Luciana Smalls , LPC

Luciana Smalls is a Licensed Professional Counselor (LPC) in South Carolina who blends a warm, practical approach with clear skill-building. She focuses on helping people manage stress, anxiety, depression, relationship and parenting concerns, and challenges tied to adoption, foster care, and addiction. Her style aims to be both supportive and direct so clients leave sessions with tools they can use right away.

She draws on Client-Centered Therapy to create a respectful space where a person's story matters. Cognitive Behavioral Therapy (CBT) is used to identify unhelpful thinking and try new behaviors. Dialectical Behavior Therapy (DBT) skills and mindfulness practices are added when emotional regulation or intense feelings get in the way.

Smalls brings nine years as a mental health counselor and more than twenty years working in human services. That background includes work with people facing grief, trauma and abuse, intimacy and sexual orientation concerns, caregiver stress, and issues around self-esteem and body image. She also supports people coping with life transitions, career stress, and ADHD-related challenges.

Sessions focus on practical strategies and collaborative goal-setting. A treatment plan is created with each person to address specific goals and everyday obstacles. She emphasizes respect for different cultures, values, and identities while offering skills to manage impulses, anger, and communication problems.

People who want straightforward, skill-based help may find her approach useful. She offers video, phone, live chat, and text-based messaging sessions to fit different schedules and needs.

How therapeutic approaches translate to online care

Client-Centered Therapy focuses on building a respectful, listening relationship so people feel heard and understood; online sessions let that attention happen through conversation and reflective feedback. Cognitive Behavioral Therapy, or CBT, looks at how thoughts affect feelings and actions and uses practical exercises to try new responses; this approach works well over video or messaging because homework and worksheets are easy to share and review.

Finding the right approach is a collaborative process. The therapist will talk through goals and preferences, suggest methods that match those aims, and adjust the plan as needs change. Clients and the therapist decide together which techniques feel most useful and how to pace the work.

Online formats offer flexibility for busy lives. Video calls allow face-to-face conversation and visual cues, phone sessions fit times with lower bandwidth, and live chat or text-based messaging make short check-ins or coaching-style work possible. These options make it easier to keep therapy consistent around work, caregiving, and appointments while still using CBT, DBT skills, mindfulness, or client-centered exploration.