Paige Smart, LPC, LMHC

Washington · 6 years in practice

Paige Smart is a Licensed Professional Counselor and a Licensed Mental Health Counselor based in Missouri.

License and registration

LMHC, Washington: LH61044147 · expires July 2026
LPC, Missouri: 2020031656 · expires June 2027
NPI: 1043722499 · national provider identifier
Years in practice: 6
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Paige

Paige Smart is a Licensed Professional Counselor and a Licensed Mental Health Counselor based in Missouri. She offers a calm, accepting presence and helps people who are feeling overwhelmed by stress, anxiety, mood swings, grief, or relationship problems. Paige uses clear, practical steps so people can start feeling steadier day to day.

She draws on six years of clinical experience helping people with depression, bipolar symptoms, panic, addiction, and trauma.

Background and approach

Paige pays attention to how biology, thinking patterns, and life circumstances connect. That helps her find targeted tools that fit each person's situation. In sessions she blends client-centered listening with practical techniques from cognitive behavioral approaches and mindfulness.

She also uses elements of dialectical behavior therapy and EMDR to address trauma and intense emotion when appropriate. The focus is on simple, doable skills and steady progress rather than jargon or complex plans. Paige is comfortable talking about intimacy, alternative sexual cultures such as BDSM and kink, and difficult topics like domestic violence or abandonment.

She will help with communication problems, commitment worries, money stress, and feelings of isolation or guilt. Her style is steady, direct, and accepting. People meet Paige to create a plan together, practice skills, and reduce the day-to-day impact of painful memories and strong emotions.

She works with adults in English and practices from Missouri as an LPC and an LMHC.

Focus areas and approaches

Everything Paige lists on their public professional profile, in their own terms.

Stress, Anxiety
Trauma and abuse
Bipolar disorder
Depression
Coping with life changes
Addictions
LGBT
Relationship issues
Family conflicts
Grief
Intimacy-related issues
Anger management
Self esteem
Compassion fatigue
Abandonment
BDSM, kink, and alternative sex culture
Commitment issues
Communication problems
Divorce and separation
Domestic violence
Family problems
Forgiveness
Guilt and shame
Impulsivity
Isolation / loneliness
Veteran and Armed Forces Issues
Money and financial issues
Mood disorders
Panic disorder and panic attacks
Paranoia
Personality disorders
Phobias
Polyamory / non-monogamous relationships
Postpartum depression
Post-traumatic stress
Pregnancy and childbirth
Seasonal Affective Disorder (SAD)
Self-harm
Self-love
Sex addiction
Sexual assault and abuse
Sexuality
Social anxiety and phobia
Women's issues
Workplace issues
Young adult issues

Approaches Paige names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Approaches for managing trauma and strong emotions online

Paige uses client-centered methods that begin with listening and building trust. This approach focuses on understanding each person's history and priorities so the therapist and client can set realistic goals together.

She also uses cognitive behavioral therapy, which looks at unhelpful thinking and behavior patterns and teaches concrete skills to change them. CBT is often helpful for anxiety, depression, panic, and problems with mood regulation. For people who have experienced trauma or have intense emotional reactions, she incorporates parts of EMDR to help reduce the impact of distressing memories and reactions.

Finding the right approach is part of the work. Paige collaborates with each person to choose methods that match their needs, goals, and comfort level. Therapy plans are adjusted over time based on what is working and what is not so clients can make steady progress.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and demonstrations of skills. Phone sessions can be useful when bandwidth is limited or a quieter check-in is needed. Live chat and text let people check in between sessions, do shorter check-ins, and fit therapy into busy days.

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Questions people ask

What issues does Paige help with?

She helps people with stress, anxiety, depression, bipolar symptoms, trauma and abuse, panic, addiction, and grief. She also supports those facing relationship challenges, communication problems, intimacy issues, and financial stress.

What is her general approach in therapy?

Her style combines warm, nonjudgmental listening with practical tools. Sessions often include client-centered discussion, cognitive behavioral techniques, mindfulness, DBT skills, and EMDR elements for trauma.

How much clinical experience does she have?

She has six years of experience working with people from varied backgrounds and a range of concerns including mood disorders and trauma.

What credentials and location apply?

She holds LPC and LMHC credentials and practices in Missouri. The credential abbreviations are Licensed Professional Counselor and Licensed Mental Health Counselor.

Can I work with her if I live outside the United States?

Sessions are offered in English and she is not accepting international clients at this time.

Which session formats are available?

Therapy is available by video calls, phone sessions, live chat, and text-based messaging to suit different schedules and preferences.

How does payment and cost work?

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

What are the first steps to begin therapy?

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

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