
Katie Smith
Collaborative counseling for change
Start with Katie SmithLicensed · Professional · Cancel Anytime


Collaborative counseling for change
Start with Katie SmithLicensed · Professional · Cancel Anytime
An important note before getting started: Katie Smith is currently living overseas and is offering messaging-only services to new clients because of the time difference. In the future, she may move toward phone or video sessions if schedules allow.
Katie Smith welcomes people who are struggling and looking for practical support and direction. She brings five years of clinical experience and practices as a licensed clinical mental health counselor in North Carolina. Her experience includes working with adults, teens, and families in both individual and group settings.
She has provided care for survivors of trauma, domestic violence, and sexual assault, and has supported military spouses and people coping with anxiety, depression, and borderline personality disorder (BPD). Intensively trained in Dialectical Behavior Therapy (DBT), she has extensive experience helping clients who experience chronic suicidal thoughts and turbulent interpersonal relationships.
Her counseling style is rooted in person-centered and cognitive behavioral approaches. In practice, that means she respects each person’s individuality and believes clients are the experts on their own lives. Katie collaborates with clients to identify goals and tailor interventions to their needs, with the aim of empowering them to shape their own narratives. She emphasizes a strong therapeutic relationship and offers steady support and unconditional positive regard while exploring patterns of thought and behavior.
She invites prospective clients to begin developing more effective ways of managing the issues that stand between them and their goals. “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
Many people wonder whether counseling delivered online can really make a difference. For common concerns such as stress, anxiety, depression, relationship challenges, or navigating life changes, online therapy has been shown to be just as effective as traditional in-person sessions.
One of the main benefits of remote therapy is flexibility. Clients can connect in the format that feels most comfortable to them - video calls, phone sessions, live chat, or in-app messaging - which can make it far easier to fit care into a busy life.
All participating therapists are licensed professionals, and clients have the option to change therapists at any time if they prefer a different fit. This combination of demonstrated effectiveness and adaptable delivery makes online therapy a practical option for many people seeking support.