therapy for anxiety, ocd, trauma & burnoutin asheville, and across north carolina

You can name exactly what's wrong.
Knowing hasn't fixed it.

book a free consult → not sure yet? start here → a free 15-minute call, no paperwork, no pressure
Lindsey Smith, LCSWA, therapist at Monday Counseling in Asheville NC

does this sound familiar?

your nervous system won't rest.

  • a mind that won't stop: the what-ifs all day, the loops at 3am
  • intrusive thoughts or rituals you can't reason your way out of
  • exhaustion that sleep doesn't fix
  • doing everything "right" and still feeling like you're falling behind
  • reaching for the thing that takes the edge off, because it works

You don't have to check every box. a few is plenty.

Better coping strategies aren't the point. You've tried those. The question is why your system is working this hard in the first place, and what it actually needs.

your nervous system can learn to rest.

education + credentials

education

Master of Social Work (MSW)

University of Kentucky

Graduate work centered on trauma-responsive care and the ways race and identity intersect with mental health. Themes that run through everything I do.

Bachelor of Social Work (BSW)

Mars Hill University · Graduated Magna Cum Laude

licensure

Licensed Clinical Social Worker Associate (LCSWA)

State of North Carolina

I work as an associate clinician under the clinical supervision of Melissa Zimmer, MSW, LCSW, LCAS, CCS. This is a standard part of the licensure path in NC, and you get the same care, with an extra set of eyes built in.

I care about making sure people across North Carolina have real access to affirming therapy, the kind that holds up past the intake form. I work with teens (16+), young adults, and adults in person in West Asheville and through online therapy across North Carolina.

University of Kentucky campus entrance with tulips in bloom, where Lindsey earned her MSW

real change doesn't come from
forcing yourself
into a different version.

If white-knuckling through another week has been the whole plan, this is the alternative. The work draws on ERP, EMDR, and somatic approaches. Nothing pulled off a shelf.

why monday?

monday is named for the moon, ruler of emotions and the inner life, the part of you that knows things before you can explain them. that felt like the right name for this. we can renegotiate your relationship with mondays while we're at it.

we look at the whole picture: thoughts, body, relationships, patterns.

my approach includes

You've told the story enough times that it's smooth now. It still lands the same way in your body. EMDR works with the memory itself rather than your account of it, which is why it can move things talking has circled for years. It also doesn't require you to narrate the worst parts out loud.

how emdr works →

The thought arrives, you do the thing that quiets it, and it buys you about thirty seconds. ERP has more evidence behind it than anything else for OCD, and it's far more collaborative than its reputation. We build the steps together. You are never handed a fear and left standing in it.

more on erp →

Some of it never made it into language. If your shoulders are up around your ears before you've opened your laptop, that isn't a thinking problem. Somatic work gives the body a way to finish what it's been holding, at a pace you set and can stop.

more on somatic therapy →

The part of you that pushes and the part that's flattened feel like a civil war. They aren't enemies. Parts work makes room for both, including the ones working overtime to keep you safe. Nothing gets evicted.

more on parts work →

The patterns that show up everywhere else will eventually show up between us. That's useful, not a problem. We get to look at it while it's happening instead of theorizing about it afterward.

more on relationship patterns →

Polyvagal-informed work for a system that's been in overdrive so long it reads calm as suspicious. We build the felt sense of safety first. Nothing else holds without it.

why anxiety spikes at night →

this is a space that's

Your pace is information, not a character flaw. I won't hand you a morning routine and measure you against it. If your capacity changes week to week, we plan around that instead of calling it backsliding.

neurodivergent-affirming therapy →

Race, culture, and the systems you move through are part of the clinical picture, not a side topic we reach if there's time left. You shouldn't have to argue that some of your exhaustion is environmental.

Being affirming is a core value, not a specialty line at the bottom of a profile. Your identity isn't the thing we're working on unless you say it is.

lgbtq-affirming therapy in asheville →

Zero fixing. We work with how your brain actually operates, including the parts that make standard advice useless. Most of what you've been told to try was built for someone else's attention.

diagnosed as an adult? start here →

A lot of what gets called personal dysfunction is a reasonable response to conditions. Your context doesn't get set aside while we work on you. Sometimes the most clinically useful thing I can say is that your job is doing this to you.

burnt out or depressed? →

You won't be handed a treatment plan to nod along to. We decide together what we're working on and change it when it stops fitting. If something I suggest lands wrong, say so. That's useful, not a setback.

what the first session is like →

where people usually start

getting started

01

let's talk

15 minutes to see if we're a good fit. You can ask me anything.

02

your first session

75 minutes for your story, what you're hoping for, and where we might go.

