Paige Smart, LPC, LMHC

Trauma-informed counselor focused on practical recovery

Trauma-informed care
DBT and CBT
LGBTQ affirming support

About Paige Smart

Paige Smart is a licensed counselor who brings six years of focused clinical experience to her work with individuals navigating stress, anxiety, trauma, mood disorders, relationship struggles, and a wide range of life changes. She holds the credentials LPC and LMHC - LPC stands for Licensed Professional Counselor and LMHC stands for Licensed Mental Health Counselor - and maintains licensure in both Missouri and Washington. Her background includes supporting people through depression, bipolar symptoms, panic and mood fluctuations, grief and loss, communication and family conflicts, substance-related concerns, and trauma-related difficulties.

Her therapeutic stance centers on warmth, acceptance, and partnership. Paige uses a biopsychosocial framework to understand how biological, psychological, and social influences have shaped each person, and she tailors treatment to fit that individual picture. She integrates trauma-informed cognitive behavioral strategies, techniques drawn from dialectical behavior therapy, mindfulness practices, solution-focused methods, strengths-based work, and motivational interviewing to help clients build practical skills and reach their goals.

Throughout the work, Paige emphasizes collaboration and a nonjudgmental atmosphere where clients can explore patterns, practice new coping tools, and develop healthier ways of relating to themselves and others. Her aim is to help clients reduce the impact of distressing experiences, improve daily functioning, and move toward the kind of life they want to lead.

Areas of Expertise

Primary Focus

Stress, Anxiety Trauma and abuseBipolar disorderDepression Coping with life changes

Also Specializes In

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 Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Eye Movement Desensitization and Reprocessing (EMDR) Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Paige Smart have?

Paige Smart has 6 years of professional experience providing mental health services.

Is Paige Smart a licensed therapist?

Yes, Paige Smart holds the credentials LPC and LMHC. License details are MO LPC 2020031656 and WA LMHC LH61044147.

In which languages does Paige Smart provide therapy?

Paige Smart provides therapy in English.

Where is Paige Smart located?

Paige Smart is located in Missouri.

How can I work with Paige Smart as my therapist?

You can work with Paige Smart through video calls, phone sessions, live chat, or text-based messaging.

Does Paige Smart work with international clients?

Paige Smart does not currently work with international clients.

How much does therapy with Paige Smart 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, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just 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.

Therapeutic Approaches and Online Care

Paige Smart works from several evidence-informed approaches tailored to each person's needs. Client-Centered Therapy emphasizes listening, empathy, and respect so clients can explore their experiences at their own pace while the therapist supports their autonomy and self-direction. Cognitive Behavioral Therapy (CBT) focuses on identifying and reshaping unhelpful thoughts and behaviors, offering practical strategies for managing anxiety, depression, and mood-related symptoms. Dialectical Behavior Therapy (DBT) provides skills for emotional regulation, distress tolerance, and interpersonal effectiveness, which can be especially helpful for intense emotions, relationship challenges, and impulsive behaviors.

Choosing the right approach is a collaborative process. Paige will work with each person to understand their goals, preferences, and life context, and then recommend or blend methods that best fit their needs. This shared decision-making helps ensure treatment feels relevant and manageable.

Online therapy offers flexible ways to engage with these approaches through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to attend sessions from home or work, maintain consistent care despite busy schedules, and use therapeutic tools in real time as challenges arise, all while working with licensed professionals trained in these modalities.

Ready to start therapy with Paige Smart?

Take the first step toward a better you.

Get Started