Therapist profile
Paige Smart, LPC, LMHC
Licensed counselor - Family and relationship concerns
Continue with PaigeAbout
- Client-centered approach
- Cognitive behavioral work
- Trauma-informed methods
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 adults who are dealing with stress, anxiety, depression, trauma, relationship and family concerns, grief, mood challenges, and struggles with addiction. Her practice also notes work with intimacy-related issues, LGBT concerns, and compassion fatigue.
Paige frames her work around clear, practical conversations. She listens for how biological, psychological, and social factors have shaped a person’s day-to-day life. From that starting point she and the client set goals and choose techniques that fit the situation. Sessions focus on what is happening now and what can change next.
She draws on client-centered methods that emphasize the client’s perspective. Cognitive Behavioral Therapy is used for unhelpful thoughts and behaviors. Dialectical Behavior Therapy techniques are included for emotion regulation and distress tolerance. EMDR and mindfulness tools are part of her offerings when trauma and stress responses are present.
Sessions often combine short skills practice, thought work, and moment-to-moment grounding. She also uses motivational interviewing to support behavior change and decision-making. The tone of sessions is direct and collaborative, with attention to safety and pacing.
Paige has worked with people who report complex histories, including trauma and mood instability. She aims to help adults build clearer communication, stronger coping skills, and steadier daily routines. To begin, clients complete a short matching questionnaire and schedule a first session.
How sessions work
How Paige integrates approaches in online work
Paige frequently draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy techniques in session. CBT focuses on identifying unhelpful thoughts and testing them with behavioral experiments, which can ease anxiety and depression. DBT offers concrete skills for managing strong emotions and reducing impulsive or reactive behaviors, useful when people feel overwhelmed.She also uses client-centered principles, which center the client’s perspective and priorities. Deciding which method to emphasize is a collaborative process. The therapist and client review goals, symptoms, and preferences and then try approaches that feel most relevant. Adjustments happen over time based on what is helping.
Confirm the current online session formats before booking, since the biography does not list specific delivery methods. Online work can help fit sessions into busy schedules, allow shorter check-ins when needed, and make it easier to practice skills between meetings. Many people find that remote sessions support regular attendance and faster follow-through on agreed tasks. Conversations will focus on practical skills, thought work, and paced trauma-informed care when appropriate.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
Washington, Missouri
Languages
English
Questions
Frequently asked questions
What kinds of family or parenting issues are addressed?
She helps people navigate family conflict, communication problems, divorce and separation concerns, and the stress of parenting roles.
How does she approach anxiety or panic?
She uses Cognitive Behavioral Therapy to identify and shift thought and behavior patterns, with practical skills for panic and worry management.
What is her background and experience?
Paige has six years of clinical experience working with mood disorders, trauma, relationship challenges, and substance concerns.
Which credentials and location apply?
She holds LPC and LMHC credentials: Missouri LPC and Washington LMHC, and is based in Missouri.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
Please confirm the current session formats before booking, as session delivery options are not specified in the biography.
How are fees handled?
Costs vary by location and sessions use a subscription that can be canceled at any time.
How do I start working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your 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 anyone is in danger, use the crisis numbers.