- CBT methods
- DBT skills
- Mindfulness practice
About Katie
Katie Smith is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina with five years of clinical experience. She works with adults on concerns such as stress, anxiety, trauma and abuse, depression, self-esteem, grief, relationship and intimacy-related issues, and guilt and shame.
Katie often meets people who feel stuck or overwhelmed by painful memories or by choices they regret. She uses straightforward conversation to help people sort out what matters to them now. Sessions focus on identifying unhelpful thinking and testing different ways of responding in everyday life.
Her background includes work with survivors of trauma, domestic violence, and sexual assault, and with military spouses. She has led both individual and group work and has experience supporting people with mood and personality challenges. That experience colors how she notices patterns in relationships and coping style.
Katie describes her approach as rooted in person-centered and cognitive behavioral ideas. She treats people as the experts on their lives and collaborates on goals. Practical tools and skills often come from cognitive behavioral therapy and dialectical behavior ideas to manage strong emotions and improve communication.
Conversations in sessions may include looking at thoughts that fuel guilt or shame, practicing emotion regulation skills, and trying small behavior changes between meetings. She invites people to take manageable steps rather than big jumps. Starting with clear, achievable goals is a common early focus.
How her approaches translate to online work
Katie commonly draws on cognitive behavioral therapy and dialectical behavior therapy in sessions. CBT focuses on how thoughts affect feelings and behavior and uses practical exercises to test new ways of thinking. It helps with anxiety, depression, and patterns that keep guilt or shame active. DBT emphasizes emotion regulation, distress tolerance, and clearer interpersonal skills; it can be useful when emotions feel overwhelming or relationships are chaotic.Finding the right approach is a collaborative process. Katie works with each person to match methods to their goals and preferences, and she adjusts strategies as needed. The client and therapist decide together what techniques to try and how to pace skill-building.
Her original biography indicates she is offering messaging-only services for new clients due to a time difference, so confirm current session formats before booking. When online sessions are arranged, benefits can include fitting brief check-ins into a busy day, using written exchanges to reflect between messages, and practicing skills in the contexts where life happens. Discuss format options during the intake so sessions can be set up in a way that fits everyday routines.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she address related to guilt and shame?
She works with guilt and shame alongside issues such as trauma and abuse, relationship problems, family of origin concerns, and grief.
How would she approach feelings of persistent guilt?
She uses person-centered conversation and cognitive behavioral techniques to identify unhelpful thoughts and test new responses to those thoughts.
What experience does she bring to this work?
She has five years of clinical experience and has worked with survivors of trauma, domestic violence, sexual assault, and military spouses in individual and group settings.
What credential does she hold and where is she based?
She is an LCMHC - Licensed Clinical Mental Health Counselor - practicing from North Carolina.
Does she work in languages other than English or with international clients?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats does she offer?
Her original biography indicates messaging-only services for new clients due to time differences; confirm current session options before booking.
How are costs handled for sessions?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.