Hello! If you are reading this then it means you are somewhere along the way to seeking therapy - welcome, it's great you are here! Making the decision to talk through personal challenges and struggles with someone takes courage and while it can be a hard step to take, it opens the door to positive and profound change.
If you are looking to heal, let's talk. If you are struggling with life transitions or challenges that seem insurmountable, let's talk. If you are wanting to gain a fresh perspective or make some difficult changes, let's talk.
I am a Licensed Clinical Social Worker in the state of Missouri and have been providing mental health support there and overseas since 2009. I have worked in a variety of settings including outreach centers for survivors of violence, a university counseling center and private practice, and have had the opportunity to work with people of all ages and various nationalities.
I practice using a strengths-based approach, focusing on a person's resilience and building on the strengths they possess (we all have strengths, sometimes we are just so overwhelmed by life we are not able to see them clearly). Over the course of therapy I incorporate elements of cognitive behavioral, trauma-focused, solution focused and person-centered therapy. Therapy is not one size fits all and thus the therapeutic process is tailored to meet individual needs.
It is truly a privilege to be present with someone on their path of self-discovery and change and I look forward to working with you.
Professional experience
16 yrs in practice
Stress, AnxietyRelationshipsTrauma, AbuseSelf esteem, MotivationCoping with life changes
Additional areas of focus:LGBT, Family conflicts, Career difficulties, Depression, Compassion fatigue, Abandonment, Blended family issues, Body image, Caregiver issues and stress, Codependency, Commitment issues, Communication problems, Control issues, Coping with natural or human-caused disaster, Divorce and separation, Domestic violence, Family problems, Forgiveness, Guilt and shame, Jealousy, Life purpose, Midlife crisis, Panic disorder and panic attacks, Post-traumatic stress, Self-love, Sexual assault and abuse, Social anxiety and phobia, Women's issues, Young adult issues
These quotes represent just a few of the many positive reviews that we have received for Anna (Kate) Smart. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Kate is awesome.
Written on Jan 16, 2026 after therapy with Anna (Kate) for 4 years and 10 months on issues concerning depression, stress, anxiety, and relationship issues
She's fantastic. Im a therapist myself and it's tough to put that part of me "on ice" when I am working with someone as a client, and Kate makes it so easy. She's skilled, relaxed, empathetic and engaging. Highly recommend!
Written on Jan 02, 2026 after therapy with Anna (Kate) for 1 month on issues concerning depression, stress, anxiety, trauma and abuse, self esteem, career difficulties, compassion fatigue, and adhd
Kate immediately felt like a friend — safe, supportive and understanding. Kate has prompted me to meaningfully reflect on events that have happened and steps I am planning to take. I am so glad I was matched with Kate!
Written on Dec 22, 2025 after therapy with Anna (Kate) for 3 months on issues concerning depression, stress, anxiety, relationship issues, grief, and coping with life changes
Kate has been a tremendous help in navigating through my experiences, supporting me and giving me tools to apply on a daily basis. I highly recommend her!
Written on Dec 02, 2025 after therapy with Anna (Kate) for 1 month on issues concerning trauma and abuse
Therapy is good for me.
Written on Oct 22, 2025 after therapy with Anna (Kate) for 11 months on issues concerning depression, stress, anxiety, addictions, relationship issues, self esteem, anger management, and coping with life changes
Great therapist very easy to talk to
Written on Jun 12, 2025 after therapy with Anna (Kate) for 2 months on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, parenting issues, and self esteem
Kate is just wonderful! We work together on action items to tackle those things I'm struggling with at any given moment.
Written on May 12, 2025 after therapy with Anna (Kate) for 10 months on issues concerning stress, anxiety, relationship issues, family conflicts, grief, intimacy-related issues, parenting issues, career difficulties, and coping with life changes
I feel like my life is coming together in a more organized way as I talk to Kate. I feel comfortable and understood. We walk through the problems in a way that I can understand and feel motivated to change if needed.
Written on Mar 24, 2025 after therapy with Anna (Kate) for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, self esteem, and anger management
Kate has been my therapist for quite a few months now. She is absolutely amazing, knowledgeable, understanding, and very easy to talk to. Kate has helped me through so much and continues to help me as things change in my life.
Written on Mar 07, 2025 after therapy with Anna (Kate) for 9 months on issues concerning depression, stress, anxiety, eating disorders, sleeping disorders, self esteem, compassion fatigue, and adhd
Kate is everything I could’ve wanted in a therapist. Her kindness, encouragement, and support have meant everything to me during a difficult year. There is zero judgement, she is intuitive, inquisitive, and always seeking solutions for YOU! Kate is always in your corner, and I’m so grateful for her and her support.
