Laura Small , LMHC

Laura Small is a licensed mental health counselor with ten years of experience in clinical practice. She helps people facing stress, anxiety, depression, grief, low self-esteem, and big life transitions. Her manner is warm and interactive, and she aims to treat each person with respect and compassion.

She draws on practical, evidence-based techniques to shape conversations and goals. Sessions focus on concrete skills people can use between meetings, alongside time to talk through emotions and history. Laura adapts the pace and style to each person’s needs rather than following a fixed script.

Her background includes a decade working with a wide range of concerns, from attachment and abandonment experiences to chronic illness and caregiver stress. She has worked with people affected by adoption and foster care, cancer, body image struggles, and communication problems. That breadth helps her spot how different issues can influence one another.

In sessions she combines structured exercises with open dialogue. People can expect to set short-term goals and check progress regularly. Practical coping tools are paired with space to understand patterns and difficult feelings.

Laura practices in Massachusetts and conducts therapy in English. She offers several online session formats to fit different schedules and preferences. If someone is ready to begin, she invites them to take the initial matching step and schedule a first appointment.

How evidence-based approaches work online

Laura uses evidence-based therapeutic techniques to structure online sessions and practical work between meetings. Cognitive-behavioral approaches focus on identifying unhelpful thinking and testing new behaviors; they help with anxiety, depression, and stress by teaching concrete coping skills. Humanistic methods emphasize empathy and the person’s own goals, creating space to explore values and self-esteem issues. A psychodynamic-informed lens looks at recurring patterns and early relationships to understand how they affect current feelings and choices.

Finding the right approach is a collaborative process. The therapist will listen to a person’s history, goals, and preferences and then suggest options to try. Progress is checked regularly so methods can be adjusted if something isn’t working well for that person.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for a conversational session that resembles an office visit. Phone can be a good fit when bandwidth is limited or when a person prefers not to be on camera. Live chat and text messaging work well for brief check-ins, homework review, or when someone needs flexibility during the day. These options make it easier to fit therapy into work and family schedules and to keep continuity when travel or relocation occurs.