Sara Smith | Existential-Humanistic Therapy for Anxiety, Depression, Burnout & Life Transitions in Vancouver, WA
MA, LMHC

A woman with short black hair shaved on the sides, wearing glasses, a black shirt, and a red jacket, smiling and sitting with her hands crossed in front of her, with a tattoo on her forearm and a bamboo wall in the background.

My Approach

I believe every person has a story worth hearing, and that healing begins when we have the space to explore that story with honesty, curiosity, and compassion. As a therapist, I strive to create a warm, genuine, and nonjudgmental space where you can show up as you are, without the pressure to have everything figured out. My approach is grounded in existential-humanistic therapy, with an emphasis on the therapeutic relationship, emotional safety, and the belief that meaningful change can emerge when we feel genuinely seen, understood, and accepted.

My background in Community Mental Health has shaped how I understand the complexity of being human. I recognize that our struggles do not exist in isolation, but are influenced by our relationships, identities, lived experiences, and the systems around us. As a biracial person, my own experience has shaped how I understand identity, belonging, and the ways we navigate a world that does not always make room for the complexity of who we are. This perspective informs my commitment to approaching each person with cultural humility, openness, and respect for the experiences that make them who they are. I especially enjoy working with older teens and adults navigating shame and self-worth, trauma, grief and loss, anxiety, depression, and major life transitions. Whether you feel stuck, disconnected from yourself, overwhelmed by life's circumstances, or uncertain about what comes next, you deserve a space where your experiences can be explored without judgment.

My therapeutic philosophy centers on the belief that healing is about more than finding answers or trying to change who we are. It is also about developing a deeper understanding of ourselves, making room for the parts of our experiences that have been difficult to acknowledge, and discovering what it means to live a life that feels authentic and meaningful. I draw from existential-humanistic, experiential, and relational approaches, integrating perspectives such as Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and psychodynamic therapy in ways that honor your individual experiences. I value being present with you in the difficult moments, exploring the stories you carry, and creating space for new understandings to emerge. Above all, I believe the therapeutic relationship matters. My role is to walk alongside you as we make sense of your story and explore what it means to move forward in a way that feels true to you.

You do not have to have your story figured out before you begin. We can start wherever you are.


I’m a good fit for you if you’re looking for:

  • A warm, authentic, and relational therapist.

  • A safe space to explore difficult emotions and experiences.

  • Support with shame, self-worth, trauma, grief, or life transitions.

  • A deeper understanding of yourself and your relationships.

  • Space to explore identity, belonging, and meaning.

  • A therapist who values emotional depth over quick fixes.

  • A collaborative relationship where you feel seen, heard, and accepted.

My Credentials:

Master of Arts in Clinical Mental Health Counseling from George Fox University

Bachelor of Science from the University of Idaho

Licensed Mental Health Counselor in Washington State

Insurances I Accept:

  • Kaiser

  • Providence

  • Cigna

  • Premera

  • Moda

  • Aetna

  • Optum

If your insurance is not listed above you may have out of network benefits available to you. Please reach out to discuss cash pay and out of network benefits that may be available to you.