About Luciana
Luciana Smalls is a Licensed Professional Counselor (LPC) in South Carolina who focuses on helping people manage anxiety and stress. She takes a warm, direct approach that balances support with practical skill-building. Sessions aim to help clients feel steadier and more able to handle life’s pressures.
She draws on client-centered work to make each person’s goals the starting point. Cognitive Behavioral Therapy techniques are used to identify unhelpful thoughts and test new ways of coping.
Background and approach
Dialectical Behavior Therapy skills and mindfulness practices are added when clients need tools for emotion regulation and staying present. Luciana has nine years of counseling experience and many more years in human services. That background informs how she supports people facing depression, addiction, parenting challenges, adoption and foster care concerns, relationship struggles, and work stress.
She also addresses grief, trauma and intimacy-related issues in practical ways. In sessions she helps clients build concrete skills: stress management, communication practices, impulse control strategies, and routines that support mental health. Treatment plans are made together and tailored to each person’s values and needs.
This plainspoken, goal-focused style suits people who want clear steps and steady encouragement. People meet with her by phone, video, live chat, or text messaging. Sessions use a subscription model that can be canceled at any time.
All work is offered in English and geared to folks living in South Carolina and elsewhere in the United States who are seeking help with everyday anxiety and related concerns.
How therapeutic approaches translate to online care
Client-Centered Therapy focuses on understanding each person’s perspective and building goals together, which helps online sessions stay grounded in what matters most to the client. Cognitive Behavioral Therapy (CBT) involves identifying thoughts and testing new behaviors, making it well suited to video or phone sessions where worksheets and homework can be assigned. Dialectical Behavior Therapy (DBT) teaches emotion regulation and distress tolerance skills that are useful for managing anxiety and strong feelings in day-to-day life.Finding the right approach is a collaborative process. The therapist will discuss preferences, symptoms, and goals and then try methods that fit the person’s needs. Adjustments are made over time so the work stays practical and relevant to real-life situations.
Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video lets people use visual cues during skill-building, phone calls work when bandwidth is limited, live chat can be helpful for brief check-ins, and text messaging supports ongoing coaching between sessions. These options help clients fit therapy into workdays, caregiving schedules, or other commitments while focusing on anxiety, coping skills, and relationship patterns.
Questions people ask
What kinds of concerns does she help with?
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What is her professional background?
Where is she licensed and based?
Which languages are supported for sessions?
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What session formats are available?
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Multicultural concerns
- Parenting issues
- Postpartum depression
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Trauma and abuse
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- South Carolina
- Languages
- English
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