Paige Smart , LPC, LMHC

Paige Smart is a licensed counselor with six years of clinical experience who combines warmth and evidence-informed methods to support people facing a wide range of emotional and behavioral challenges. She holds the LPC credential - Licensed Professional Counselor - allowing her to practice counseling in Missouri, and the LMHC credential - Licensed Mental Health Counselor - for Washington state. Her work spans concerns such as depression, anxiety, mood instability including bipolar symptoms, panic, trauma and abuse, grief and loss, relationship and family difficulties, communication problems, self-esteem struggles, addiction, and other stress-related issues.

Paige approaches care from a trauma-informed, biopsychosocial perspective, assessing how biological, psychological, and social factors have shaped each person’s experience. She creates a nonjudgmental, accepting space where clients and therapist form a collaborative partnership focused on clear goals. Treatment draws on trauma-informed cognitive behavioral techniques, elements of dialectical behavior therapy, solution-focused and strengths-based strategies, motivational interviewing, and mindfulness practices to help reduce symptoms and build practical coping skills.

Throughout treatment Paige and the client work together to develop a personalized plan aimed at improving day-to-day functioning and overall wellbeing. Her intention is to support growth with compassion and practical tools so individuals can move toward the life they want.

Therapeutic approaches and online care with Paige Smart

Paige Smart draws on cognitive behavioral therapy and dialectical behavior therapy alongside mindfulness practices to guide online sessions. Cognitive behavioral therapy (CBT) focuses on identifying and changing unhelpful thinking and behavior patterns to reduce symptoms of anxiety, depression, and mood concerns. Dialectical behavior therapy (DBT) teaches skills for regulating intense emotions, improving distress tolerance, and strengthening interpersonal effectiveness, which can be helpful for mood instability, impulsivity, and relationship challenges. Mindfulness therapy encourages present-moment awareness and practical techniques to reduce reactivity and increase emotional balance, supporting those coping with stress, trauma reminders, and ongoing symptoms.

Choosing the right approach is a collaborative process. Paige works with each person to understand their needs, goals, and preferences, and she tailors interventions over time so the plan remains aligned with progress and changing priorities. Clients participate in setting goals and deciding which strategies feel most useful.

Online therapy offers practical flexibility - sessions can take place by video call, over the phone, via live chat, or through text-based messaging. These options make it easier to fit therapy into busy schedules and to maintain continuity of care when in-person visits are difficult, while still allowing licensed professionals to deliver structured, evidence-informed treatment.