessions.
How much experience does she have?
She has 11 years of professional work experience in clinical settings.
What are her credentials and location?
She is an LCMHC licensed in North Carolina and practices under that credential.
Which languages are supported?
Sessions are offered in English.
Can international clients schedule with her?
International clients are not currently accepted.
How are fees handled?
Costs vary by location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.