- CBT strategies
- Client-centered focus
- Mindfulness practice
About Luciana
Luciana Smalls is a Licensed Professional Counselor (LPC) in South Carolina with nine years of clinical experience and more than two decades in human services. She works with adults on concerns such as depression, anxiety, relationship difficulties, parenting challenges, ADHD, addiction, and issues connected to adoption and foster care. Sessions address stress, grief, self-esteem, intimacy questions, and family of origin issues among other common struggles.
Her approach combines client-centered listening with cognitive-behavioral techniques and dialectical behavior strategies. She also draws on Imago relationship ideas and mindfulness practices when useful. In sessions she uses practical tools, skill-building, and reflective conversation to help people notice patterns and try different ways of responding.
She pays attention to cultural background, sexual orientation, and identity when discussing problems and goals. Treatment planning is collaborative: goals, strategies, and steps are created together and adjusted as needed. The work can include short-term skill practice or longer-term exploration depending on what the person wants.
People often come for help with communication problems, blended family challenges, caregiver stress, and forgiveness or guilt concerns. Smalls also supports those facing hospice and end-of-life questions, body image concerns, and commitment or impulsivity issues. The focus stays on clear, usable steps that fit everyday life.
Sessions include concrete coaching on coping skills, mindfulness practice, and behavioral strategies for mood and anxiety. She helps people plan actions between sessions and track progress. For adults trying to change old family patterns, this often means mapping how early roles show up now and practicing new responses in small, manageable steps.
How her approaches translate to online sessions
Luciana uses client-centered therapy and cognitive-behavioral therapy as core tools. Client-centered therapy focuses on listening and reflecting so the person can describe what matters most. It helps when someone wants space to talk through family roles, values, or feelings without judgment. Cognitive-behavioral therapy (CBT) targets thoughts and behaviors with specific exercises and homework. CBT is useful for anxiety, mood shifts, and changing repeating patterns learned in childhood.Finding the right approach is part of the work together. She will talk with the person about symptoms, goals, and everyday constraints. Then she and the client choose which methods to try and adjust them based on what helps most in real life. This is a collaborative process focused on practical next steps and tracking what changes.
The biography does not list specific online session formats, so confirm current session options before booking. Online work can make it easier to fit sessions into a busy week, have shorter check-ins when needed, or avoid travel time. It also lets the therapist assign and review behavioral exercises, mindfulness practices, and communication skills between meetings so progress continues outside the session.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
South Carolina
Languages
English
Frequently asked questions
What concerns does she address?
She works with a range of adult concerns including anxiety, depression, relationship and parenting issues, addictions, ADHD, grief, and family of origin issues.
What is her therapeutic style?
She blends client-centered listening with cognitive-behavioral and dialectical behavior approaches, plus mindfulness and Imago relationship ideas for practical skill development.
How much experience does she have?
She holds nine years as a practicing counselor plus over 20 years in human services work with diverse populations.
Where is she licensed and based?
She is a Licensed Professional Counselor (LPC) in South Carolina and provides services from that state.
Which languages are supported?
Sessions are offered in English.
Does she work with clients outside the country?
International clients are not currently accepted.
How are sessions scheduled and paid for?
Costs vary by location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting 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, use the emergency numbers. Looking for someone else? Find them by surname.