About Rayna
Rayna Smith is a licensed clinician with 10 years of social work experience and a medical degree. She uses her combined background to help people sort through relationship and family concerns, trauma and intimacy issues, and mood or stress-related struggles. Rayna approaches clients with respect for their story and their strengths.
She works to make beginning therapy feel manageable and clear. Rayna listens first to understand what matters most to each person.
How Rayna works
She draws on both client-centered methods and practical strategies to address anxiety, depression, grief, and coping with big life changes. Sessions often include checking practical steps, identifying patterns that get in the way, and setting small goals that fit daily life.
Her work also covers parenting stress, issues around adoption and foster care, attachment and blended family challenges, and caregiver or first responder strain. Rayna provides support for people dealing with anger, commitment or communication problems, codependency, and intimacy-related concerns. She offers guidance for career stress, self-esteem struggles, ADHD, and bipolar mood challenges as part of an overall treatment plan.
Therapy with Rayna can include short-term solution-focused work or deeper psychodynamic exploration depending on what the person wants. She also uses cognitive behavioral techniques and motivational interviewing to help people change behaviors and reach clear goals. The focus is on collaboration and practical progress.
Rayna practices in Maryland and holds the credentials MD and LCSW-C. Sessions are conducted in English and are offered through video calls, phone sessions, live chat, or text-based messaging. The subscription for sessions can be canceled at any time.
Rayna lists 6 ways of working on the entry:
What Rayna works with
The areas below are the ones Rayna selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Emptiness
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hoarding
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Midlife crisis
- Money and financial issues
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Stress, Anxiety
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Registers | MD, LCSW-C |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Maryland |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches and online therapy that fit your life
Rayna commonly uses Client-Centered Therapy and Cognitive Behavioral Therapy in online sessions. Client-Centered Therapy focuses on listening and building on your strengths so you feel heard and understood; it suits people who want a compassionate, pace-driven process. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors and teaches clear skills to manage anxiety, depression, stress, and mood shifts; it often helps when people want concrete tools to try between sessions.Finding the right approach is part of the work together. Rayna will talk with each person about goals, past experience, and what feels most helpful. She tailors the plan over time, mixing listening-focused work with skill-based strategies so the approach matches the client's needs and preferences.
Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video calls are useful for fuller conversation and nonverbal cues, phone sessions can be easier when bandwidth is limited, live chat supports quick check-ins, and text messaging works well for ongoing brief support or reminders. These options let people fit therapy around work, parenting, or other responsibilities while still working with licensed professionals.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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