About Paige
Paige Smart is a Licensed Professional Counselor and a Licensed Mental Health Counselor who helps people facing anxiety, depression, trauma, and life changes. She writes in plain, direct ways and aims to create a warm, nonjudgmental space where clients can begin to feel heard. Paige brings six years of clinical experience and practical tools to conversations about mood, stress, and relationships.
She prefers a collaborative approach. Early sessions focus on understanding how biological, psychological, and social factors shape daily life.
Background and approach
From there she and the client set short-term and long-term goals together. Sessions mix listening with concrete skills so people can notice small changes quickly. Paige uses methods drawn from client-centered therapy, cognitive behavioral therapy, dialectical behavior therapy, EMDR, and mindfulness.
She adapts techniques to each person rather than using a single fixed plan. That flexibility helps when people face complex issues like trauma, bipolar symptoms, or addiction concerns. Her work also covers relationship strain, family problems, intimacy and sexual culture concerns such as BDSM and kink, grief and loss, and compassion fatigue.
She supports people dealing with anger, impulsivity, isolation, and financial stress, among other challenges. Practical communication skills and emotion regulation are common focuses. Paige practices in Missouri and provides services in English.
She offers a mix of session formats to match different needs and schedules. New clients start by completing a brief matching questionnaire and then scheduling sessions based on availability.
How therapeutic approaches translate to online care
Client-centered therapy focuses on listening and building trust. In online sessions this means the therapist follows the client's lead, reflects understanding, and helps set goals that feel achievable for that person.Cognitive Behavioral Therapy, or CBT, teaches practical skills to change unhelpful thoughts and behaviors. It often includes short exercises and homework between sessions, which works well over video or messaging where written tools can be shared and reviewed.
Dialectical Behavior Therapy, DBT, emphasizes emotion regulation, distress tolerance, and better communication. Online formats are useful for practicing short coaching techniques, teaching grounding skills, and checking progress on coping strategies.
Choosing an approach is a team effort. Paige will discuss goals, preferences, and symptom patterns to decide which methods to use. That lets the therapist and client adjust the plan as needs change rather than committing to one path from the start.
Online therapy offers practical flexibility. Video calls allow face-to-face conversations for deeper work. Phone sessions use less bandwidth and can be easier to fit into a busy day. Live chat and text-based messaging are helpful for quick check-ins, brief skill practice, or when someone prefers writing. These options help people keep therapy consistent around work, caregiving, or travel.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Trauma and abuse
- Bipolar disorder
Also works with
- 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