Written on Jan 02, 2025 after therapy with Anna (Kate) for 2 months on issues concerning depression, stress, anxiety, lgbt, relationship issues, family conflicts, trauma and abuse, sleeping disorders, self esteem, career difficulties, and coping with life changes
So far, I am very please with. Anna and she is very attentive to my needs and. My words
Written on Dec 17, 2024 after therapy with Anna (Kate) for 3 weeks on issues concerning addictions, grief, eating disorders, and self esteem
She is very kind and I have enjoyed my sessions with her. Thank you
Written on Nov 11, 2024 after therapy with Anna (Kate) for 1 month on issues concerning relationship issues, family conflicts, self esteem, and adhd
Anna (Kate) Smart is a great therapist. She is friendly and offers guided advice. I feel relaxed sharing my thoughts and feelings and she offers a true safe space.
I can type freely without fear any judgment and I always look forward to her response. A gem indeed.
Written on Oct 07, 2024 after therapy with Anna (Kate) for 1 year and 6 months on issues concerning stress, anxiety, family conflicts, trauma and abuse, intimacy-related issues, self esteem, and coping with life changes
Anna was great throughout my health anxiety episodes over the last year. I was able to overcome my anxiety and get to a state where I was in control again. Thank you so much!
Written on Apr 26, 2024 after therapy with Anna (Kate) for 6 months on issues concerning stress, anxiety
She is simply amazing! She does not judge, she supports me and is caring and smart and kind
Written on Feb 21, 2024 after therapy with Anna (Kate) for 2 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, self esteem, anger management, coaching, and adhd
Kate is amazing. She is informative, she listens, she helps and is an all around great therapist! I have had other therapists in the past, but I can confidently say she is worth every penny!
Written on Dec 23, 2023 after therapy with Anna (Kate) for 1 month on issues concerning depression, stress, anxiety, trauma and abuse, career difficulties, and compassion fatigue
Really enjoyed first session. I am definitely booking more. Kate seems so far to suit me well as a therapist
Written on Dec 20, 2023 after therapy with Anna (Kate) for 2 weeks on issues concerning trauma and abuse, grief, and self esteem
I love working with Anna! She’s so understanding, nurturing and able to listen . She’s a very modern psychologist, exactly someone who a teenager would love to talk to. Sometimes it feels as if she’s also a mother figure, which maybe someone never got in a healthy way! recommended to everyone:-)
Written on Jul 04, 2023 after therapy with Anna (Kate) for 1 month on issues concerning stress, anxiety, family conflicts, intimacy-related issues, eating disorders, parenting issues, self esteem, and coping with life changes
Kate is a wonderful therapist who really takes the time to listen and gives incredibly thoughtful and helpful insight. I highly recommend her.
Written on Jun 26, 2023 after therapy with Anna (Kate) for 4 months on issues concerning depression, stress, anxiety, relationship issues, and self esteem
Kate has been such a positive force for me. I struggle with anxiety and she has given me so many tools and reminders of affirmations to help me work toward conquering the stress that I put on myself.
Written on Apr 03, 2023 after therapy with Anna (Kate) for 4 months on issues concerning stress, anxiety, relationship issues, trauma and abuse, and self esteem
Kate is a great listener, and even when I explained some complicated things, she seemed to pick up every detail and be able to see a bigger picture. 100% recommended
Written on Mar 20, 2023 after therapy with Anna (Kate) for 3 weeks on issues concerning relationship issues, and intimacy-related issues
I feel as though Anna (Kate) really and truly understands all the big and small details of what I experience, how I perceive things, how I understand things - this helps us to come to solutions with any difficulties I have experienced but also give me the tools to understand and manage things myself as well as they come up. I have new definitions for words, processes, feelings and appreciate the support I receive hugely.
Written on Feb 23, 2023 after therapy with Anna (Kate) for 1 year and 3 months on issues concerning depression, stress, anxiety, relationship issues, eating disorders, self esteem, career difficulties, and compassion fatigue
Kate is very kind and understanding, she give you a feeling it’s someone you know for ages, the one person you call when in trouble - that always says what’s right
Written on Nov 15, 2022 after therapy with Anna (Kate) for 3 weeks on issues concerning stress, anxiety
I have not had a positive experience with the first therapist assigned to me, and I am glad that I was not discouraged and decided to contact Kate. I have been working with her for over six months now, and she is fantastic, supportive, understanding and encouraging. I feel safe and comfortable talking to her.
I highly recommend her!
Written on Oct 12, 2022 after therapy with Anna (Kate) for 6 months on issues concerning depression, stress, anxiety, eating disorders, parenting issues, self esteem, anger management, career difficulties, and adhd
I feel understood and never judged. She is respectful and very encouraging. She helps me feel empowered. I recommend 100%
Written on Jul 27, 2022 after therapy with Anna (Kate) for 1 year and 1 month on issues concerning depression, stress, anxiety, relationship issues, sleeping disorders, self esteem, and career difficulties
I reeeealy appreciate the way she helps guide me thru my emotions.
Written on Jul 12, 2022 after therapy with Anna (Kate) for 3 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, parenting issues, self esteem, anger management, career difficulties, bipolar disorder, and coping with life changes
Kate has taken the time to listen to my concerns and guided me to better coping techniques. I highly recommend partnering with her when navigating life’s changes.
