Last edited 04/06/2026
Identifies As
She / Her / HersWomanWhiteMillennial
Get To Know Me
What would be important for someone to know about working with you?
I like to think of myself as an emotional engineer - I don't just follow a script to walk you through a set program. I evaluate your experience, your needs, and your goals for your life and tailor my approach to exactly that. Therapy with me is deeply personal, a little intense, very intentional toward your future, and we'll laugh quite a bit along the way. No matter what you're dealing with, I'm not intimidated nor stumped. Bring it on.
I already think you're great and that whatever has you in distress does not affect your worth at all. We just need to get it off your back so you can reclaim your self.
In what ways does your personality influence your approach to therapy?
I tend to be a bit playful, so we don't take things too seriously, but at the same time, stay focused on where we are heading. I believe that hard things and good things always come hand-in-hand, so I make sure we have plenty of good while we tackle the hard. I am a very visual thinker and am always coming up with imagery to convey a concept, so I'll use lots of that, which makes me good at helping you understand things in a new way.
Location
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Specialties
Specializes in
Relationship IssuesAttachment issuesPost-traumatic Stress Disorder (PTSD)TraumaWomen's issues
General Expertise
AnxietyWork StressLoss/GriefSelf-EsteemSocial AnxietyAbuse/Survivors of abuseCodependencyCommunication issuesCultural adjustmentPanic attacks & panic disorderParenting issuesSpirituality & religion based issuesStress
Treatment Approaches
Eye Movement Desensitization and Reprocessing (EMDR)Feminist TherapyHumanistic TherapyAttachment-Based Therapy
Clientele
Types of Therapy
Individual Therapy
Serves Ages
Adults (25-65)
Languages
EnglishSpanish
Professional Background
LicensureTexas, Licensed Clinical Social Worker, 65056Tennessee, Licensed Clinical Social Worker, 9966
Training/CertificationsEye Movement Desensitization and Reprocessing (EMDR - attachment focused)Trust-Based Relational Intervention (TBRI)Spiritually Integrated Psychotherapy (SIP)EMDRIA Certified Therapist (indicates a higher level of training and experience)
Education
Our Lady of the Lake University, Master of Social Work, 2018
Abilene Christian University, 2004
Work HistoryI got my degree in social work to help children in the foster care and adoption system, which I did for a few years, but always felt the pull to be more of a direct resource when an individual was emotionally struggling. I ended up getting additional training, thinking I would do therapy with children, but discovered a passion for helping women WHO WERE THOSE CHILDREN, and have ended up trying to navigate adulthood effectively despite having been shortchanged in their earlier years. For this reason, I have focused on understanding how early experiences shape us, what insight can actually help things to change, and on learning tools to make those changes really take place.
So now, I know what to do.
Frequently Asked Questions
It’s not uncommon to have questions before starting therapy.
Larissa Smith, LCSW, has answered a few of the questions they receive most often from new clients.
Is Larissa Smith accepting new clients?
No, Larissa Smith is not accepting new clients at this time.
Does Larissa Smith accept insurance?
No, Larissa Smith does not accept insurance.
What types of therapy does Larissa Smith offer?
Larissa Smith offers therapy for individuals.
Does Larissa Smith offer in-person appointments?
Yes, Larissa Smith offers in-person appointments at 6141 Paluxy Drive, Suite 120, Tyler, TX, 75703.
Does Larissa Smith offer online therapy?
Yes, Larissa Smith offers online therapy via video sessions and phone sessions to people in Texas and Tennessee.
How quickly can I see Larissa Smith?
Larissa Smith typically can speak with new clients within 48 hours. You can see their current general office hours and request an appointment on their profile page.
What languages does Larissa Smith speak?
Larissa Smith conducts therapy sessions in English and Spanish.
Can I book an appointment with Larissa Smith online?
Yes, you can easily book an appointment with Larissa Smith online using ChoosingTherapy.com’s directory.
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