Luciana Smalls , LPC

Luciana Smalls is a Licensed Professional Counselor (LPC) practicing in South Carolina with nine years of clinical experience and more than two decades working in the human services field. As an LPC she holds a state license to provide professional mental health counseling and has supported a wide range of clients, including people managing depression, anxiety, adoption and foster care concerns, relationship and parenting challenges, ADHD, oppositional behaviors, and addiction.

Her therapeutic style balances warmth with gentle challenge and practical support. She focuses on helping clients build skills and strategies that transform difficulties into strengths, and she approaches each person with respect for their cultural background, values, sexual orientation, and identity. Luciana integrates cognitive-behavioral and client-centered perspectives and also draws on motivational interviewing, mindfulness practices, narrative techniques, and creative interventions to tailor care to individual needs.

Treatment is collaborative and individualized, with a clear plan developed around each client’s goals and circumstances. Luciana aims to equip people with concrete tools to navigate change, manage fear, and move toward their preferred version of life, and she welcomes the opportunity to support those ready to take the next step.

Approach-Focused Online Therapy for Practical Change

Client-centered therapy emphasizes empathy, active listening, and the client’s own goals. It creates space for self-exploration and supports personal growth, making it useful for relationship concerns, self-esteem work, and life transitions.

Cognitive Behavioral Therapy (CBT) addresses the links between thoughts, feelings, and behaviors, teaching practical techniques to reduce anxiety, depression, and stress and to build coping skills for everyday challenges.

Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness, helping clients manage intense emotions and improve communication and impulse control.

Finding the right approach is part of the therapeutic process, and Luciana collaborates with each person to identify methods that fit their needs, goals, and preferences. She will work with clients to try strategies, evaluate what is helping, and adapt the plan as progress is made.

Online therapy provides flexibility and accessibility by allowing sessions by video call, phone, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity during life changes, and connect with licensed professionals without the need for travel, while preserving the therapeutic focus on meaningful change.