top of page


image0 (3).jpeg

Calen Smith, LMHCA

I approach therapy from a trauma-informed lens utilizing person-centered therapy, cognitive-behavioral therapy, psychodynamic approaches, acceptance-based therapy, and mindfulness-based interventions. I’m flexible, warm, light-hearted, gentle, collaborative, and I deeply desire to create a therapeutic relationship with each of my clients that ensures that they feel heard and safe. I don’t believe in robotic blank-slate therapy. With me, you’ll encounter a human that also experiences the good and the difficult things in life. You might laugh with me, have fun with me, or cry with me, and all are a part of the human experience.


I provide an individualized approach to therapy, which means I combine interventions and approaches from various evidence-based theories. We’ll work together to figure out what you’re looking for and adjust as needed. I believe that you are the expert of yourself and my goal is to come alongside you and support you as you process your life experiences and goals. My primary relational goals for your therapy experience are for you to feel empowered, believed, trusted, and for you to feel safe to access deep processing. I approach things that come up in therapy with curiosity and an open mind. We’ll work together to create your own personal goals and work towards those goals collaboratively and at your own pace.

I work with adults ages 18 and up. I provide exclusively telehealth therapy options.

Adjustment Difficulties
Identity Development and Exploration
Significant Life Transitions
Change to Spiritual and/or Religious Identity
Relationship Concerns
Childhood Attachment & Trust Issues
Communication & Boundary Setting
Codependency & Family Dynamics
Self-Esteem Concerns
Resilience Building & Strength-Based Treatments
Shame & Self-compassion
Body Image
Emotional, Verbal, Sexual, Mental, Physical Trauma
Relational Trauma

Anxiety & Depressive Disorders
Generalized Anxiety Disorder & Panic Disorder
Social Anxiety
Major Depressive Disorder
Functional Difficulties
Time Blindness/Time Management
Executive Functioning Concerns
Initial Intake

The intake session is our first meeting. We will thoroughly discuss your history, concerns, symptoms, and goals for therapy. We will also work towards determining goodness of fit. Sometimes it takes a few sessions to determine if we will work well together. I encourage you to research other therapists and find the best provider to fit your needs. As we work together past the intake session, we will continue to explore your experiences, address symptoms, develop strategies, and set new goals as needed. The intake session is 60 minutes.

Fee:  $165

Therapy Sessions

Short term and long term treatment is available depending on your therapy goals. Typically, sessions are weekly or bi-weekly at the start of treatment. As you make progress and get closer to your goals, the frequency of sessions can be reduced. Some clients prefer to continue frequent sessions to maintain their progress and address new issues or stressors. Others choose to return to therapy for monthly sessions or as needed. Sessions are 55 to 60 minutes. Most insurance plans cover unlimited sessions per year. Check with your insurance carrier for any limitations and your out of pocket cost.  

Fee:  $145

Is Calen accepting new clients?

Accepted Insurance Plans:
  • Regence BlueShield and Uniform plans
  • Premera
  • Private Pay
*Billing is submitted with Jennifer Koch, Psy.D. as primary provider. Calen is an associate therapist under direct supervision w/ Dr. Koch. This is referred to as "incident to" billing and is authorized with Regence plans.
bottom of page