About Paige
Paige Smart is a Licensed Professional Counselor who helps people manage stress, anxiety, depression, mood swings, and relationship difficulties. She writes simply and listens closely to understand what matters most to each person. Paige draws on practical tools and a warm, nonjudgmental approach so clients feel heard while they work toward change.
Paige brings six years of clinical experience in Missouri and Washington. She has supported people facing trauma, grief, addiction, and intimacy or communication problems.
Background and approach
Her background includes work with mood disorders, panic attacks, and concerns tied to identity and relationships, including LGBT issues and alternative sexual cultures. In sessions she starts by learning about biological, psychological, and social factors shaping a person’s life. That helps Paige tailor clear, actionable steps that match a client’s goals.
She uses techniques from cognitive behavioral therapy to reframe thoughts and build new skills. She also draws on client-centered principles to make therapy collaborative and on dialectical behavior therapy skills for emotion regulation and crisis coping. For people with trauma, she incorporates evidence-informed eye movement desensitization and reprocessing techniques alongside mindfulness practices to reduce the hold of painful memories.
Paige aims to help people create a manageable plan and practice new habits between sessions. She emphasizes simple skill-building, honest conversation, and steady progress. Getting started involves a short matching questionnaire and scheduling a session that fits the client’s needs.
How therapy approaches translate to online care
Client-Centered Therapy focuses on listening, empathy, and collaboration so clients set the pace and goals. It helps people who need a supportive space to talk through feelings and make decisions. Cognitive Behavioral Therapy (CBT) teaches practical skills to change unhelpful thoughts and behaviors, which can reduce anxiety, panic, and low mood through targeted exercises and homework. Dialectical Behavior Therapy (DBT) offers concrete tools for emotion regulation, distress tolerance, and improving communication when feelings feel overwhelming.Finding the right approach is part of the work. The therapist reviews a person’s concerns and goals, then suggests strategies and adapts them over time. This collaboration lets clients try techniques and decide what fits their needs and preferences as therapy progresses.
Online therapy formats here include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full sessions when visual cues help. Phone sessions can be a good shorter check-in or when bandwidth is limited. Live chat and text messaging work well for quick check-ins, brief skill practice, or ongoing support between appointments. These options offer flexibility to fit therapy into busy routines and differing comfort levels.
Questions people ask
What kinds of concerns does this counselor address?
What is her general approach in therapy?
How much clinical experience does she have?
What are her professional credentials and where is she based?
Which languages are sessions offered in?
What session formats are available?
How are session costs handled?
How do I begin working with her?
What this counselor works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Bipolar disorder
Also listed
- Abandonment
- Addictions
- Anger management
- BDSM, kink, and alternative sex culture
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 6 years
- Licensed
- Washington, Missouri
- Languages
- English