Katie Smith, LCMHC
DBT trained counselor for trauma and relationships
- DBT informed care
- Trauma and relationship focus
- Messaging based sessions
About Katie Smith
An important note before getting started: Katie Smith is currently living overseas and is offering messaging only services to new clients due to the time difference. In the future she may expand to phone or video sessions if schedules allow.
Katie Smith is a licensed counselor practicing in North Carolina who brings five years of clinical experience to her work with adults, teens, and families. She has supported survivors of trauma, domestic violence, and sexual assault, military spouses, and people navigating anxiety, depression, and borderline personality disorder. Intensively trained in Dialectical Behavior Therapy, she has substantial experience working with clients who face chronic suicidal thoughts and chaotic interpersonal relationships.
Her counseling style combines person-centered values with cognitive behavioral theory. In practice this means she honors each person as the expert on their own life while helping to identify thought and behavior patterns that get in the way of goals. Katie partners with clients to set individualized goals and develop practical strategies for coping and growth. She aims to empower people to take charge of their narrative while offering steady support, unconditional positive regard, and a collaborative therapeutic relationship as the work unfolds.
Katie holds professional licensure as a licensed professional counselor - LPC and LCMHC in North Carolina, which indicates state authorization to provide mental health counseling. She invites prospective clients to begin developing more productive ways to handle obstacles and move toward their goals. "It's not a matter of letting go-you would if you could. Instead of 'let it go' we should probably say 'let it be.'" - Jon Kabat-Zinn
Katie Smith is a licensed counselor practicing in North Carolina who brings five years of clinical experience to her work with adults, teens, and families. She has supported survivors of trauma, domestic violence, and sexual assault, military spouses, and people navigating anxiety, depression, and borderline personality disorder. Intensively trained in Dialectical Behavior Therapy, she has substantial experience working with clients who face chronic suicidal thoughts and chaotic interpersonal relationships.
Her counseling style combines person-centered values with cognitive behavioral theory. In practice this means she honors each person as the expert on their own life while helping to identify thought and behavior patterns that get in the way of goals. Katie partners with clients to set individualized goals and develop practical strategies for coping and growth. She aims to empower people to take charge of their narrative while offering steady support, unconditional positive regard, and a collaborative therapeutic relationship as the work unfolds.
Katie holds professional licensure as a licensed professional counselor - LPC and LCMHC in North Carolina, which indicates state authorization to provide mental health counseling. She invites prospective clients to begin developing more productive ways to handle obstacles and move toward their goals. "It's not a matter of letting go-you would if you could. Instead of 'let it go' we should probably say 'let it be.'" - Jon Kabat-Zinn
Areas of Expertise
Also Specializes In
LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesCareer difficultiesBipolar disorderCompassion fatigue
Additional 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 issues
Therapeutic Approach
Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy
Frequently Asked Questions
How much experience does Katie Smith have?
Katie Smith has five years of clinical experience.
Is Katie Smith a licensed therapist?
Yes. She holds the credential LCMHC. License details are NC LCMHC 13314.
In which languages does Katie Smith provide therapy?
Katie Smith provides therapy in English.
Where is Katie Smith located?
Katie Smith is located in North Carolina.
How can I work with Katie Smith as my therapist?
You can work with Katie Smith through video calls, phone sessions, live chat, or text-based messaging.
Does Katie Smith work with international clients?
Katie Smith does not currently work with international clients.
How much does therapy with Katie Smith cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Integrating DBT, CBT, and Mindfulness in Online Care
Cognitive Behavioral Therapy, or CBT, helps people recognize and change unhelpful thinking and behavior patterns. It is often used for anxiety, depression, and everyday stressors by teaching practical tools to reframe thoughts and build coping skills. Dialectical Behavior Therapy, or DBT, focuses on emotion regulation, distress tolerance, and improving interpersonal effectiveness. It is especially useful for people who experience intense emotions, self-harm urges, or unstable relationships. Mindfulness therapy encourages present-moment awareness and learning to respond rather than react, which can reduce reactivity to stress and support overall emotional balance.
Choosing the right approach is a collaborative process. Katie works with clients to explore goals, preferences, and patterns and helps determine which combination of methods will be most helpful. She adapts techniques over time so therapy fits the person rather than forcing a single model.
Online therapy with Katie is offered through video calls, phone sessions, live chat, and text-based messaging, providing flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care across life transitions, balance work and family demands, and access therapy from wherever the client is located within permitted areas. The focus remains on practical, goal-oriented work that fits each person’s life.