Laura Small, LMHC

Laura Small is an outpatient therapist licensed in Massachusetts with more than 10 years of clinical experience. As an LMHC - a Licensed Mental Health Counselor - she supports people navigating depression, anxiety, grief, self-esteem concerns, and the stress of life changes, along with issues related to relationships, parenting, career challenges, OCD, and ADHD. She has also worked with many individuals who have experienced trauma and emotional abuse.

Her style is warm and interactive, grounded in respect, sensitivity, and compassion. She avoids stigmatizing labels and focuses on each person as an individual. Her work draws on a blend of cognitive-behavioral, humanistic, psychodynamic, and rational-emotive approaches, and she adapts dialogue and treatment plans to the specific needs and goals of each client.

Laura guides clients through practical skills and deeper exploration as appropriate, emphasizing collaboration and tailored care. Seeking change takes courage, and she aims to empower people as they take steps toward a more satisfying and balanced life. She welcomes those who are ready to begin that process and offers steady support along the way.

Approaches That Guide Online Sessions

Laura Small uses practical, evidence-informed approaches that translate well to online work. Cognitive-behavioral techniques focus on identifying unhelpful thought patterns and building skills to manage anxiety, depression, and stress, often through structured exercises and behavioral experiments. Humanistic approaches emphasize empathy, respect, and the client’s own strengths, supporting self-esteem, grief work, and life transitions through reflective conversation and collaborative goal setting. Psychodynamic elements can offer gentle exploration of patterns rooted in past relationships, helping when issues such as attachment or longstanding relationship difficulties arise.

Finding the right approach is part of therapy, and Laura partners with each client to determine what fits best based on needs, goals, and preferences. She tailors the mix of techniques and adapts the pace so therapy feels collaborative and responsive.

Online therapy offers flexible ways to engage - video calls, phone sessions, live chat, or text-based messaging - so work can fit into daily life and reach people who might otherwise face barriers to care. These options help maintain continuity and make it easier to access regular support from licensed professionals and therapists.