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Paige Smart

Paige Smart, LPC, LMHC

Missouri

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Licensed counselor - Young adult concerns

  • Stress and anxiety
  • Trauma and EMDR
  • CBT and DBT skills

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 experience. She works with adults facing stress, anxiety, trauma and abuse, bipolar and mood disorders, depression, addictions, relationship and family concerns, grief, and issues around self-esteem and intimacy. Paige also supports clients dealing with loneliness, financial strain, military-related concerns, and alternative sex culture topics such as BDSM and kink.

Paige favors straightforward, person-focused conversations. She listens first, then helps name problems and set practical goals. Sessions weigh biological, psychological, and social factors to understand how life circumstances shaped current struggles. That background helps choose clear strategies rather than vague platitudes.

Therapeutic methods include client-centered techniques, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), mindfulness, and motivational interviewing. She draws from these tools to teach coping skills, manage mood swings, reduce anxiety, and address trauma symptoms. Interventions are presented in simple steps clients can try between sessions.

Paige also addresses relationship patterns like communication problems, commitment worries, divorce and separation, and domestic violence impacts. She works with people navigating identity and LGBT-related stress. Sessions often include practical communication practice and emotion-regulation skills.

To begin, readers should follow the site process to complete a short matching questionnaire and schedule a first session. Costs vary by location and use a subscription that can be canceled at any time.

How Paige uses therapy approaches online

Client-centered therapy emphasizes the client's perspective. The therapist listens closely and follows the client's concerns, helping them set their own goals and make practical changes. This approach supports people who feel unsure about what they want from therapy.

Cognitive behavioral therapy, or CBT, focuses on breaking patterns between thoughts, feelings, and behaviors. It teaches skills for managing anxiety, depression, panic, and mood swings through practical exercises and homework. Dialectical behavior therapy, or DBT, adds specific emotion-regulation and distress-tolerance skills for high-intensity emotions and relationship problems.

Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and how symptoms show up in daily life. That conversation guides whether to lean more on CBT skill practice, DBT techniques, or trauma-focused methods such as EMDR when appropriate. The choice is collaborative and can change over time.

The original biography does not list specific session formats, so confirm available options before booking. Online work can make it easier to fit therapy around school, work, and commuting by removing travel time. It also allows sessions to be shorter or scheduled at different times to accommodate busy days, and it supports continued work when life circumstances make in-person visits difficult.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesAnger managementSelf esteemCompassion fatigue

Additional focus areas

AbandonmentBDSM, kink, and alternative sex cultureCommitment issuesCommunication problemsDivorce and separationDomestic violenceFamily problemsForgivenessGuilt and shameImpulsivityIsolation / lonelinessVeteran and Armed Forces IssuesMoney and financial issuesMood disordersPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

6+ years

Listed in

Washington, Missouri

Languages

English

Frequently asked questions

What kinds of problems does she help with?

She works with adults on stress, anxiety, depression, bipolar symptoms, trauma and abuse, addictions, relationship and family concerns, grief, self-esteem, and intimacy issues.

What is her therapy style like?

She uses person-focused conversations and practical strategies. Methods include client-centered work, CBT, DBT techniques, EMDR, mindfulness, and motivational interviewing.

How long has she been practicing?

She has six years of clinical experience working with a range of presentations and life situations.

What are her credentials and where is she based?

She holds LPC and LMHC credentials - Missouri LPC and Washington LMHC - and is listed with Missouri as her location.

Does she speak other languages or take international clients?

Sessions are offered in English. She is not currently accepting international clients.

What session formats are offered?

The biography does not specify session formats. Confirm current session options before booking to know which formats are available.

How does payment work and what does it cost?

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

How do I start working with her?

Use the site button to see online therapy options, complete a short matching questionnaire, and schedule a first session.

Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.

Paige SmartLPC, LMHC

Continue with Paige