Paige Smart , LPC, LMHC

Paige Smart is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) with six years of experience providing therapy. She holds licensure in both Missouri and Washington and brings a practical, compassionate approach to supporting people facing a range of emotional and behavioral challenges.

Over the course of her career she has worked with individuals from varied backgrounds who are coping with depression, anxiety, psychosis, mood swings and bipolar symptoms, relationship and family difficulties, personality-related concerns, communication challenges, grief and loss, and the lasting effects of traumatic experiences. Her clinical work emphasizes reducing the daily impact of those experiences so clients can move toward healthier functioning.

Her style is grounded in warmth and acceptance, with an emphasis on building trust and working collaboratively. She assesses concerns using a biopsychosocial model - considering biological, psychological, and social factors that shape a person - and then selects interventions tailored to each individual. Interventions she uses include trauma-informed Cognitive Behavioral Therapy, techniques from Dialectical Behavior Therapy, Solution-Focused Therapy, strengths-based work, Motivational Interviewing, and mindfulness practices.

Paige aims to partner with clients to identify practical, achievable plans that support increased wellbeing and more effective coping.

Approaches That Guide Online Care

Client-Centered Therapy focuses on creating a respectful, empathetic partnership in which the therapist follows the client's lead and supports the individual's own capacity for growth. This approach helps people who need a nonjudgmental space to explore identity, relationships, and life transitions.

Cognitive Behavioral Therapy, or CBT, helps clients identify and adjust unhelpful thinking patterns and behaviors. It is often used for issues like depression, anxiety, and mood-related challenges and provides concrete strategies for managing symptoms and improving daily functioning.

Dialectical Behavior Therapy, DBT, emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness. It can be especially helpful for clients who experience intense emotions, impulsivity, or difficulty with relationships, providing skills to manage crises and improve communication.

Finding the right approach is part of the therapeutic work. Paige collaborates with each person to evaluate needs, goals, and preferences, adapting methods over time so treatment fits the individual. For clients who prefer remote care, online therapy offers practical flexibility. Video sessions, phone appointments, live chat, and text-based messaging make it easier to attend sessions around work, family, or mobility constraints and help maintain continuity of care when in-person visits are not possible. Licensed professionals can deliver effective, evidence-informed interventions through these formats while working collaboratively with clients to meet their goals.