Paige Smart, LPC, LMHC

Paige Smart is a Licensed Professional Counselor and Licensed Mental Health Counselor who helps people facing anxiety, depression, trauma, and life changes. She speaks plainly and works to create a welcoming space so clients can talk about hard things without judgment. Her goal is to help people build practical skills and steady routines that reduce daily stress and improve mood.

Paige draws on cognitive behavioral ideas to help people notice unhelpful thoughts and try different behaviors. She also uses client-centered listening to follow each person’s priorities during sessions. Mindfulness techniques and skills from dialectical behavior therapy are woven in to help with emotional regulation and grounding.

Her background includes six years of clinical work with adults who’ve faced trauma, mood disorders, relationship strain, and impulsivity. She pays attention to how biology, thinking patterns, and relationships interact to influence wellbeing. That helps her shape realistic plans that fit each person’s life.

Common topics she addresses include panic and anxiety, bipolar mood swings, grief, addiction concerns, and struggles with self-esteem or isolation. She also supports people exploring sexuality, kink, or nontraditional relationship concerns without judgment. Sessions focus on clear goals, skill practice, and steady progress.

Paige offers multiple online formats so therapy can fit into busy schedules. She works in both Missouri and Washington licensure contexts and uses a collaborative approach to set goals and track small wins.

How CBT, Client-Centered Care, and DBT Work Online

Paige often uses cognitive behavioral techniques to help clients identify and change thought and behavior patterns that fuel anxiety and low mood. CBT sessions typically involve setting small goals, trying new behaviors between sessions, and reviewing what works and what doesn't.

She also draws on client-centered therapy, which emphasizes listening closely and following the client's priorities. This approach gives space for people to name their goals and for the therapist to reflect and clarify what matters most to them.

Dialectical behavior therapy skills are used when emotional regulation or impulsivity is a concern. DBT-style work focuses on building practical coping skills like distress tolerance, emotion regulation, and clearer interpersonal communication.

Paige approaches treatment as a collaborative process. She will work with each person to choose which approaches to try first and adjust the plan based on how the client responds. Finding the right mix of tools is part of the early sessions and can change over time.

Online therapy formats include video calls, phone sessions, live chat, and text-based messaging, which can make scheduling easier around work, family, or school. Video calls allow face-to-face discussion and skill practice, phone sessions can be a lower-bandwidth option, chat sessions suit quick check-ins, and messaging supports ongoing reflection between meetings. These options let clients pick what fits their routine and comfort level.