03

we work at your pace

Weekly, biweekly, monthly, whatever fits your life. The rhythm adapts as you do.

services offered

Teens (16+), young adults, and adults across North Carolina, from the mountains to the coast. You don't need to know what you need yet.

most popular

individual therapy

50-minute sessions. slow things down and untangle what isn't shifting on its own.

what we explore together

  • anxiety, stress + overwhelm
  • depression + the flatness that lingers
  • OCD + intrusive thoughts (ERP available)
  • identity, self-worth + life transitions
  • relationship patterns + neurodivergent support
  • trauma processing (EMDR available)
  • substance use + what's underneath it

deeper work

extended sessions

80-minute sessions for trauma work that needs more time to unfold: EMDR, somatic approaches, or simply the space to go somewhere without having to come back from it in 50 minutes.

who this helps

  • complex trauma + PTSD
  • attachment wounds + shame
  • chronic stress showing up in the body
  • dissociation + feeling far from yourself
  • grief that hasn't had room to move
  • when the past keeps showing up in the present

what it costs

individual therapy (50 min) $150
extended sessions (80 min) $190
HSA / FSA accepted

A limited number of reduced-fee slots are available; ask during your consultation if cost is a barrier. Full breakdown (insurance, HSA/FSA, policies) on the therapy cost page.

Paying out of pocket means no required diagnosis and no insurer putting a cap on your sessions. Your records stay yours, too. That matters to a lot of people.

I also work with clients who use insurance, through a partner practice. You get the same therapist, just different billing. I accept Blue Cross Blue Shield NC, Aetna, MedCost, and the NC State Health Plan.

Not sure if your plan is covered? Reach out and I'll verify your benefits before your first session.

Blue Cross Blue Shield NC
Aetna
MedCost
NC State Health Plan

therapy should remove barriers, not create them

session recordingsAvailable upon request. Helpful for processing what came up after the fact.

transcript summariesWritten summaries of sessions provided if helpful for processing or memory.

verbal intake optionIntake forms can be completed verbally during your first session if written format is a barrier.

flexible remindersSession reminders via text, email, or both. Whatever works best for your brain.

text-preferred communicationPrefer texts to phone calls? Works for me. Just let me know.

in-person + virtualPrivate office in West Asheville. Virtual sessions available across NC.

a private office
in west asheville

If you'd rather sit across from someone in a room, that's an option. I have a private office in West Asheville.

In-person and virtual work the same way. Same intake, same sessions, same rate. Come in, stay home, switch week to week. It all counts.

common questions

Self-pay is $150 for a 50-minute session, $190 for 80 minutes. HSA and FSA accepted. Paying out of pocket means no required diagnosis and no insurer capping your sessions. Your records stay private, too. I also accept BCBS NC, Aetna, MedCost, and the NC State Health Plan through a partner practice; you'll work with me, billing just runs differently. If cost is a real barrier, sliding scale slots are available; just bring it up when we talk.

I have a private office in West Asheville. The exact address comes with your booking confirmation. In-person and virtual are both available, and you can switch between them. Most clients just pick whatever has the least friction that week.

All sessions are conducted via secure, HIPAA-compliant video. I'll send you a link before each session. All you need is a device with a camera, an internet connection, and a quiet space where you can talk freely. If tech ever fails, just text me. Most issues are solved by refreshing the page.

I work with teens ages 16 and up, as well as young adults and adults. If you're a parent inquiring for a teen, reach out and we can talk through what that might look like, including how parent involvement is (and isn't) part of the process.

The free 15-minute consultation is just a conversation. No paperwork, no pressure, no commitment. We'll talk about what's been weighing on you, what you're hoping therapy might help with, and whether we seem like a good fit. You can ask me anything. If we're not the right match, I'm happy to point you toward someone who might be.

I provide outpatient therapy for people stable enough for weekly or biweekly sessions, not crisis intervention or intensive support outside scheduled appointments.

If you're in crisis right now, please reach out to the crisis resources listed further down this page. Once you're on steadier ground, I'd be glad to work together.

All sessions are HIPAA-compliant and your records are confidential per NC law. The exceptions (risk of harm, legal requirements) are covered before we begin. No surprises.

Standard sessions are 50 minutes. Extended sessions are 80 minutes, designed for trauma work that needs more time to unfold. Your first session is 75 minutes so we have enough time to actually understand what's going on before we get into it.

Most people start weekly. Biweekly once you've built some momentum, monthly for maintenance. We figure out what fits your life and adjust as things shift.

Life happens. I ask for at least 24 hours notice when possible so the time can be offered to someone else. Late cancellations (under 24 hours) and no-shows are charged $150, the full session rate. That isn't a penalty. The time was held for you, and it can't be filled last minute. If something comes up, just text me directly. I'd always rather hear from you than not.

Not every therapist is right for every person. Tell me directly, try a few sessions to see, or ask for a referral. I'd rather you find the right fit than stay out of politeness.

still have questions? send me a message →

you've read enough.
let's just talk.

A free 15-minute consultation. No paperwork and no pressure. Just a conversation about what you're carrying and what you need.

— lindsey

book a free consult →

in-person in west asheville · virtual across nc

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