Welcome to the Therapy Practice of Dr. Lucy Smith


Individual Therapy


Individual therapy is when you, the client, meet one-on-one with me, the  therapist. Individual therapy sessions typically occur 1x/week for  45/50-minutes, though frequency and duration of sessions can vary depending  on what's going on in your life. Often, as treatment progresses, sessions occur less frequently.




Radically Open Dialectical Behavior Therapy (RO DBT) is an emerging  treatment for disorders of overcontrol. I hope to begin a weekly skills  class in fall 2019. Feel free to contact me at lucy@drlucysmith.com if  you are interested in more information about this approach. 


Find out more about RO DBT

Treatment Orientation


Treatment Philosophy

I believe in the healing process of therapy, viewing it as a journey of  self-discovery, self-acceptance, and, often, change.  I believe therapy  to be a collaboration between therapist and client. The therapeutic  relationship is essential. Therapy involves a large commitment of time,  money, and energy, so it is important that you feel comfortable with the  person you select as your therapist. It is important that you feel a  good "fit" or "click" in your relationship. As a therapist, I strive to  develop a collaborative partnership characterized by warmth, openness,  authenticity, and a nonjudgmental stance.

Tailored Treatment Approach

I tailor my treatment approach to the needs, personality, and  presenting problems of each client. I tend to use an integrated  theoretical orientation, comprised primarily of cognitive-behavioral  (CBT), insight-oriented, and experiential perspectives. I believe that  individuals are complex and multifaceted beings and that psychological  problems are best conceptualized on multiple levels. CBT most  strongly targets thoughts and behaviors, insight-oriented processes  target increased understanding and insight, and experiential strategies  target emotions and body connection. I also draw from mindfulness-based  approaches, such as Dialectical Behavior Therapy (DBT). This holistic  approach allows for flexibility and thoroughness in working with  individuals. 

Time-Limited Treatments

I also offer structured, time-limited  approaches for certain presenting problems. For disorders of overcontrol, I offer Radically Open Dialectical Behavior Therapy (see  http://www.radicallyopen.net/ for more information about this treatment  approach). For individuals seeking treatment for PTSD, I provide  Cognitive Processing Therapy (CPT), which is a 12-session empirically  support intervention. For individuals looking to develop a more intuitive and internally driven relationship with food and their bodies,  I offer Appetite Awareness Training (AAT). 

Specialty Areas

  • Eating disorders (anorexia, bulimia, binge eating disorder)
  • Body dissatisfaction
  • Weight concerns
  • Binge eating, purging, restrictive eating
  • Overexercising
  • Preoccupation with eating, weight, and shape
  • Appetite Awareness Training (AAT)
  • Trauma (using Cognitive Processing Therapy (CPT))
  • Radically Open Dialectical Behavior Therapy (RO DBT)

Other Areas of Expertise

  • Depression
  • Anxiety/worry
  • Life dissatisfaction
  • Stress
  • Adjustments/transitions
  • Uncertainty about life direction
  • Relationship issues
  • Low self-esteem