- Addictions
- Trauma and abuse
- Guilt and shame
About Roseann
Roseann Smith is a Licensed Clinical Social Worker (LCSW) in Virginia with 16 years of clinical experience. She works with adults facing addictions, trauma and abuse, depression, anxiety, relationship strain, grief, and related concerns such as guilt and shame. Her background includes work in college counseling and settings serving people with serious mental illness and substance use challenges.
She focuses on practical coping strategies rather than labels. Sessions tend to include goal-setting and concrete steps to try between meetings. She draws on motivational techniques and strength-based ideas to encourage manageable change over time.
Roseann uses Cognitive Behavioral Therapy and mindfulness practices to help people notice patterns of thought and behavior. She also incorporates elements of Dialectical Behavior Therapy when emotion regulation and interpersonal stress are central concerns. These approaches often help with mood disorders, anxiety, and trauma-related symptoms.
Her history includes treating people with bipolar disorder and major depressive disorder, and helping those who use substances address both addiction and underlying trauma. Earlier work in a college counseling center informs her experience with young adult issues and relationship transitions.
Clients can expect a conversational style that includes humor and straightforward planning. Roseann helps people identify small, practical steps that respond to their goals. She emphasizes collaboration on what to try next and how to build everyday coping skills.
How her approaches translate to online work
Client-Centered Therapy focuses on listening and building a respectful, collaborative relationship. It helps people talk through what matters most and decide practical next steps. Cognitive Behavioral Therapy (CBT) looks at specific thoughts and behaviors, then tests small changes to reduce anxiety, depression, or guilt-related patterns. Dialectical Behavior Therapy (DBT) teaches emotion regulation and distress tolerance skills that can be practiced between sessions.Choosing an approach is part of the work. The therapist will discuss the client's goals and preferences and then try methods that fit those needs. This is a collaborative process where adjustments are made if something does not feel helpful.
Session formats are not listed in the biography, so please confirm current online options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, or reduce travel time. It also lets people try skills in the settings where they arise and then bring observations back to the session for problem-solving and planning.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
16+ years
Listed in
Virginia
Languages
English
Frequently asked questions
What concerns does she work with related to shame and guilt?
She addresses guilt and shame alongside addictions, trauma, depression, anxiety, relationship problems, and related issues such as codependency and abandonment.
How would she approach feelings of guilt from past choices?
Her approach uses Cognitive Behavioral Therapy and motivational techniques to identify unhelpful thoughts, set small goals, and build practical steps to reduce distress over time.
What experience does she bring to these issues?
She has 16 years of experience working with individuals, including people with substance use concerns, bipolar disorder, major depression, and trauma histories.
What credentials and location are listed for this clinician?
She is a Licensed Clinical Social Worker (LCSW) practicing in Virginia.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions arranged and what formats are offered?
Please confirm current session formats before booking by using the platform flow; the profile does not list specific session formats directly.
How does cost and scheduling work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.