Sara Smith, MA, LMHC
LCMHC (Licensed Clinical Mental Health Counselor)
Vancouver, WA
Online & In-Person
Free initial consultation
About me
I work with teens and adults from an existential and humanistic, ACT informed perspective, supporting concerns such as grief, shame, self-worth, suicidal ideation, and life transitions.
Let’s face it. Being human right now is hard. The pressures of daily life, relationships, and expectations can leave you feeling overwhelmed, disconnected, or unsure of yourself and your direction. You may be carrying grief, anxiety, trauma, or thoughts you’ve been trying to manage on your own. I offer a warm, grounded, and collaborative space where you don’t have to white-knuckle it alone. Together, we’ll slow down, make sense of what you’re experiencing, and work toward greater connection, meaning, and emotional safety.
You may feel stuck in patterns of pushing through, self-criticism, or avoiding difficult thoughts and feelings just to get by. These strategies often make sense as ways of surviving. Over time, they can leave you feeling disconnected from yourself, others, and what matters most. From an ACT lens, we work on building flexibility and moving toward values.
At the same time I believe healing happens in relationship. I pay attention to what unfolds between us: moments of connection, hesitation, or uncertainty. These often reflect past relational patterns. Together, we use the therapy relationship as a safe space to notice, understand, and practice new ways of relating, fostering greater connection and support.
I’m a good fit for you if you’re looking for:
- Support with suicidal ideation or self-harm
-Help with shame or self-worth
-Care for grief and loss
-Trauma-informed support for trauma/complex trauma
-Guidance through life transitions
-A therapist who is authentic, culturally humble, and client-centered
License
License(s)
Professional associations
Education
George Fox University
Fees and insurance
Cost per session
$150 - $Accepted payment methods
- Cash
- Check
- Credit Card
Accepted credit cards
- Visa
- Mastercard
- American Express
- Discover
Accepted insurance plans
- Aetna
- Out of Network
- Self-Pay Only
- Cigna
- Providence
- Premera
- Moda
- Kaiser
Specialties and clinical interests
- ADHD
- Anxiety
- Borderline Personality Disorder
- Chronic Illness
- Depression
- Grief & Loss
- Highly Sensitive Persons (HSPs)
- Mental Health Professionals
- Pet Loss
- Race-Based Traumatic Stress (RBTS)
- Relationships
- Self-Esteem
- Self-Injury
- Sexual Identity
- Spirituality
- Stress/Stress Management
- Suicidality
- Suicide Loss
- Trauma & PTSD
- Women's Issues
Therapy types
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Dialectical Behavior Therapy (DBT)
- Existential Humanistic Therapy
- Mindfulness
- Trauma-Informed Therapy
Community specialties
- Biracial
Images and videos
Licensed to see clients in
Years in practice
Service types
- Therapy / Counseling
Types of clients
- Adolescents (13-17)
- Adults (18+)
Languages
- English
Website and social media