Charmaine Smith, LMFT, MD, LCMFT

Approaches that guide online sessions

Charmaine uses Emotionally-Focused Therapy to help people notice and name feelings that shape their relationships. EFT often focuses on improving emotional connection and reducing patterns that cause repeated conflict. She also draws on Acceptance and Commitment Therapy to teach acceptance of difficult thoughts and commitment to valued action, which can help with anxiety and motivation. Attachment-Based Therapy is part of her work too, focusing on how early bonds influence current relationship patterns and how new ways of relating can be practiced.

Finding the right mix of approaches is a collaborative process. The therapist will talk with the client about their goals, try approaches that fit those goals, and adjust the plan as needed. Clients are encouraged to share what feels useful so sessions can be tailored to their preferences and progress.

Online sessions are offered by video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video is useful when discussing emotional material and watching interaction patterns. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging work well for brief updates, coaching-style support, or when someone prefers written conversation. These options make it easier to fit therapy into busy schedules and varied lifestyles.