River Smith, MA (they/them)

My work with clients is grounded in the belief that therapy should be an empowering experience for clients. I have a particular passion for working with people from the queer and neurodivergent communities, as well as people struggling with anxiety, depression, and life transitions. I enjoy working with clients who are trying to live fuller, more authentic, values-driven lives, and I am passionate about helping each client carve out a path forward that honors their unique identities. My approach to therapy is all about creating a space where you can bring your full authentic self and drawing on your inherent strengths to overcome whatever challenges you’re facing.

I believe that lasting change happens in the context of a genuine, empathetic relationship. I also understand how important it is in therapy to acknowledge the way systems of power and oppression act on our lives and shape our realities.

I understand that starting therapy is not easy, and opening up to a stranger doesn’t come naturally to everyone. It is important for me to meet you where you’re at, whether you have experience in therapy or this is your first time. If you think I might be a good fit, I would love to talk about how I can help support you. I look forward to meeting you!

Areas of Focus

  • Transgender, nonbinary, and gender-expansive identities
  • Neurodivergence (ADHD and Autism)
  • Anxiety and depression
  • Identity exploration and self-acceptance
  • Life transitions and personal growth
  • LGBTQ+ affirming therapy
River Smith, MA

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Meet Our Therapists

Our diverse, affirming team blends clinical expertise with warmth and real-world understanding to help you feel seen, supported, and empowered.

River Smith, MA

River Smith, MA (they/them)

Katie Jacobson, MA

Katie Jacobson, MA (she/her)

Taylor White, LPC

Taylor White, LPC, CADC (she/they)

Sam Chen, MA

Sam Chen, LSW (she/her)

Positive Regard Therapy Eric Underhill, LSW

Eric Underhill, LSW (he/him)

Postive regard

Ryan Womack, LCSW, CADC (he/him)

Staff Portraits

Michael Brown, LPC (he/him)

Postive regard

Marty Kezon, LCSW (he/they)

Postive regard

Sam Milstone, LPC (he/him)

Postive regard

Bert Fox, LCPC (he/him)

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