At a glance
- Credentials
- LCMHC
- License
- LCMHC, North Carolina / 13314
- NPI
- 1083123426
- Experience
- 5 years
- Languages
- English
- Location
- North Carolina
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
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- Motivational support
- Skill focused
- Collaborative care
About Katie
Katie Smith is a Licensed Clinical Mental Health Counselor (LCMHC) working with people who feel stuck, overwhelmed, or unsure of their next step. She offers a steady, practical approach and a calm presence for those dealing with anxiety, depression, grief, trauma, or relationship strain. Katie has five years of clinical experience and frames sessions around each person's goals and capacities.
Katie draws on cognitive behavioral ideas to help people notice how thoughts and actions interact. She also uses Motivational Interviewing to support small, manageable changes when motivation feels low. Mindfulness techniques and elements of Dialectical Behavior Therapy are included when they match someone’s needs. Sessions focus on learning concrete skills and testing them in everyday life.
Her background includes work with survivors of trauma and domestic violence, people coping with mood and personality difficulties, and those bearing compassion fatigue. Katie has experience in both individual and group settings and describes her role as collaborative rather than directive. She frames therapy as a partnership where the client leads and the counselor offers structure and feedback.
Expect conversations that move between validating where you are and planning next steps. Katie helps people set realistic goals, practice new coping habits, and track progress over time. The overall aim is to make change feel doable instead of overwhelming.
To begin, she asks people to name what matters most to them and then builds a plan that fits their life and pace.
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Approaches that shape online sessions
Katie integrates Motivational Interviewing, Cognitive Behavioral Therapy, and elements of Dialectical Behavior Therapy into her work. Motivational Interviewing focuses on helping someone find their own reasons to change and gently build momentum when motivation feels low. Cognitive Behavioral Therapy looks at how thoughts, feelings, and behaviors interact and teaches practical exercises to shift unhelpful patterns. Dialectical Behavior Therapy offers skills for regulating intense emotions, managing distress, and improving interpersonal effectiveness.
Katie treats finding the right approach as a team effort. She will talk with each person about their goals, try out strategies, and adjust methods based on what helps. The choice of techniques depends on the client’s needs, preferences, and how they respond in sessions.
If you are considering online therapy, confirm the session formats she currently offers before booking. The biography notes messaging-only services for new clients because of a time difference, and phone or video may be possible later when schedules align. Online work can make it easier to fit sessions into a busy life, allow shorter check-ins when needed, and reduce travel time while keeping focus on skill practice and progress tracking. -
Areas of expertise
Also works with
LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesCareer difficultiesBipolar disorderCompassion fatigueAdditional focus areas
Blended family issuesCodependencyCommitment issuesCommunication problemsControl issuesDomestic violenceEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameVeteran and Armed Forces IssuesMood disordersPersonality disordersPost-traumatic stressSexual assault and abuseSocial anxiety and phobiaWomen's issuesTherapeutic approaches
Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyExperience
5+ years
Listed in
North Carolina
Languages
English
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Frequently asked questions
What concerns does Katie commonly address?
She works with stress, anxiety, depression, grief, trauma and abuse, self-esteem, relationship and intimacy issues, parenting and career questions, and mood or personality concerns among others.
How would you describe her therapeutic style?
Her style is collaborative and straightforward. She combines practical skill-building with respectful listening and goal-focused conversations.
What is her clinical background?
Katie has five years of clinical experience and has worked in individual and group settings with people who have faced trauma, domestic violence, and mood or personality challenges.
What are her credentials and where is she based?
She holds the LCMHC credential and practices as a North Carolina licensed clinical mental health counselor.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
The biography indicates current messaging-only services for new clients due to a time difference; please confirm current session options before booking if you prefer phone or video.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with Katie?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
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Online talk therapy is not emergency or medical care. Stopping or cutting down alcohol or other drugs can be unsafe without medical advice. In immediate danger? Crisis numbers