Katie Smith

Practical skills and collaborative care

LCMHC North Carolina

Experience: 5 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Self esteem
Approaches: Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages: English

About Katie

Katie Smith is a licensed clinical mental health counselor (LCMHC) practicing from North Carolina with five years of clinical experience. She draws on cognitive behavioral ideas alongside person-centered values to help clients clarify goals and build practical skills.

Background and approach

Katie emphasizes collaboration, helping people explore thought and behavior patterns while honoring each person’s individual experience and strengths. Her background includes work with survivors of trauma and domestic violence, individuals facing anxiety and depression, and people contending with complex mood and personality concerns.

Katie also has experience in group and individual formats and has trained intensively in skills-based approaches to manage intense emotions and interpersonal difficulties. Her style blends structured skill development with empathy and respect for the client’s own expertise about their life.

Katie encourages clients to view therapy as a joint process of identifying obstacles and creating actionable steps toward desired change. She helps people build coping strategies, improve communication, and reframe unhelpful thinking patterns so they can move toward more manageable, meaningful routines.

Evidence-Informed Approaches for Online Work

Katie integrates Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) into online sessions, using each approach to target different needs. CBT focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms of anxiety, depression, and stress. DBT emphasizes building skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can be helpful for people experiencing intense emotions or chaotic relationships.

Finding the right approach is part of the therapeutic process, and Katie collaborates with clients to determine which methods best match their goals, needs, and preferences. She works with clients to set concrete objectives and adjusts techniques over time so treatment remains relevant and practical.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules and to maintain continuity of care across distances. These formats allow for regular skills practice, check-ins between sessions, and varied ways to communicate depending on a client’s comfort and needs.

Frequently asked questions

What concerns does Katie commonly address?

Katie works with a range of concerns including stress, anxiety, trauma and abuse, depression, self-esteem, grief, relationship and family problems, intimacy-related issues, parenting and career challenges, bipolar and mood disorders, and compassion fatigue.

How would you describe Katie's therapeutic style?

Her approach combines cognitive behavioral ideas with person-centered respect, incorporating skill-based elements to address thinking patterns and emotional regulation while collaborating closely with clients on goals.

What is Katie's clinical background and experience?

She has five years of clinical experience and has worked in individual and group settings with survivors of trauma, domestic violence, and clients facing anxiety, depression, and complex interpersonal issues.

What credentials and location are listed for this therapist?

Katie holds the LCMHC credential and is licensed in North Carolina with licence number NC LCMHC 13314.

Are sessions available in other languages or to international clients?

Sessions are offered in English only, and she is not currently accepting international clients.

What session formats does she offer for online work?

Katie provides therapy via video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.

How is pricing handled for therapy with Katie?

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

What are the steps to begin working with her?

Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse Self esteem Depression Coping with life changes

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesCareer difficultiesBipolar disorderCompassion fatigue

Additional focus areas

Blended family issuesCodependencyCommitment issuesCommunication problemsControl issuesDomestic violenceEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameVeteran and Armed Forces IssuesMood disordersPersonality disordersPost-traumatic stressSexual assault and abuseSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

5+ years

Licensed

North Carolina

Languages

English