Katie Smith, LCMHC

Katie Smith is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with five years of experience. She focuses on helping people who feel stuck by offering steady, direct support and practical steps forward. Katie speaks plain language and centers each person’s experience when planning next steps.

She has worked with adults, teens, and in group settings, and has supported survivors of trauma, domestic violence, and sexual assault. Katie also has experience with anxiety, depression, mood and personality disorders, and concerns tied to parenting, relationships, career, grief, and identity. She helps people who are dealing with overwhelming emotions, chronic stress, and relationship chaos.

Katie uses person-centered and cognitive behavioral ideas to shape sessions. That means she listens for what matters to each person and then looks at thoughts and behaviors that can be changed. She also uses elements from dialectical behavior therapy and mindfulness to teach skills for handling strong feelings and improving relationships.

Sessions are collaborative and goal-focused. Katie works with people to set clear, manageable steps and practices to try between meetings. The aim is to build useful habits, reduce intense symptoms, and make daily life feel more manageable.

If you want to start, you will complete a short matching questionnaire and then schedule based on the therapist’s availability. Katie’s background emphasizes hands-on coping skills, safety planning when needed, and steady support through difficult changes.

How Katie’s approaches translate to online work

CBT helps people spot and change unhelpful thought and behavior patterns. Online it often means tracking thoughts, testing beliefs between sessions, and reviewing results together to shift daily routines and reactions.

Dialectical behavior therapy, or DBT, emphasizes emotion regulation, distress tolerance, and better interpersonal skills. In remote sessions these are taught as step-by-step skills and practiced through role plays, worksheets, and brief exercises to use when emotions spike.

Finding the right approach is a shared process. The therapist will talk with the client about goals, what has worked before, and preferences. Together they decide whether to emphasize CBT, DBT, mindfulness, or a mix depending on the needs presented.

Formats for online work are not fully specified in the biography, so confirm current session options before booking. Online therapy can make it easier to fit appointments into busy days, allow shorter check-ins when needed, and let people use video, phone, or messaging options if those are offered. Those practical advantages often help people practice skills in their everyday settings and stay consistent with treatment.