Katie Smith, LCMHC

Katie Smith is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with five years of experience. She works with adults on concerns such as stress, anxiety, depression, grief, relationship and family problems, and issues tied to identity and intimacy. Her practice also notes attention to family of origin issues and related patterns that continue to affect adult life.

Her style is practical and collaborative. She listens for recurring thought and behavior patterns and helps people identify small, concrete steps they can try between sessions. Conversations focus on what is happening now and on clearer ways to handle difficult moments. Sessions often include skills practice and problem-solving rather than long theoretical discussion.

Katie draws on cognitive behavioral techniques to examine unhelpful thinking and change behavior. She also uses Dialectical Behavior Therapy skills for emotion regulation and mindfulness practices to increase moment-to-moment awareness. Motivational Interviewing and Solution-Focused Therapy shape shorter-term goals and action steps when people want focused, goal-oriented work.

Her background includes work with survivors of trauma and domestic violence, military-connected individuals, and people coping with mood and personality challenges. The LCMHC credential indicates licensure in North Carolina. She offers services in English and does not take international clients at this time.

Practical steps in sessions include clarifying goals, practicing concrete coping skills, and checking progress. People who are worried that family patterns from childhood still influence their relationships may find sessions aimed at identifying those patterns and testing new behaviors helpful.

How Katie uses evidence-based approaches in online work