01 · Who Kyra works with

Kyra works with stress, Anxiety, relationship issues and depression

Kyra lists 4 specialisms. Specialisms are the subjects Kyra chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Kyra's own words

What Kyra says about the work

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

I am a Licensed Clinical Social Worker in California and a Telehealth Licensed Clinical Social Worker in Florida with over 6 years of professional experience supporting children, teens, and adults. I provide compassionate, evidence-based therapy for individuals experiencing anxiety, depression, trauma, relationship challenges, stress, and major life transitions.

My approach to therapy is warm, collaborative, and client-centered. I draw from Cognitive Behavioral Therapy (CBT), dialectical behavior therapy (DBT) ,trauma-informed care, and mindfulness-based interventions to help clients build insight, strengthen coping skills, and create meaningful change in their lives. I strive to create an open, supportive, and nonjudgmental space where you feel safe exploring your thoughts, emotions, and experiences.

I believe that reaching out for support takes courage, and I feel honored to walk alongside my clients as they work toward healing, growth, and greater emotional well-being.

Kyra Smith, on the BetterHelp listing · read 10 Oct 2026

03 · How Kyra works

The 7 approaches Kyra lists, in plain English

These are the clinical methods Kyra lists. The descriptions are Maker Therapy's, not Kyra'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 Kyra runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

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.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

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.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Kyra 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 Kyra'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 Kyra at this point.

2. Naming Kyra specifically

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

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

3 questions worth asking Kyra

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

• “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

LCSW

Licensed in

California

Licence

GA LCSW CSW010600, CA LCSW 122841

Licence number

122841

Licence expires

31 May 2028

NPI

1083276984

Years in practice

5

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Kyra'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 10 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 Kyra. 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.