Charmaine Smith, LMFT, MD, LCMFT - Therapist in Kentucky

About Charmaine

Charmaine Smith is a licensed marriage and family therapist who focuses on family and parenting concerns and related stresses. She speaks plainly with people who feel overwhelmed by anxiety, relationship strain, or low self-esteem. Her approach is practical and respectful, and she aims to make the first steps feel manageable for a worried parent or partner.

She draws on 17 years of clinical experience and holds credentials as LMFT, MD LCMFT.

Background and approach

Charmaine adapts conversations and plans to each person she meets. Sessions emphasize clear goals, manageable steps, and steady progress rather than jargon or quick fixes. Her work often addresses the intersection of stress, relationships, and family pressures.

She also addresses issues such as abandonment, adoption and foster care concerns, blended family dynamics, and fatherhood issues when they arise. Communication problems, commitment questions, and navigating separation or divorce are also part of her practice. Charmaine uses several evidence-informed methods in session.

She draws from Cognitive Behavioral Therapy to help spot unhelpful thinking and from Emotionally-Focused Therapy to map strong feelings in relationships. Attachment-Based and Acceptance and Commitment Therapy ideas inform how she supports connection and values-driven action. She offers sessions from Kentucky and conducts work in English.

Practical matters like scheduling and subscription-based billing are handled through the intake and matching process, so people can begin with a short questionnaire and then book a session that fits their life.

Therapeutic approaches applied to online sessions

Acceptance and Commitment Therapy, or ACT, helps people notice what matters to them and take small actions toward those values despite difficult thoughts or feelings. It can be useful for persistent anxiety, stress, and motivation struggles. Cognitive Behavioral Therapy, or CBT, focuses on identifying and changing unhelpful thought patterns and behaviors through practical techniques like thought records and behavioral experiments. This approach is often helpful for anxiety and self-esteem work. Emotionally-Focused Therapy, or EFT, looks at patterns of emotion and interaction in close relationships and helps partners or family members relate more securely and express needs more clearly.

Choosing the right approach is part of therapy. The therapist will talk with each person about goals and preferences, and will suggest methods that fit those needs. That collaborative process helps shape sessions so they feel useful and realistic for day-to-day family and relationship life.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Those options make it easier to fit sessions into busy family schedules and to follow up between appointments. Licensed professionals can use these formats to teach practical skills, coach around communication, and support steady progress without requiring travel.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Attachment-Based Therapy

Looks at how early bonds shaped what you expect from closeness, and how that plays out now with a partner, a parent, or your own children.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Frequently asked questions

What concerns does Charmaine commonly address?

She helps with stress, anxiety, relationship tension, family problems, self-esteem, and coaching around motivation. Additional focus areas include abandonment, adoption and foster care, blended family issues, body image, cancer-related stress, caregiver stress, commitment and communication problems, divorce and separation, domestic violence, emptiness, family of origin issues, and fatherhood issues.

What is Charmaine's therapeutic style?

Her style is practical and respectful, using clear conversation and concrete steps. She combines client-centered listening with active methods to change unhelpful thoughts and improve relationship interactions.

How long has she practiced clinically?

She has 17 years of professional experience working in clinical settings. That background informs her work with a range of family and relationship concerns.

What credentials and licensure does she hold?

She carries credentials as LMFT and MD LCMFT. The credential numbers include TX LMFT 202109 and MD LCMFT LCM1090, and her practice is based in Kentucky.

In which languages are sessions offered?

Sessions are offered in English. International clients are not currently accepted.

What formats are available for sessions?

She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.

How does payment and cost work?

Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button and completing a short matching questionnaire. After that, you can schedule sessions according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Family conflicts

Therapeutic approaches

Experience: 17 years
Licensed: Kentucky, Texas, Maryland
Languages: English

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