MidlifeTherapists.com

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Paula Smith

Paula Smith, LCSW

Therapist · Texas · 4+ years of experience

Warm LCSW helping people navigate midlife changes

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  • Midlife questions
  • Stress and anxiety
  • LGBT affirmation

About Paula

Paula Smith is a licensed clinical social worker who helps people navigate midlife questions, stress, and identity concerns. She works with individuals facing anxiety, depression, grief, addiction, trauma, and relationship struggles. Her style is warm and direct, focused on helping people find practical steps forward.

Paula aims to make sessions a place to sort out complicated feelings. She listens for patterns in relationships and mood, then helps people try different ways of coping. That can mean practicing new communication skills, building routines that support mood, or learning strategies to manage anxiety and cravings.

Her work often centers on identity and LGBT issues, attachment concerns, and the emotional impact of major life changes. She also supports people dealing with chronic illness, caregiving stress, and first responder challenges. Paula helps clients balance practical needs with emotional healing.

Therapeutic methods Paula uses include cognitive behavioral techniques, skills from dialectical behavior therapy, mindfulness practices, motivational interviewing, and psychodynamic ideas about early patterns. She blends these to match each person’s situation and goals rather than following one fixed method.

Paula holds LCSW credentials and practices in Texas and Oklahoma. She emphasizes cultural humility and respects each person's background and values. If someone wants help making a plan for change, Paula focuses on clear steps and steady progress.

Areas of expertise

Primary focus

Stress, AnxietyLGBTTrauma and abuseBipolar disorderDepression

Also works with

AddictionsRelationship issuesGriefSelf esteem

Additional focus areas

Aging and geriatric issuesAttachment issuesBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDivorce and separationDrug and alcohol addictionFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHospice and end-of-life counselingInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacksPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSexual assault and abuseSexualityWorkplace issuesYoung adult issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused Therapy

Experience

4+ years

Credentials

Oklahoma, Texas

Languages

English

How Paula’s approaches translate to online therapy

Paula uses cognitive behavioral therapy to help people identify unhelpful thoughts and try practical behavior changes. CBT can be useful for anxiety, depression, stress, and managing mood shifts.

She also draws on dialectical behavior therapy skills to teach emotion regulation, distress tolerance, and clearer communication. DBT-style techniques can help people tolerate strong feelings and improve relationships.

Finding the right approach is a collaborative process. Paula works with each person to match methods to their goals, preferences, and life demands. Together they try strategies and adjust the plan based on what helps.

Practical benefits of online therapy often include easier scheduling and fitting sessions into a busy life. Online work can reduce travel time and make it simpler to check in between commitments. The biography does not specify which session formats Paula offers, so confirm available formats before booking. Licensed professionals can tailor session length and focus to match day-to-day needs and goals.

Frequently asked questions

What kinds of concerns does Paula address?

She supports people facing stress, anxiety, depression, grief, trauma and abuse, bipolar challenges, addictions, relationship problems, self-esteem issues, and related concerns listed in her specialties.

How would you describe her therapy style?

Her style is warm, direct, and collaborative. Sessions focus on practical skills, exploring patterns, and setting achievable steps toward change.

What experience does she bring?

Paula has four years of clinical experience working with people across mood, anxiety, trauma, identity, and addiction concerns.

What are her credentials and where does she practice?

She is a Licensed Clinical Social Worker (LCSW) with licensure in Texas and Oklahoma and practices based in Texas.

Which languages are supported for sessions?

Sessions are offered in English.

What session formats are available?

The biography does not list specific session formats; please confirm current session options with the platform before booking.

How does payment and cost work?

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

How do I begin working with Paula?

Select the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to therapist availability.

Paula Smith Online therapy options on BetterHelp

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