Written on Jun 30, 2022 after therapy with Anna (Kate) for 2 weeks on issues concerning stress, anxiety, trauma and abuse, career difficulties, and coping with life changes
I've worked with several therapists, and Kate is by far the best experience I've had. She always makes me feel listened to, and her guidance has helped me find clarity on topics that have been causing me a great deal of confusion and anxiety.
Written on Jun 03, 2022 after therapy with Anna (Kate) for 3 months on issues concerning stress, anxiety, relationship issues, grief, intimacy-related issues, self esteem, career difficulties, coping with life changes, coaching, and compassion fatigue
I have referred so many friends to BetterHelp these last few months, and especially Anna (Kate). She literally gave me hope when I didn’t think there was any left in the world for me.
Written on May 19, 2022 after therapy with Anna (Kate) for 5 months on issues concerning depression, and stress, anxiety
It has been a pleasure working with Kate. She is always positive and encouraging.
Written on May 17, 2022 after therapy with Anna (Kate) for 3 months on issues concerning depression, stress, anxiety, self esteem, and adhd
Kate has a very relaxed and warm approach which put me at ease and made me feel capable right from the off. She listens and always sees right to the heart of the issue, offering profound insights and practical advice. She has subtly helped change my thinking and outlook for the better and helped me reach a state of mind I didn’t think was possible in the timeframe. Very grateful!
Written on Jan 26, 2022 after therapy with Anna (Kate) for 2 months on issues concerning stress, anxiety, relationship issues, trauma and abuse, and coping with life changes
Kate is an exceptional and professional therapist, her insights and our conversations and sessions are always extremly profound and invaluable. Thank you.
Written on Jan 17, 2022 after therapy with Anna (Kate) for 2 months on issues concerning depression, stress, anxiety, self esteem, anger management, bipolar disorder, coaching, and adhd
I promise you, she has gotten me through hell and I wouldnt have wanted anyone else .
Written on Dec 07, 2021 after therapy with Anna (Kate) for 8 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, sleeping disorders, self esteem, anger management, bipolar disorder, and coping with life changes
Kate is a very positive and understanding person. She listens attentively and understands what are my main concerns and how to work on them. I feel very safe talking to here and don’t doubt that she has my best interest in mind. She is available when I need an advice and tracks my progress.
Written on Jul 27, 2021 after therapy with Anna (Kate) for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, eating disorders, sleeping disorders, self esteem, anger management, career difficulties, and coping with life changes
She is very helpful, helped my self esteem a ton and I stopped feeling bad about people's comments mainly through her approach. Would recommend, very friendly and always on time, also proposes me practical ways to cope with things that work in my case.
Written on Jul 26, 2021 after therapy with Anna (Kate) for 4 months on issues concerning depression, stress, anxiety, addictions, relationship issues, trauma and abuse, grief, eating disorders, sleeping disorders, self esteem, career difficulties, and adhd
An absolute star of a human. She is kindhearted and very smart and her enthusiasm for me to follow my passions is so uplifting and gives me the motivation to chase my dreams. Her words are so insightful and she truly understands what I say even when I'm babbling.
Written on Jul 16, 2021 after therapy with Anna (Kate) for 4 months on issues concerning depression, stress, anxiety, trauma and abuse, self esteem, career difficulties, and coping with life changes
Very passionate and understanding. I feel I can open up to Kate, even things I’ve never spoke about before
Written on Jul 14, 2021 after therapy with Anna (Kate) for 2 weeks on issues concerning stress, anxiety, relationship issues, and self esteem
I've been working with Kate for over 3 months now, and she's great!
I'm autistic, and suffer from a myriad of anxiety driven, depression and OCD-ish symptoms. She has been super understanding from day 1, I'm super happy to have shared so much with her and received nothing but support, understanding, and encouragement. I can tell she has buckets of experience dealing with various people, and I've felt safe and comfortable talking to her.
Of course I recommend her! :)
Written on Apr 11, 2021 after therapy with Anna (Kate) for 2 months on issues concerning depression, stress, anxiety, relationship issues, and coping with life changes
My correspondence with Kate so far has been extremely positive and I look forward to seeing how I will progress with her help. She is extremely helpful, easy to talk to and understanding.
Written on Mar 13, 2021 after therapy with Anna (Kate) for 2 weeks on issues concerning stress, anxiety, self esteem, and coping with life changes
She is very good and listens and understands your issues very well and offers good remedy
Written on Feb 12, 2021 after therapy with Anna (Kate) for 2 weeks on issues concerning depression, stress, anxiety, self esteem, and career difficulties
I've enjoyed my counseling sessions with Kate up to this point and have found them greatly beneficial. She's taken a kind and methodical approach towards how I've been feeling. She's also helped me determine important questions to ask myself moving forward, and above all - has made me feel heard.
Written on Feb 08, 2021 after therapy with Anna (Kate) for 2 weeks on issues concerning stress, anxiety, relationship issues, grief, self esteem, career difficulties, coping with life changes, and compassion fatigue
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