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Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW

Sara Smithson

Clinical Social Work/Therapist, LCSW, LICSW (she, her)

Verified by Psychology Today Verified by Psychology Today
1 Endorsed
Port Townsend, WA 98368
Waitlist for new clients
Connect with Sara Smithson
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
It's the most socially appropriate time in modern history to be a bit of a mess, but that doesn't make it easier for most of us. Being intelligent can actually make it harder to adapt to new things outside your frames of reference. Being empathetic can cause you to feel like you're constantly letting others & yourself down. Being unique or outside norms can leave you feeling lonely & questioning yourself. If you tend to hold & hide everything inside, or if you're someone who can't help but dump everything out all over the place, you may be experiencing miscommunication & judgment from others on top of everything.
It's easy to want to hide, ignore, or pick a fight with reality. There's nothing more normal than falling into old habits amid stress & change. But these moments also create unusual windows of opportunity to go in entirely new directions: to reinvent the wheel, to finally learn to love the wheel you already have, or to trade in your wheels for wings.
I help easily misunderstood people get out of their own way, wield their unique strengths, & thrive. My practice is 100% online, forever. Please visit my website, xc-counseling.com, for more information & scheduling.
Sara Smithson now for a free 15 minute consultation

My Practice at a Glance

Waitlist. Contact to join the list for online therapy.

Cross Country Counseling PLLC

Port Townsend, WA 98368

Cross Country Counseling PLLC

Kalispell, MT 59901

Online counseling for teens & adults in Washington state & Montana.
I specialize in Anxiety, Depression and Autism 
$155 Per Session  
Individual one-on-one therapy 
Please see my website, xc-counseling.com, for more information & scheduling, and email me with any questions (check spam for my response!).
Sara Smithson
Connect with Sara Smithson
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist

My Practice at a Glance

Waitlist. Contact to join the list for online therapy.

Cross Country Counseling PLLC

Port Townsend, WA 98368

Cross Country Counseling PLLC

Kalispell, MT 59901

Online counseling for teens & adults in Washington state & Montana.
I specialize in Anxiety, Depression and Autism 
$155 Per Session  
Individual one-on-one therapy 
Please see my website, xc-counseling.com, for more information & scheduling, and email me with any questions (check spam for my response!).
Sara Smithson

Finances

Fees

  • Individual Sessions $155
  • Sliding scale: apply if you may be eligible
  • Pay by American Express, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • Out of Network
"
I am not in-network with any private, federal, or state insurance plans. I can provide superbills for eligible out-of-network reimbursement & offer limited reduced-fee spots for uninsured/underinsured clients. Please see the "Fees" page of my website (xc-counseling.com/fees) for more info.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW
"
I am not in-network with any private, federal, or state insurance plans. I can provide superbills for eligible out-of-network reimbursement & offer limited reduced-fee spots for uninsured/underinsured clients. Please see the "Fees" page of my website (xc-counseling.com/fees) for more info.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW

Qualifications

  • Verified by Psychology Today Licensed by State of Washington / LW61014336 Sara Smithson
  • In Practice for 17 Years
  • License: Montana Licensed Clinical Social Worker BBH-LCSW-LIC-38122
  • Attended Smith College School for Social Work, MSW
"
Online mental health counseling anywhere in WA or MT.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW
"
Online mental health counseling anywhere in WA or MT.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW

Specialties and Expertise

Top Specialties

  • Anxiety
  • Depression
  • Autism

Expertise

  • ADHD
  • Asperger's Syndrome
  • Body Positivity
  • Coping Skills
  • Developmental Disorders
  • Grief
  • Highly Sensitive
  • Identity
  • Life Transitions
  • Mood Disorders
  • Relationship Issues
  • Self Esteem
  • Stress
  • Trauma and PTSD
  • Veterans
"
Neurodiversity-informed support for autism, ADHD, other neurodivergent or highly sensitive folks, affirming care for marginalized identities, and an integrated approach to address anxiety, depression, grief, self-esteem, trauma, transitions, relationships, and other experiences that often come with the territory.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW
"
Neurodiversity-informed support for autism, ADHD, other neurodivergent or highly sensitive folks, affirming care for marginalized identities, and an integrated approach to address anxiety, depression, grief, self-esteem, trauma, transitions, relationships, and other experiences that often come with the territory.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW

Client Focus

Age

Teen
Adults

Participants

Individuals

Communities

Bisexual Allied
Gay Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Transgender Allied

Age

Teen
Adults

Participants

Individuals

Communities

Bisexual Allied
Gay Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Transgender Allied

Treatment Approach

Types of Therapy

  • Brainspotting
  • Cognitive Behavioral (CBT)
  • Culturally Sensitive
  • Dialectical Behavior (DBT)
  • Eclectic
  • Experiential Therapy
  • Motivational Interviewing
  • Narrative
  • Positive Psychology
  • Psychodynamic
  • Reality Therapy
  • Relational
  • Strength-Based
  • Systems Theory
  • Trauma Focused
"
The more modalities I am trained in, the more I find myself committed to not having full fidelity to any specific model. Ultimately, it's my ability to be open to connecting to your perspectives, values, and goals that allows support and change. This doesn't mean there isn't methodology and intention behind my work, but these are directly informed by my clients as complex, evolving individuals.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW
"
The more modalities I am trained in, the more I find myself committed to not having full fidelity to any specific model. Ultimately, it's my ability to be open to connecting to your perspectives, values, and goals that allows support and change. This doesn't mean there isn't methodology and intention behind my work, but these are directly informed by my clients as complex, evolving individuals.
for a free 15 minute consultation now.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW

Location

Primary Location

Cross Country Counseling PLLC

Port Townsend, WA 98368

Additional Location

Cross Country Counseling PLLC

Kalispell, MT 59901

"
Online counseling for teens & adults in Washington state & Montana.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW
"
Online counseling for teens & adults in Washington state & Montana.
Photo of Sara Smithson, LCSW, LICSW, Clinical Social Work/Therapist
Sara Smithson
Clinical Social Work/Therapist, LCSW, LICSW