Last edited 03/28/2024

Larissa Smith LCSW

She / Her / Hers

VerifiedOffers Online Therapy
Acepting new clientsCash Pay Only
Headshot of Larissa Smith Licensed Clinical Social Worker

General Office Hours

In Central Time

Tuesdayfrom 09:00 AM to 03:00 PM
Wednesdayfrom 10:00 AM to 04:00 PM
Thursdayfrom 09:00 AM to 03:00 PM
Fridayfrom 09:00 AM to 03:00 PM

Learn more about my:

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.






Other Identities



Relationship Issues

Attachment issues

Post-traumatic Stress Disorder (PTSD)


Women's issues

General Expertise


Work Stress



Social Anxiety

Abuse/Survivors of abuse


Communication issues


First Session$250
Individual Therapy$150

Types of Therapy

Individual Therapy


Adults (25-65)

Treatment Approaches / Modalities

Eye Movement Desensitization and Reprocessing (EMDR)

Feminist Therapy

Humanistic Therapy

Attachment-Based Therapy

Training / Certifications

Eye Movement Desensitization and Reprocessing (EMDR - attachment focused)

Trust-Based Relational Intervention (TBRI)

Spiritually Integrated Psychotherapy (SIP)


  • Texas, Licensed Clinical Social Worker, 65056


Our Lady of the Lake University, Master of Social Work, 2018

Abilene Christian University, 2004

Work History

I 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.

Online Therapy

Frequently Asked Questions About Larissa Smith, LCSW

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?

Yes, Larissa Smith is accepting new clients for online therapy in Texas.

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?

No, but people in Texas can book Larissa Smith for virtual appointments (teletherapy).

Does Larissa Smith offer online therapy?

Yes, Larissa Smith offers online therapy via video sessions and phone sessions to people in Texas.

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.

Can I book an appointment with Larissa Smith online?

Yes, you can easily book an appointment with Larissa Smith online using Choosing Therapy’s directory.

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