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Paige Smart

At a glance

Experience
6 years
Based in
Missouri
Sessions
Online
Languages
English

TherapistMissouri

Paige Smart, LPC, LMHC

Warm, practical counseling for life’s hard moments

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License and NPI on record

CredentialStateNumber
LMHC Washington LH61044147
LPC Missouri 2020031656

NPI1043722499

Shown as listed on the therapist's profile. A license can be checked with the state board, and an NPI with the national NPI registry.

  • Trauma aware
  • Skills focused
  • Client centered

About Paige

Paige Smart is a licensed counselor who helps people facing stress, anxiety, depression, mood swings, grief, and trauma. She provides a warm, nonjudgmental setting so people can talk honestly about what’s happening in their lives. Her tone is collaborative and direct, aimed at helping someone feel steadier and more in control.

Paige draws on six years of clinical experience and holds LPC (Licensed Professional Counselor) and LMHC (Licensed Mental Health Counselor) credentials. She listens first, then builds a plan that reflects a person's life, values, and goals. That plan looks at biological, psychological, and social factors that shape day-to-day struggles.

Her methods include client-centered work, cognitive behavioral tools, dialectical behavior strategies, EMDR for trauma-related symptoms, and mindfulness practices. These approaches are used to reduce distress, improve coping, and address patterns that keep problems stuck. Sessions focus on practical steps and skills that can be used between meetings.

Paige also supports people dealing with relationship and communication problems, intimacy concerns, issues around BDSM and alternative sex culture, addiction, compassion fatigue, and challenges common to veterans and armed forces community members. She aims to help people manage symptoms and rebuild routines that matter to them.

To begin, she asks people to share what they want to change and then co-creates a path forward. The emphasis is on steady progress, real-world tools, and a respectful working relationship.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesAnger managementSelf esteemCompassion fatigue

Additional focus areas

AbandonmentBDSM, kink, and alternative sex cultureCommitment issuesCommunication problemsDivorce and separationDomestic violenceFamily problemsForgivenessGuilt and shameImpulsivityIsolation / lonelinessVeteran and Armed Forces IssuesMoney and financial issuesMood disordersPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

6+ years

Credentials

Washington, Missouri

Languages

English

How therapeutic approaches translate to online care

Client-centered work focuses on listening and building a trusting relationship so a person feels heard and understood; online sessions use that same frame to set goals and priorities in the first meetings. Cognitive Behavioral Therapy (CBT) teaches practical skills to change unhelpful thoughts and behaviors, with clear exercises and homework that can be assigned between sessions. Dialectical Behavior Therapy (DBT) offers skills for emotion regulation, distress tolerance, and interpersonal effectiveness that are practiced in session and used in everyday moments.

Choosing the right approach is a collaborative process. The therapist will talk with each person about their needs, goals, and preferences and then shape which methods to use. That means trying strategies, checking what helps, and adjusting the plan together over time.

Confirm current session formats before booking to know which options are available. Online work can make it easier to fit therapy into a busy life by reducing travel time, allowing shorter check-ins when needed, and enabling flexible scheduling around work or family duties. Licensed professionals can assign exercises, teach skills, and review progress in ways that translate well to remote meetings, while keeping the focus on practical changes people can use day to day.

Frequently asked questions

What kinds of problems does Paige help with?

She works with stress, anxiety, depression, bipolar symptoms, trauma and abuse, grief, addictions, relationship and family concerns, and related issues like panic, anger, and low self-esteem.

How would you describe her therapeutic style?

The approach is warm and client-centered, combining cognitive behavioral tools, dialectical strategies, EMDR for trauma symptoms, and mindfulness to teach practical skills and reduce distress.

What is her background and clinical experience?

She has six years of counseling experience working with a wide range of presentations and life circumstances, including trauma and mood-related concerns.

What credentials and location are listed for this counselor?

She holds LPC and LMHC credentials and is associated with Missouri for practice.

Which languages are supported for sessions?

Sessions are offered in English.

Can people outside the U.S. work with her?

She is not accepting international clients at this time.

How does payment or cost work?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

What are the first steps to start therapy?

Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

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