Licensed to practice in North Carolina and accepts 45 insurances. Specializes in ADHD, Family Conflict, Life Transitions and 6 more.

Casey Smith

(he/him)

LCSW, 12 years of experience
Authentic
Open-minded
Empowering
VirtualAvailable

About me

I believe that the stories we tell ourselves shape everything about how we navigate the world. So often, trauma, neurodivergence, or societal expectations convince us that we are to blame for how we react or feel. My heart in this practice is to create a welcoming and gentle space where we can have real, honest conversations about who you are, unspooling those old stories so you can reclaim a narrative and life that actually feels true to you. My view of the world and my approach to therapy are deeply shaped by my own life experiences. I grew up in a family of clam diggers, was raised by a disabled mother who struggled with mental illness, and was later adopted at age 20 by my father, a self-identified gay hippie and social worker. Today, I am a neurodivergent father of four, and my partner is legally blind. I share these aspects because they have all taught me one thing: the world is unique, you are unique, and I love creating space for a uniquely broad, lived understanding of human diversity. Having walked through so many different paths, I know firsthand that the world is never black and white. It is filled with nuance, gray areas, and profound beauty.

Get to know me

In our first session together, here's what you can expect

In our first few sessions, we will slow down and look closely at what I like to call the 1 percent. These are those quiet glimmers, subtle traumas, and overlooked moments that deeply impact your day to day life. We will explore all the factors that influence how you see yourself, helping you distinguish between what the world told you to be and who you truly are.

The biggest strengths that I bring into our sessions

My greatest strength is that I am authentically me; you will have 100% of my attention the whole time, and I see the world for all the “nitty gritty” parts, but also have lived in worlds of “Two things can be true at the same time.” I was raised in a republican home but was adopted by a socialist gay hippie (his self-identifier). I have completed a master’s, done the test to get here, yet still understand that I am just as likely as anyone else to leave my bread at the cashier when it’s the only thing I went in for, because I myself have ADHD. Moreover, I have extensive experience across many areas, specifically in finding ways to combat institutionalized systemic inequity and abuse. However, I have also worked in school, political causes, special education (7 years), chronic illness, family trauma, and separation. I typically used to tell people that “I specialized in bringing darkness to light, finding ways to communicate them and act on them.” More so I believe that quality mental health care should be grounded in transparency and mutual respect. My practice is built on a social justice framework, which means I view your personal growth as being deeply connected to the systems and environments you navigate every day. In an effort to challenge the often-impenetrable norms of the healthcare industry, I choose to keep my rates accessible and straightforward. I intentionally set my fees at a level I would be comfortable paying myself. For me, this isn't just about business it’s a small, practical way to "buck the trends" of rising costs and gatekeeping in our field. I am committed to providing a space where you feel seen as a person first, and where our work together is focused on genuine advocacy and sustainable healing

The clients I'm best positioned to serve

My ideal client is someone who currently feels "trapped" or "stuck" in the repetitive cycles of their own life, perhaps sensing that they are just going through the motions and lacking the "zest" they once had. You might feel like you are fighting against systems whether at work, in your family, or within your own mind that weren't designed for the way you actually function. I work best with people who are tired of superficial fixes and are ready to look at the "nitty gritty" of their routines, patterns, and even their physiology to understand why they feel stalled. Whether you are navigating neurodivergence or the lingering weight of past trauma, you are likely looking for a therapist who is as pragmatic and authentic as they are clinically skilled. You aren't just looking for someone to listen; you are looking for a partner to help you analyze your world through multiple lenses from food and diet to systemic inequity—to find the specific, science-backed next steps that will move you from feeling stuck to feeling genuinely empowered and alive.

