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RS Portrait of Rayna Smith

Rayna Smith

Compassionate clinician guiding practical change

MD, LCSW-C Maryland

Experience
10 years in practice
Focus areas
Relationship, Family, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Rayna

Rayna Smith combines clinical training and social work expertise to support people navigating relationship strain, family conflict, trauma, and intimacy challenges.

Background and approach

With credentials as an MD and a licensed clinical social worker (LCSW-C), she draws on a decade of applied experience to help clients clarify goals, build on strengths, and address emotional patterns that interfere with daily life.

Her background includes work with mood concerns such as depression and bipolar conditions, stress and anxiety management, grief, parenting and caregiving pressures, and issues around self-esteem and career transitions. Her approach centers on partnering with clients who are ready to explore change while honoring their knowledge of their own lives.

Rayna emphasizes practical strategies alongside reflective work so clients can develop new coping skills and improve communication, set healthier boundaries, and process painful experiences. She frames therapy as a collaborative process that meets people where they are and helps them take concrete steps toward more satisfying relationships and greater emotional well-being.

Approaches that guide online work and practical change

Rayna commonly integrates Cognitive Behavioral Therapy and Client-Centered Therapy to address unhelpful thoughts and build on clients' own strengths. CBT focuses on identifying thoughts and behaviors that contribute to distress and teaching specific tools to shift patterns, which can help with anxiety, depression, and stress-related problems. Client-centered work emphasizes empathy, active listening, and collaboration so clients feel understood as they explore goals and values.

She also draws on Motivational Interviewing when clients are weighing change options, using short, supportive conversations to identify personal motivations and to strengthen commitment to next steps. Together these approaches allow for both skill-building and reflective exploration, and Rayna aims to find the right mix in collaboration with each client based on needs and preferences.

Online therapy with her is available via video calls, phone sessions, live chat, or text-based messaging to accommodate different schedules and communication styles. These options make it easier to attend sessions from home or work, fit care into busy routines, and maintain continuity during life transitions while continuing a collaborative process with a licensed professional.

Frequently asked questions

What kinds of concerns does Rayna address?
She works with relationship and family problems, trauma and abuse, intimacy issues, depression, anxiety, grief, parenting and caregiver stress, anger, self-esteem, career challenges, bipolar disorder, ADHD, and related concerns listed in her specialties.
What is her therapeutic style like?
Her style blends client-centered listening with practical strategies, helping clients use their strengths while learning new coping and communication skills.
How much experience does she have?
She has 10 years of professional experience working with a range of emotional, relational, and life-transition issues.
What are her credentials and where is she located?
She holds MD and LCSW-C credentials, listed as MD LCSW-C 16449, and practices in Maryland.
Does she offer services in languages other than English?
Sessions are provided in English; she is not currently accepting international clients.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How are sessions priced?
Cost varies with location and therapist availability; sessions are provided through a subscription that can be canceled at any time.
How do I begin therapy with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.

Areas of expertise

Primary focus

Relationship issuesFamily conflictsTrauma and abuseIntimacy-related issuesDepression

Also works with

Stress, AnxietyGriefParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDivorce and separationDomestic violenceEmptinessFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameHoardingInfidelityIsolation / lonelinessJealousyMidlife crisisMoney and financial issuesPostpartum depressionPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

Maryland

Languages

English