Shakina Small
Compassionate clinician using practical therapies
LPC Pennsylvania
- Experience
- 26 years in practice
- Focus areas
- Relationship, Family, Trauma and abuse
- Approaches
- Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
- Languages
- English
About Shakina
Shakina Small is an LPC with 26 years of clinical experience who blends practical, evidence-informed methods with a warm, client-centered presence.
Background and approach
She often draws on Cognitive Behavioral Therapy to help clients identify unhelpful thinking patterns and develop concrete strategies for change, while also using approaches that attend to emotion, relationships, and meaning. Her work emphasizes respectful collaboration and straightforward guidance when needed.
Shakina has supported people facing a wide range of concerns including relationship and family challenges, trauma and abuse, substance-related issues, intimacy and parenting struggles, mood concerns such as bipolar disorder, and life transitions. She also addresses focused topics like abandonment, adoption and foster care issues, attachment difficulties, blended family dynamics, and communication or control problems.
Her practice integrates multiple approaches to meet each person where they are and to foster practical coping skills alongside deeper emotional work.
How therapeutic approaches translate to online care
Shakina often uses Cognitive Behavioral Therapy to help clients notice and change unhelpful thoughts and behaviors through practical exercises and skills practice, which can be easily adapted to remote sessions. She also draws on Client-Centered Therapy to create a supportive, nonjudgmental space where a client's own goals and pace guide the work. When emotions and relationship patterns are central, elements of Dialectical Behavior Therapy help build distress tolerance, emotion regulation, and interpersonal effectiveness in everyday life.Choosing the right approach is a collaborative process; the therapist works with each person to determine which methods fit their goals, preferences, and concerns. That exploration may involve trying specific techniques, tracking what helps, and adjusting the plan over time to stay aligned with progress and changing needs.
Online therapy offers flexible ways to engage including video calls, phone sessions, live chat, or text-based messaging so clients can access care from home or while managing busy schedules. These options make it easier to maintain regular contact, practice skills between sessions, and shape therapy around work, family, and other commitments.
Frequently asked questions
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
26+ years
Licensed
Pennsylvania
Languages
English