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Megan Smiley, LPC

Megan Smiley, LPC

Location: Pennsylvania (Virtual), Virginia (Virtual)

Specialties: Individual therapy, couples therapy, adult therapy, borderline personality disorder treatment, suicidality, self-harm and self-injurious behaviors, emotional support animal (ESA) evaluations

Megan provides virtual therapy in Pennsylvania and Virginia for adults navigating intense emotions, relationship challenges, and patterns that can feel overwhelming or difficult to control. She works with clients who may feel stuck in cycles of depression, mood instability, or emotional reactivity, and who are seeking a way to better understand and manage their experiences.

Many clients come to Megan describing their lives as chaotic or out of control, often feeling that even minor situations can trigger significant emotional pain. These patterns can impact relationships, leading to feelings of disconnection, emptiness, or conflict. At times, clients may turn to self-destructive or self-injurious behaviors in an effort to regain a sense of control or relief.

Megan specializes in working with individuals experiencing borderline personality disorder (BPD), emotional dysregulation, and suicidality, helping clients develop a more stable and compassionate relationship with themselves. Her work focuses on building awareness, strengthening emotional regulation, and improving interpersonal effectiveness.

Her approach is collaborative and grounded in evidence-based therapy, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Internal Family Systems (IFS). She tailors treatment to each client’s needs and goals, helping clients better understand their emotional patterns while developing practical skills to navigate relationships and daily life more effectively.

Change is possible. Megan understands that reaching out for therapy can feel difficult, especially if past experiences have been discouraging. She works alongside clients to create a path forward—one that supports greater stability, connection, and a life that feels more manageable and meaningful.

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