01 · Who Cynthia works with

Cynthia works with relationship issues, grief and career difficulties

Cynthia lists 14 specialisms and 18 further focus areas. Specialisms are the subjects Cynthia chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Cynthia's own words

What Cynthia says about the work

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

I'm a licensed therapist in Pennsylvania with extensive experience supporting individuals through life's most challenging transitions. I work with clients across the lifespan, bringing compassion and clinical expertise to a wide range of concerns including depression, relationship difficulties, grief, and career transitions.

My practice focuses on helping people navigate isolation and loneliness, explore life purpose, and work through guilt and shame. I also specialize in supporting caregivers, addressing financial stress, and helping women navigate their unique experiences. I'm experienced in working with workplace challenges, chronic pain and illness, midlife transitions, family dynamics, and end-of-life concerns.

I approach therapy with cultural sensitivity and respect for diverse relationship structures and identities. My person-centered style emphasizes collaboration, authenticity, and meeting you where you are. I draw on evidence-based practices to help you build insight, resilience, and meaningful change at your own pace.

I'm honored by the trust my clients place in me, and I'm committed to creating a safe, respectful space where you feel truly heard and supported in your journey.

Cynthia Smith, on the BetterHelp listing · read 8 Nov 2026

03 · How Cynthia works

The 7 approaches Cynthia lists, in plain English

These are the clinical methods Cynthia lists. The descriptions are Maker Therapy's, not Cynthia'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 Cynthia 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.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

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.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

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.

Also listed

• Existential Therapy

04 · What happens next

From this page to a first session

Cynthia 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 Cynthia'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 Cynthia at this point.

2. Naming Cynthia specifically

   BetterHelp matches algorithmically by default, so asking for Cynthia 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 Cynthia.

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 Cynthia

Built from what Cynthia actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Cynthia's - Cynthia 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 15 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

Pennsylvania

Licence

PA LPC PC005964

Licence number

PC005964

Licence expires

28 Feb 2027

NPI

1962820837

Years in practice

15

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Cynthia'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 8 Nov 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 Cynthia. 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.