Katie Smith, LCMHC
North Carolina LCMHC for trauma and life transitions
- DBT and CBT trained
- Messaging only for new clients
- Works with families and individuals
About Katie Smith
An important note before getting started: Katie Smith is currently living overseas and is offering messaging-only services to new clients due to the time difference. In the future she may work toward phone or video sessions if schedules allow.
Katie Smith brings a calm, collaborative presence to therapy and meets people where they are when life feels overwhelming. She is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina - a credential indicating formal licensure to provide mental health counseling in that state - and she has accumulated five years of clinical experience working with adults, teens, and families in both individual and group settings. Her background includes supporting survivors of trauma, domestic violence, and sexual assault, as well as military spouses and people managing anxiety, depression, and borderline personality disorder. She has also supported clients facing relationship and family challenges, grief, parenting concerns, career transitions, and a range of mood and personality-related difficulties.
Katie’s clinical training includes intensive work in Dialectical Behavior Therapy (DBT), which has prepared her to work with people who experience chronic suicidal thoughts and tumultuous interpersonal patterns. She integrates Cognitive Behavioral Therapy (CBT), mindfulness-based strategies, Motivational Interviewing, and Solution-Focused Therapy into a person-centered framework. That means she recognizes each person as the expert on their own life and emphasizes collaboration in setting goals and identifying practical steps forward.
Her therapeutic stance centers on empathy, respect, and building a strong working relationship. She aims to help clients develop more effective ways of managing the barriers that block their goals, whether those barriers involve stress, trauma, self-esteem struggles, or complicated family dynamics. Katie’s approach is to empower people to take charge of their stories while offering steady support and skill development along the way.
As she often notes, "It's not a matter of letting go—you would if you could. Instead of 'let it go' we should probably say 'let it be.'" - Jon Kabat-Zinn
Katie Smith brings a calm, collaborative presence to therapy and meets people where they are when life feels overwhelming. She is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina - a credential indicating formal licensure to provide mental health counseling in that state - and she has accumulated five years of clinical experience working with adults, teens, and families in both individual and group settings. Her background includes supporting survivors of trauma, domestic violence, and sexual assault, as well as military spouses and people managing anxiety, depression, and borderline personality disorder. She has also supported clients facing relationship and family challenges, grief, parenting concerns, career transitions, and a range of mood and personality-related difficulties.
Katie’s clinical training includes intensive work in Dialectical Behavior Therapy (DBT), which has prepared her to work with people who experience chronic suicidal thoughts and tumultuous interpersonal patterns. She integrates Cognitive Behavioral Therapy (CBT), mindfulness-based strategies, Motivational Interviewing, and Solution-Focused Therapy into a person-centered framework. That means she recognizes each person as the expert on their own life and emphasizes collaboration in setting goals and identifying practical steps forward.
Her therapeutic stance centers on empathy, respect, and building a strong working relationship. She aims to help clients develop more effective ways of managing the barriers that block their goals, whether those barriers involve stress, trauma, self-esteem struggles, or complicated family dynamics. Katie’s approach is to empower people to take charge of their stories while offering steady support and skill development along the way.
As she often notes, "It's not a matter of letting go—you would if you could. Instead of 'let it go' we should probably say 'let it be.'" - Jon Kabat-Zinn
Areas of Expertise
Also Specializes In
Additional Focus Areas
Blended family issuesCodependencyCommitment issuesCommunication problemsControl issuesDomestic violenceEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameVeteran and Armed Forces IssuesMood disordersPersonality disordersPost-traumatic stressSexual assault and abuseSocial anxiety and phobiaWomen's issues
Therapeutic Approach
Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy
Frequently Asked Questions
How much experience does Katie Smith have?
She has 5 years of experience.
Is Katie Smith a licensed therapist?
Yes. She holds the credential LCMHC. License details: NC LCMHC 13314.
In which languages does Katie Smith provide therapy?
She provides therapy in English.
Where is Katie Smith located?
She is located in North Carolina.
How can I work with Katie Smith as my therapist?
You can work with Katie Smith through video calls, phone sessions, live chat, or text-based messaging.
Does Katie Smith work with international clients?
Katie Smith does not currently work with international clients.
How much does therapy with Katie Smith cost?
Costs can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Could Virtual Therapy Be a Good Match?
Many people wonder whether remote therapy can truly help. For many common concerns - such as stress, anxiety, depression, relationship challenges, or navigating life changes - online therapy has been shown to be comparable in effectiveness to traditional in-person sessions.One of the primary benefits is flexibility. Individuals can connect with a therapist in the format that best fits their needs and schedule, including video calls, phone sessions, live chat, or in-app messaging. That flexibility can make it easier to maintain consistent care while balancing work, family, and other commitments.
Therapists are licensed professionals who use a range of evidence-informed approaches to support clients. If a particular therapist is not the right match, people have the option to switch to someone else whose style or expertise better meets their needs. For many, remote therapy offers a practical, effective way to access professional support without always needing to travel to an office.