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Selma Smith

Selma Smith

Therapist · North Carolina

Supportive counselor for life transitions

  • Addictions support
  • Stress and anxiety
  • Practical coping skills

About Selma

Selma Smith is a licensed clinical mental health counselor (LCMHC) practicing in North Carolina with 11 years of professional experience. She focuses on practical help for people facing addictions, low self-esteem, stress, anxiety, and major life changes. Her approach is warm and respectful, and she aims to meet people where they are so they can take steps toward change.

Selma often works with people dealing with compassion fatigue and caregiver stress. She also supports those coping with grief, sleep problems, mood concerns such as depression and bipolar symptoms, and ADHD-related challenges. She offers straightforward guidance and helps people set realistic goals to improve daily life.

Her practice addresses a broad range of life and family-related concerns, including communication problems, parenting strains, fatherhood issues, adoption and foster care matters, and substance use. She listens for patterns that get in the way of progress and helps clients build new habits and routines that fit their lives.

Selma adapts conversations and plans to each person’s needs instead of using a one-size-fits-all model. She emphasizes practical steps alongside emotional support, and she encourages clients to try small changes that can add up over time.

Clients who reach out are asked to complete a short matching questionnaire and then schedule sessions based on the therapist’s availability. Sessions use a subscription that can be canceled at any time, and fees vary with location and therapist availability.

How therapeutic approaches guide online work

Selma uses evidence-based therapeutic techniques focused on practical change and coping. She emphasizes methods that help people manage stress and anxiety through clear steps, such as learning coping routines, sleep strategies, and ways to break unhelpful patterns. These approaches are useful for people dealing with addiction, mood concerns, and daily functioning challenges.

She also emphasizes goal-focused coaching strategies to build motivation and confidence. That work includes setting small, measurable goals, tracking progress, and adjusting plans together. For grief, trauma, and compassion fatigue she combines stabilizing skills with paced emotional processing so people feel steadier while they address painful issues.

Finding the right approach is a collaborative process. The therapist will ask about needs, goals, and preferences and then suggest techniques that fit your situation. Together you can try an approach for a few sessions and change course if something does not feel helpful.

Confirm current session options before booking, as the biography does not list specific formats. Online therapy can make it easier to fit appointments into busy schedules, shorten commute time, and allow quick check-ins on high-stress days. It can also make regular follow-ups simpler to maintain while you work on practical changes in everyday life.

Areas of focus

AddictionsSelf esteemCoping with life changesCompassion fatigueStress, AnxietyFamily conflictsTrauma and abuseGriefSleeping disordersParenting issuesCareer difficultiesBipolar disorderDepressionCoachingADHD
AbandonmentAdoption and foster careAging and geriatric issuesCaregiver issues and stressCommunication problemsControl issuesCoping with natural or human-caused disasterDissociationDomestic violenceDrug and alcohol addictionFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersPost-traumatic stressSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Frequently asked questions

What kinds of concerns does Selma help with?

She helps with addictions, stress, anxiety, self-esteem, coping with life changes, compassion fatigue, grief, sleep problems, mood concerns, ADHD, and related family and caregiving issues.

What is her therapeutic style like?

Her style is respectful and practical. She focuses on clear conversations, goal-setting, and steps clients can try between sessions.

How much clinical experience does she have?

She has 11 years of professional work experience in mental health settings and related care.

What are her credentials and where is she licensed?

She holds the LCMHC credential and is licensed in North Carolina as an NC LCMHC.

Which languages are supported in sessions?

Sessions are offered in English.

Can people outside the U.S. work with her?

International clients are not currently accepted.

How are sessions scheduled and what do they cost?

Sessions are scheduled after completing the Start Therapy questionnaire and vary in cost by location and therapist availability; they use a subscription that can be canceled at any time.

How do I begin working with her?

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

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