Keanna Smith (She/Her)

Metacognitive therapy helps patients change their relationship with unhelpful thought patterns. Instead of focusing on the content of worries, it targets how we think about thinking — reducing rumination and worry loops. I use this structured, evidence-based approach for anxiety, depression, and stress. Patients learn to shift attention, regulate worry, and develop healthier mental habits, leading to greater resilience and emotional balance.

Grounded in Carl Rogers’ work, person-centered therapy emphasizes empathy, acceptance, and authenticity in the therapeutic relationship. I believe healing begins when patients feel fully seen and supported without judgment. In this approach, you set the pace while I provide a safe, collaborative space. This method fosters self-discovery, growth, and lasting change by celebrating each individual’s strengths and unique way of being human.

I use biofeedback to help patients gain awareness and control over their body’s stress responses. By tracking physical signals like heart rate and breathing, patients learn to regulate anxiety, improve focus, and restore calm. Biofeedback is a safe, evidence-based tool that empowers individuals to actively participate in their healing, making it especially helpful for stress, anxiety, ADHD, and trauma-related concerns.

I provide thoughtful evaluation and treatment for ADHD across the lifespan. I am experienced in prescribing stimulants such as methylphenidate and amphetamines, as well as non-stimulant options like atomoxetine and guanfacine when appropriate. I carefully assess for safety, misuse risk, and co-occurring conditions. Treatment also emphasizes structure, skills, and support, helping patients improve focus, motivation, and daily functioning.

I provide thoughtful evaluation and treatment for ADHD across the lifespan. I am experienced in prescribing stimulants such as methylphenidate and amphetamines, as well as non-stimulant options like atomoxetine and guanfacine when appropriate. I carefully assess for safety, misuse risk, and co-occurring conditions. Treatment also emphasizes structure, skills, and support, helping patients improve focus, motivation, and daily functioning.

I specialize in treating anxiety disorders with both medication and holistic approaches. I am experienced in prescribing SSRIs, SNRIs, and other evidence-based options while avoiding short-term fixes like benzodiazepines unless clinically indicated. Treatment focuses on reducing symptoms while also building long-term coping skills. My goal is to help patients feel calmer, more confident, and better able to manage life’s stressors with sustainable strategies.

I provide compassionate, evidence-based treatment for depression, combining medication management with supportive strategies. I am experienced in prescribing antidepressants such as SSRIs, SNRIs, bupropion, and mirtazapine, and I carefully tailor treatment to each person’s needs. My approach also integrates lifestyle and holistic supports, helping patients find relief, restore balance, and build resilience in daily life.