Laura Small, LMHC

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

She meets people where they are and avoids stigmatizing labels. Sessions focus on practical conversation and tools that match each person’s needs. Laura tailors the plan to what a person is facing instead of using the same approach for everyone.

Her background includes work with trauma and emotional abuse, as well as a broad range of concerns such as relationship and communication problems, caregiver stress, chronic illness and pain, and issues tied to adoption and attachment. She also supports people coping with cancer and the stresses that come with caregiving.

Laura draws on a mix of cognitive-behavioral, humanistic, psychodynamic, and rational-emotive approaches to guide her work. That means sessions may include looking at unhelpful thinking patterns, talking about early relationships, and building skills for managing emotions and behavior.

She practices in Massachusetts and uses an approach that adapts over time as goals shift. If someone is ready to begin, the first step is a short matching questionnaire and then scheduling according to her availability.

Approaches and making online therapy work

Laura works from a blend of approaches that each focus on different parts of change. Cognitive-behavioral methods look at how thoughts and behaviors interact and teach concrete skills for managing anxiety, low mood, and stress. Humanistic techniques emphasize listening and building a respectful, collaborative relationship that supports self-understanding and personal growth. Psychodynamic ideas bring attention to patterns that began in earlier relationships and how they show up now.

Choosing the right approach is part of the work together. The therapist will talk with a client about their goals, needs, and preferences and then try methods that fit. Adjustments are common as progress is made and priorities change, so decisions about approach happen collaboratively over time.

The biography does not specify which online session formats are used, so confirm available options before booking. In general, online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for shorter check-ins when needed. It also makes regular appointments possible for people juggling caregiving, medical needs, or work schedules. Licensed professionals can adapt evidence-based techniques to remote sessions while focusing on practical skills and steady progress.