About Laura
Laura Small is a licensed mental health counselor practicing in Massachusetts. She helps people facing stress, anxiety, depression, low self-esteem, grief, and major life transitions. Her approach is warm and interactive, and she focuses on practical steps people can use between sessions.
With ten years in clinical practice, Laura draws on several evidence-based methods to shape treatment to each person's needs. Sessions emphasize clear goals, simple skills, and checking what works for the individual.
Background and approach
She avoids labels that get in the way and treats clients with respect and empathy. Her work often includes talking through how past attachment experiences affect current relationships and coping. She also supports people dealing with abandonment, adoption or foster care concerns, aging and geriatric issues, autism and Asperger syndrome, chronic health problems, and caregiver stress.
Body image, communication problems, and commitment concerns are other areas she commonly addresses. Laura uses a conversational style that balances active skill teaching with space to process difficult feelings. She and the client set a plan together and adjust it over time based on progress and feedback.
Practical exercises and short-term strategies are paired with deeper exploration when needed. People find this approach useful when they want clear tools for everyday life along with a thoughtful listener who will adapt methods to each situation.
Therapeutic methods and online care
Laura uses evidence-based therapeutic techniques that combine practical skill building with deeper conversation. One common element is cognitive-behavioral style work, which focuses on identifying unhelpful thinking patterns and practicing new behaviors to reduce anxiety and depression. This approach is useful for everyday stress, worry, and mood concerns.She also incorporates humanistic and psychodynamic elements that give space to understanding how past relationships and attachment patterns affect current feelings and behavior. These ideas help when people want to explore the roots of long-standing patterns and improve relationship responses.
Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, try techniques, and adjust the plan based on what helps most. That shared process keeps work focused and practical while allowing deeper exploration when it feels needed.
Online therapy offers flexibility for different schedules and communication preferences. Video calls allow face-to-face conversation similar to in-person sessions. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat and text messaging are useful for between-session support, brief coaching, or when typing feels more comfortable. These options help people fit therapeutic work into busy lives.
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What this therapist works with
Most often
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hearing impaired
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
- Experience
- 10 years
- Licensed
- Massachusetts
- Languages
- English
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