01 · Who Cathy works with

Cathy works with stress, Anxiety, relationship issues and family conflicts

Cathy lists 20 specialisms and 33 further focus areas. Specialisms are the subjects Cathy chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Cathy's own words

What Cathy says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Having graduated with undergrad degrees in Sociology (Criminology) and Spanish, I began working in a residential treatment home for youth with emotional and mental illnesses. My early work there, sparked my interest in psychology and counseling. After starting our family, I returned to school to earn a teaching certificate and a Masters degree in Special Education. After many years of teaching in a variety of settings; institutional, public, private and alternative education, I felt I really wanted more time to listen to and talk with my students. Because of this, I returned to the university once more to complete a Masters degree in Counseling Psychology, earning licensure as a Limited License Psychologist and a Licensed Professional Counselor.

Relationship is the key to effective counseling just as it is to effective teaching. Being open to learning about the life of your client; their ethnicity, culture, religion, sexual preference, work, and belief systems is important as a therapist. Knowing your own limitations is also necessary. Life is very difficult at times, especially in these times! Helping clients to live their best lives is very important work.

I use a variety of methods in working with clients. My clients’ ages have ranged from four years to seventy nine years. I work with people with depression, anxiety, PTSD, grief, trauma, sexual and physical abuse, parenting problems, and even learning disabilities and people on the autism spectrum. Motivational interviewing, client centered work, solution focused, psychoeducational work, mindfulness and Cognitive Behavioral Therapy are tools that I use, based on what the client wants to achieve and their individual needs. Permeating all that I do is a strength based approach to looking at the person, always building on and utilizing their own strengths to partner with them to become healthy and happier.

Cathy Smith, on the BetterHelp listing · read 9 Oct 2026

03 · How Cathy works

The 5 approaches Cathy lists, in plain English

These are the clinical methods Cathy lists. The descriptions are Maker Therapy's, not Cathy's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Cathy runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Cathy practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Cathy's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Cathy at this point.

2. Naming Cathy specifically

   BetterHelp matches algorithmically by default, so asking for Cathy is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Cathy.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Cathy

Built from what Cathy actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Cathy's - Cathy has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 18 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Michigan

Licence

MI LPC 6401010540

Licence number

6401010540

Licence expires

25 Mar 2028

NPI

1528269065

Years in practice

18

Gender

Female

Languages

English, Spanish

International clients

Accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Cathy's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Cathy. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.