Elizabeth Smith, LPC

Approaches for Meaning and Practical Change Online

Elizabeth often brings Existential therapy into work with clients to look at questions of meaning, responsibility, and how values shape choices; this can help when people feel stuck or are facing major life changes. Acceptance and Commitment Therapy (ACT) is used to teach how to accept difficult feelings while committing to actions that match what matters, which is useful for anxiety, depression, and motivation struggles. Client-Centered Therapy shapes how she listens and responds, making sure the conversation is driven by the person’s concerns and goals.

Choosing the right approach is part of the therapy process. She works collaboratively to identify which methods fit a person’s needs, goals, and comfort level. That may mean using skill-based CBT strategies some weeks and more existential reflection in others, depending on what a person wants to achieve.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for deeper conversation and visual cues, phone works well if bandwidth is limited, live chat can suit short check-ins, and text messaging helps when someone needs more frequent, brief support. These options make scheduling easier and let people access help from different places and at different times.