About Paige
Paige Smart is a Licensed Professional Counselor and Licensed Mental Health Counselor who helps people facing stress, anxiety, depression, mood swings, and trauma-related concerns. She works with adults who are wrestling with relationship strain, grief, substance issues, or changes in life circumstances. Paige aims to create a welcoming space so people can talk honestly and start making changes they want.
Paige draws on a mix of practical methods to match each person's needs.
Background and approach
She listens first, learning about health, life events, and social context to see how those factors interact. From there she uses tools from cognitive behavioral therapy to address unhelpful thoughts and behaviors, and techniques from dialectical behavior therapy to teach emotional regulation skills. When trauma is part of the story, she incorporates approaches intended to reduce its hold on daily life.
Mindfulness practices are used to increase moment-to-moment awareness and reduce reactivity. Motivational interviewing helps people find internal reasons to change habits that no longer serve them. Her background includes six years working with a wide range of concerns, including panic attacks, bipolar symptoms, intimacy-related issues, and compassion fatigue.
She also supports people navigating difficult topics such as abandonment, communication problems, and money stress. Paige frames therapy as a partnership. Together clients and she set clear goals and practical steps.
Sessions focus on skills, small experiments, and steady progress toward a healthier, more manageable life.
Approaches that translate well to online care
Client-centered work emphasizes listening, empathy, and collaboration to help people set goals and feel heard. This approach focuses on the client's experience and preferences, which can make remote sessions feel personal and supportive. Cognitive Behavioral Therapy, or CBT, teaches practical skills to identify and change unhelpful thoughts and behaviors. CBT is well suited to online formats because homework, worksheets, and behavioral experiments can be assigned between sessions and reviewed over video or messaging. Dialectical Behavior Therapy, or DBT, offers concrete tools for emotional regulation, distress tolerance, and interpersonal effectiveness. Those skills work well in short coaching-style check-ins over chat or in weekly video sessions where new skills are practiced and refined. Finding the right approach is part of the work. The therapist will talk with each person about their goals, symptoms, and daily life to choose methods that make sense. This is a collaborative process that may include trying different tools and adjusting as progress is made. Online therapy offers practical flexibility. Video calls allow face-to-face conversation and screen-sharing of worksheets. Phone sessions can be a lower-bandwidth option for focused talk. Live chat and text-based messaging support quick check-ins, skill practice, and brief coaching between longer sessions. These options make it easier to fit therapy into busy schedules and keep momentum between meetings.Questions people ask
What kinds of concerns does this therapist address?
What is the general therapy style I can expect?
How much experience does the therapist have?
What credentials and location information should I know?
Are sessions available in other languages or internationally?
What formats are used for sessions?
How does payment and cost work?
How do I begin the process of working together?
What this therapist 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
We will earn a commission if you sign up through our link, at no cost to you.