Specialties

Top specialties

ADHD

Other specialties

Health/Medical Issues

Obsessive-Compulsive (OCD)

Identifies as

Christian

Man

Serves ages

Licensed in

Accepts

Location

Virtual

My treatment methods

Relational

I believe that true growth doesn’t happen in isolation; it happens through connection. In my practice, I lean into Relational-Cultural Theory, which is just a professional way of saying that the quality of our relationships determines the quality of our lives. Because I’ve lived in worlds where "two things can be true at the same time" from a upbringing that spanned the entire political and social spectrum to managing my own ADHD I know that the "nitty gritty" parts of your story aren't obstacles to be removed, but parts of you that deserve a seat at the table. My goal is to bring the "darkness to light" by dismantling the systemic inequities and personal traumas that make you feel isolated. When you sit with me, you get 100% of my authentic attention as we work to transform those old patterns of disconnection into a resilient, empowered way of being that honors exactly who you are. One Tool: Look up "Coffee Talk" or do Kristen Neff's Self-Compasion Quiz

Emotionally Focused Therapy (EFT)

In my practice, I utilize Emotionally Focused Therapy (EFT) because it is grounded in the scientific understanding that we are hardwired for attachment and emotional safety. I see the "nitty gritty" of your life not as a series of problems to fix, but as a map of your deepest needs for security and belonging. Because I navigate the world with ADHD and have lived across broad social spectrums, I understand that when we feel disconnected or misunderstood, we often get stuck in repetitive, painful cycles of "darkness." My role is to help you slow down and identify those underlying emotional signals that drive your reactions, transforming chaos into a clear, shared language. By bringing these vulnerable truths to light, we can move out of defensive patterns and toward a secure, authentic connection where you feel truly seen and supported. One Tool: How we feel (app) or take the Attachment Project Quiz

Experiential Therapy

My practice, I take an experiential approach because I believe that real change happens through what you feel and do in the moment, not just what you talk about. Because I value authenticity and navigating the "nitty gritty" of life, I don't just sit behind a clipboard; I engage with you in the here and now to face the complexities of your world head-on. Science shows that "bringing darkness to light" requires more than just intellectual understanding—it requires a somatic and emotional shift. To get there, I believe in meeting you where you are by utilizing whatever tools are most effective, whether that involves movies, books, social media, articles, or hands-on experiential attempts. We will work together to create a space where you can experience your own strength and vulnerability in real-time, allowing you to walk out the door with a more integrated, authentic sense of self. One Tool: Watch the "Tom Is Not Going To Jail | Succession" on You Tube to show yourself that you are not fully crashing out!

Solution Focused Brief Treatment

In Solution-Focused Brief Therapy (SFBT), our work is centered on your strengths and the future you want to build rather than getting lost in the problems of the past. Because I believe it is crucial for you to truly know and understand who you are, I have invested thousands of dollars and hundreds of hours into specialized neurodivergent trainings. This allows us to look at your goals through a lens that respects how your brain actually works, ensuring that the solutions we create are practical and sustainable for your specific life. By analyzing your existing patterns and routines, we identify what is already working and pragmatically scale those successes. We will focus on best-case scenarios and immediate next steps, seeing the whole you as we move toward a version of life that feels authentic and manageable. One Tool: Jessica mccabe ADHD or TickTick

, 64 ratings

11 ratings with written reviews

June 9, 2026

Casey came to our first session well prepared. He had carefully reviewed my intake responses, brought thoughtful notes, and even had possible takeaways ready, which let us jump straight into the work instead of spending the session getting oriented. It made a real difference in how much we could cover. I look forward to our next session.

Verified client, age 45-54
Review shared after session 1 with Casey

January 19, 2026

Casey was beyond helpful. He is gifted in his ability to assess individual situations within a complex family dynamics and help individuals gain insight on how to begin progress. I’m truly grateful to be working with him!

Verified client, age 55-64
Review shared after session 1 with Casey

October 20, 2025

Best therapist I have seen ever, listens and communicates very well and I feel heard and understood. Highly recommend!

Verified client, age 18-24
Review shared after session 1 with Casey