Paige Smart, LPC, LMHC

Paige Smart is a licensed counselor practicing in Missouri who also holds licensure in Washington. She carries the LPC and LMHC credentials - Licensed Professional Counselor and Licensed Mental Health Counselor - which reflect her training to provide mental health care in clinical settings. With six years of experience, she has supported people facing depression, anxiety, psychosis, mood instability including bipolar symptoms, relationship and family challenges, personality-related concerns, communication difficulties, grief and loss, and the effects of traumatic events.

Her work is grounded in warmth, acceptance, and a partnership model that invites clients to build trust at their own pace. Paige uses a biopsychosocial framework to understand how biological, psychological, and social factors have shaped a person’s life, and she draws on a blend of evidence-informed interventions to address current struggles. These include trauma-informed cognitive behavioral strategies, techniques from dialectical behavior therapy, solution-focused methods, strengths-based approaches, motivational interviewing, and mindfulness practices.

Paige collaborates with each client to create a tailored plan aimed at reducing distress and strengthening coping skills. She emphasizes a non-judgmental atmosphere where goals are set together and progress is measured by what matters most to the individual. Paige looks forward to partnering with clients who want to move toward greater well-being and more satisfying relationships.

Evidence-Based Approaches for Online Therapy

Paige often integrates client-centered therapy to create a respectful, collaborative space where the client’s goals and experiences guide the work. This approach emphasizes empathy and active listening to help people feel understood and to foster a strong therapeutic alliance.

She also uses cognitive behavioral therapy - CBT - which focuses on identifying and shifting unhelpful thoughts and behaviors. CBT can be effective for anxiety, depression, panic symptoms, and many everyday stressors by teaching practical coping strategies and problem-solving skills.

Dialectical behavior therapy - DBT - techniques are employed when emotion regulation, interpersonal effectiveness, or impulsivity are central concerns. DBT provides concrete skills for managing intense emotions, reducing conflict in relationships, and increasing tolerance for distress.

Choosing the right approach is a collaborative process. Paige works with each person to determine which methods best match their needs, goals, and preferences, and she adjusts strategies over time as progress is made.

Online therapy offers flexibility by making appointments available across multiple formats - video calls, phone sessions, live chat, and text-based messaging - which can fit varying schedules and comfort levels. Many people find that remote sessions reduce logistical barriers and allow consistent work with licensed professionals from the location that suits them best.