Licensed to practice in North Carolina and accepts 41 insurances. Specializes in ADHD, Family Conflict, Life Transitions and 9 more.

Casey Smith

(he/him)

LCSW, 14 years of experience

Clients say this provider is

Authentic
Open-minded
Empowering
VirtualAvailable

About me

Part guide, part resource-gatherer, and entirely in your corner for the beautiful, messy process of reconnecting with yourself, my goal is simple: to help you connect as many dots as possible so you can build a life and a story that truly feel like your own. I approach our work through an active, collaborative lens. I am always on the lookout for practical tools, fresh strategies, and tangible resources to share if there is a tool out there that can support your journey, I want to make sure it gets into your hands. Therapy with me is a space where we balance the practical with the deep relational work. Together, we will: Gather Practical Tools: Equip you with actionable strategies to navigate daily challenges and build confidence outside of our sessions. Connect the Dots: Uncover the patterns between your past experiences, present habits, and underlying narrative so things start making sense. Notice the Glimmers: Cultivate micro-moments of micro-safety, joy, and connection to help regulate your nervous system and build resilience. Sit in Uncomfortable Conversations: Offer a safe, steady presence in the room when we need to face hard truths, process pain, or sit with distress. Rewrite Your Story: Help you shed inherited expectations or shame and craft an authentic narrative that reflects who you genuinely are.

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 approach blends the depth of trauma work with steady, down-to-earth pragmatism, so we never leave you floating in abstract concepts without a solid anchor. I focus on the nitty-gritty—breaking down the small details and holding a safe, non-judgmental space to talk through whatever you bring to the room, even the thoughts, behaviors, or feelings that might feel messy or uncomfortable to name elsewhere. There are no topics off-limits in our sessions, and I bring my full, authentic self to the work so you have complete freedom to be unapologetically yours. Above all, I am deeply intentional about every session; even if we don't resolve every single detail in fifty minutes, my goal is for you to leave feeling like we touched upon everything you needed to, handing you a practical tool or fresh perspective so you always walk away with something tangible in hand. 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

Grief

Health/Medical Issues

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