About Charmaine
Charmaine Smith is a licensed marriage and family therapist who helps people dealing with stress and anxiety. She speaks plainly and offers steady support for relationship and family concerns. Her approach is practical and focused on small, manageable steps people can use right away.
She uses a mix of methods to fit each person’s needs, including ideas from cognitive behavioral work and acceptance-based approaches. Sessions often involve noticing patterns, trying new ways of responding, and setting realistic goals.
Background and approach
The tone in sessions is warm and respectful, with a focus on building skills and confidence. Charmaine has 17 years of experience working in clinical settings. She holds the credential LMFT and also lists MD LCMFT, and she is licensed in Kentucky, Maryland, and Texas.
That background shapes a practice that balances clinical knowledge with everyday practicality. People bring a wide range of concerns to her, such as family conflict, communication problems, self-esteem, abandonment or blended family issues, and caregiving stress. Charmaine tailors conversations and plans to each person’s situation and priorities.
She often focuses on what someone can change now, rather than waiting for perfect conditions. Her manner is direct but compassionate. She encourages people to take small steps toward clearer communication and less anxious days.
The first session is usually about understanding what matters most and agreeing on a few next steps to try together.
Approaches for online anxiety and relationship work
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, then act in ways that match their values. It can be useful for anxiety and low motivation. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking and testing new behaviors to reduce anxiety and improve mood. It often includes practical exercises to try between sessions.Choosing the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide which methods to try and adjust the plan based on what actually helps in day-to-day life.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video sessions let people read facial expressions and do longer conversations. Phone sessions work well when bandwidth is low or when someone prefers not to be on camera. Live chat or text can be used for shorter check-ins, quick problem-solving, or reminders about skills practiced between sessions. These options help make consistent work possible around busy schedules and caregiving demands.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Adoption and foster care
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Coaching
- Commitment issues
- Communication problems
- Control issues
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Multicultural concerns
- Post-traumatic stress
- Pregnancy and childbirth
- Self esteem
- Self-love
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Kentucky, Texas, Maryland
- Languages
- English
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