Cross Country Counseling - professional online video counseling for teens & adults in Washington & Montana

Sara Smithson LCSW, LICSW

Hello out there! It's a weird and wonderful thing to be born onto this crazy chunk of spinning rock, looping through the cosmos. Sometimes our paths feel straightforward, and other times we must begin by figuring out which way is up. I welcome work with individuals who feel stuck, scared, hurt, ashamed, or skeptical, as well as those who feel motivated and ready to make changes.

I emphasize support for easily misunderstood people on the outer edges of the emotional regulation spectrum, whether introverted, shy, or inhibited—or—outwardly expressive, gregarious, or impulsive. Each of these types tend to thrive once they figure out how to wield their unique strengths and get out of their own way and can include:

  • deep thinkers lodged in cycles of anxiety and depression
  • sensitive hearts overwhelmed by the intensity of experiences or relationships
  • outside-the-box or neurodivergent people searching to feel understood, connected, or successful

I offer short-term and long-term counseling approaches toward greater comfort, clarity, and courage. My goal is to understand, as fully as I can, who you are, what's important to you, and what you would like to get out of your time in counseling. From there, we work together to help you put your goals into action, identify what works best for you and what slows you down, and develop skills and supports to assist you in keeping your balance amid life's next dynamic moments.

Starting is often the hardest part, and you're already on your way. Please reach out to explore what could be next.

Crisis or emergency?

For life-threatening emergencies, call 911 or your local emergency services number, or go directly to your local emergency room.