Naomi Smith, LCSW, LMSW

Therapeutic approaches and how they work online

Client-centered therapy focuses on listening and supporting the client's own goals. A therapist follows the client's lead, reflects concerns back, and helps shape a plan that feels meaningful. This approach helps when someone needs a supportive space to sort out priorities and regain confidence.

Cognitive Behavioral Therapy, or CBT, breaks down thoughts, feelings, and actions into small parts to change unhelpful patterns. It often uses practical exercises between sessions to reduce anxiety, tackle low mood, and manage addictive behaviors.

Dialectical Behavior Therapy, or DBT, teaches skills for managing strong emotions and improving relationships. It emphasizes grounding techniques, distress tolerance, and clearer communication, which can help with impulsivity and intense mood swings.

Finding the right approach is a collaborative process. Naomi will talk with each person about their goals and try methods that fit those needs. She adjusts tools and pacing based on how someone responds so therapy stays practical and focused.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for different days and needs. Video calls work well for deeper conversations and visual cues, phone sessions are useful when bandwidth is limited, and text or live chat can fit short check-ins or quick skill practice. These options make it easier to keep regular appointments and use therapeutic techniques from daily life.