Luciana Smalls

Luciana Smalls is a Licensed Professional Counselor (LPC) based in South Carolina. She draws on nine years as a clinical counselor and more than two decades in human services to help people facing stress, anxiety, depression, career questions, and life transitions. She meets people where they are and focuses on practical steps forward.

Her approach blends client-centered care with cognitive-behavioral and mindfulness practices. Sessions tend to be warm and supportive while also encouraging change through clear skills and strategies. She uses motivational interviewing and elements of dialectical behavior therapy and Imago relationship ideas when those tools fit a person’s goals.

Luciana works with a wide range of concerns including relationship and intimacy issues, parenting and blended family challenges, adoption and foster care matters, grief and end-of-life questions, addiction, ADHD, and compassion fatigue. She also addresses body image, communication problems, caregiver stress, and issues tied to family of origin.

In sessions she helps people build coping skills, manage strong emotions like anger, and make plans for career or life changes. Treatment planning is collaborative - goals and methods are shaped together. People can expect a mix of talk, practical exercises, and skill practice tailored to their needs.

She provides services in English and works from a strengths-based perspective that honors cultural background and sexual orientation. To begin, prospective clients complete a short matching questionnaire and schedule according to the listed process.

How her approaches fit into online therapy

Client-Centered Therapy focuses on listening and creating a safe, respectful space where the person sets the pace and goals. It helps when someone needs acceptance and guidance to find their own solutions. Cognitive Behavioral Therapy, or CBT, uses simple exercises to spot unhelpful thoughts and test new behaviors; it is useful for anxiety, depression, and managing stress. Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and stronger interpersonal skills; it is often used when emotions feel overwhelming.

Finding the right approach is part of the work together. The therapist will discuss options, try methods, and adjust plans based on the person's needs, goals, and preferences in a collaborative way. Clients help shape the pace and focus of sessions.

Session logistics should be confirmed before booking because formats are not listed here. Ask about the available session options when you complete the matching questionnaire. Online work can make it easier to fit counseling into a busy life by reducing travel time, allowing shorter check-ins when needed, and letting people keep sessions during breaks or between commitments. Licensed professionals can use these flexible arrangements to keep therapy practical and consistent with daily routines.