Rayna Smith, MD, LCSW-C - Therapist in Maryland

About Rayna

Rayna Smith is a licensed clinician with MD and LCSW-C credentials and ten years of practice. She supports people facing relationship and family stress, trauma and intimacy concerns, and struggles with mood and anxiety. Rayna writes plainly and meets people where they are, helping them take the first practical steps toward change.

Her approach begins by listening closely to each person's story and strengths. She uses straightforward conversation to clarify goals and build small, usable steps.

Background and approach

Sessions focus on practical tools and on understanding patterns that keep problems repeating. Rayna draws from several evidence-informed methods. She uses Cognitive Behavioral Therapy to spot and shift unhelpful thoughts and behaviors.

She brings Client-Centered Therapy to create a respectful space where a person’s priorities guide the work. Motivational Interviewing is used when people need help finding reasons and confidence to change. She has worked in settings that exposed her to a wide range of family and relationship challenges, including adoption and foster care, blended family issues, caregiver stress, and domestic violence.

Her practice also addresses parenting, fatherhood issues, and first responder stress when those topics are part of a person’s life. Sessions are offered in English and take place with a licensed professional based in Maryland. Rayna emphasizes steady, realistic progress rather than quick fixes, and she helps people make plans that fit daily life.

How Rayna’s Approaches Translate to Online Therapy

Rayna integrates Cognitive Behavioral Therapy and Client-Centered Therapy into online work. CBT helps identify and change thoughts and behaviors that worsen anxiety, depression, or parenting stress, using clear exercises and homework you can complete between sessions. Client-Centered Therapy focuses on listening and following your priorities so the work reflects what matters most to you and your family.

She treats choice of method as a collaborative decision. During early sessions she will talk with you about your goals and try approaches that fit your needs and comfort. The plan can change over time as progress and life circumstances evolve.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to make attendance easier around busy family schedules. These options let people use short check-ins or longer sessions when needed, and make it possible to continue work during life transitions. Rayna aims to blend practical tools with flexible formats so therapy can fit into daily routines rather than compete with them.

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.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Motivational Interviewing

A way of working through mixed feelings about change without being pushed. The therapist helps you weigh things up and find your own reasons, which often makes a difficult decision feel less stuck.

Frequently asked questions

What kinds of problems does she help with?

Rayna works with relationship and family problems, trauma and abuse, intimacy-related issues, depression, anxiety, grief, parenting, stress, and related concerns listed in her specialties.

What is her general therapy style?

She listens first and follows the client’s priorities, then uses clear, practical steps and conversation to address goals and patterns that cause distress.

How much clinical experience does she have?

She has ten years of professional experience working with a range of relationship and family issues and related concerns.

What are her credentials and where is she based?

She holds MD and LCSW-C credentials with license number MD LCSW-C 16449 and practices in Maryland.

Which languages are supported for sessions?

Sessions are offered in English.

What session formats does she offer?

She meets by video calls, phone sessions, live chat, and text-based messaging.

How are sessions priced?

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?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Relationship issues
Family conflicts
Trauma and abuse

Also works with

Therapeutic approaches

Experience: 10 years
Licensed: Maryland
Languages: English

Next step

Talk to Rayna

Takes a few minutes
Nothing to set up just to look
Stop at any point

Book with Rayna