serving black mountain, NC
virtual therapy for Black Mountain, NC
Black Mountain has a big arts scene and not a lot of mental health providers. If you've been looking for a therapist who specializes in trauma, anxiety, or neurodivergent care, the options are thin — and the commute into Asheville adds friction to an already hard thing to start.
Virtual therapy removes that barrier. I'm Lindsey Smith, a licensed therapist in Asheville seeing clients throughout NC — including Black Mountain and Swannanoa.
what I work with
My practice is trauma-informed — I work with how past experiences shape present-day patterns, whether or not what you're dealing with looks like "capital-T trauma."
trauma & EMDR
EMDR is one of the most effective evidence-based treatments for trauma. I offer both 50-minute and extended 80-minute EMDR sessions.
anxiety
Chronic worry, high-functioning anxiety, the kind that runs underneath everything even when life looks fine from the outside.
ADHD & neurodivergence
Affirming, informed care for adults with ADHD, autism, or who are exploring whether neurodivergence explains experiences that have never quite fit.
identity & transitions
Figuring out who you are across major life changes: relationship shifts, career transitions, identity questions that don't have easy answers.
insurance & fees
I accept Blue Cross Blue Shield NC, Aetna, Cigna, Ambetter, MedCost, and the NC State Health Plan through a partner practice. Self-pay rates start at $130 for a 50-minute session, with pay what you can slots available — limited. All major credit cards, HSA, and FSA accepted.
Not sure if your plan covers therapy? We can figure it out together on the consultation call — it doesn't have to be another research project on your end.
a note on the community here
I work with artists, makers, educators, and folks in helping professions — people whose lives are organized around taking care of others, and who often put themselves last.
LGBTQ+ affirming care is available and part of how I work with everyone, not an add-on.
how to get started
The first step is a free 15-minute consultation — no paperwork, no pressure, just a conversation to see if it feels right.
the consultation is free and there's no commitment required.
book a free consultation →