Nancy J Smith LCSW

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Nancy J Smith LCSW This is your space for healing with the therapist you didn't know you needed! I have been providing services for 19 years, now all online. Nancy J.

I can help you recognize your own strengths, pay attention to your thoughts which in turn will change your behavior. Smith is a Licensed Clinical Social Worker providing mental health services for over 14 years to the eastern Wake County and surrounding areas. Since Covid 19, I am only offering telehealth services, but will hopefully change soon.

Equine TherapyThe “Magic” of a HorseGrowing up and riding a horse almost right after learning to walk, sealed my love of...
09/14/2026

Equine Therapy
The “Magic” of a Horse

Growing up and riding a horse almost right after learning to walk, sealed my love of them for my lifetime. I was fortunate enough that at an early age I was able to go to a daycare that had many things to do, but it was the horses that I stayed with the entire day, every day, until I was picked up, as both of my parents worked in another town. I loved the hay, the work, the sweat and there is still nothing like the smell!

When I received the social work license, I wanted to combine it with my love of animals, especially horses. I began to hear and learn about equine therapy, ground work, where you are one-on-one with the horse, not riding, hence “ground” work. I found the Equine Assisted Growth and Learning Association where I could do all of my continuing education work around a horse, “my happy place.”

As I began to complete different parts of the model, I began to see how intuitive the horses were to the clients as well as the amazing work that was done in every session. By the way, a diagnosis does not matter in a pasture! It is the most REAL and RAW that anyone can be. The answer will come because the horse will teach you. To me, more effective work is done with a horse in a pasture, there will be a faster improvement in the client than anywhere I have ever experienced. Following are examples and I'd love to hear how any animals have affected your life.

I have seen teens begin to have conversations with the horse as they walk with them. These conversations are eventually practiced and held outside of the pasture where the barrier is then gone.

I have worked with domestic violence victims and perpetrators, separately of course. Both learn valuable lessons. The victim gains confidence and self-esteem. The perpetrator no longer tries to control others as he/she will NOT “control” a 1200-pound animal, and “he/she” learns that they are the one that has to change.

I said above that horses are very intuitive. Watch an animal’s behavior. It doesn’t matter what kind of animal. It will tell you everything you need to know.
I heard there was a horse that will lay down with a person who is depressed. It will stay until it sees the person getting up and then it will get up and walk away. It has absorbed that negative energy. The horse is then given a break and will come back to “work” later in the day.

There are many stories like this and to me, the movement is created around animals. The last one I will tell is about the horse I am pictured with named “Monty.” Sadly, he is not with us today but he was a gentle guide. One day I went out to catch him in the pasture. Monty loved to eat and he did not care that I was there to catch him most days as I usually had to walk way out to get him. He was way out, but today was a magical day. As I approached and entered the gate, Monty raised his head and we locked eyes. This day he did not go back to eating. Instead, he held my gaze and walked to me as if there was an invisible string between us. I did not move; I am not even sure that I took a breath as this was again magical. We were connected and as he came close, I turned and walked with him to the water trough not touching him. It never happened again. I have never forgotten that day.

08/26/2026

Join us on Thursday, for a free introductory class on TNVR (Trap, Neuter, Vaccinate, Return) and community cat colony management. Whether you're new to helping outdoor cats or interested in learning more about humane solutions for free-roaming cat populations, this class will provide the knowledge a...

08/24/2026

The Science of the Animal Bond: Why It Works Remotely
Animals have a unique ability to bypass our intellectual defenses. When you see, talk about, or interact with an animal, your brain releases oxytocin (the "bonding hormone") and decreases cortisol (the "stress hormone"). This physiological shift happens whether the animal is sitting on your lap, sitting across the room from your therapist, or interacting with you through a screen.
In a virtual space, animal-assisted practices work through three distinct lenses:
1. Tracking Virtual Intermediaries
Watching a dog rest calmly or a cat stretch during a difficult conversation serves as a visual anchor. It reminds your nervous system of safety, helping you stay grounded when exploring painful memories, anxiety or deep-seated trauma. (One of mine may walk through!)
2. Translating Equine Wisdom to the Screen
Equine-assisted therapy teaches us that horses are masters of body language and energetic alignment; they mirror human emotion instantly. In a telehealth setting, we translate these powerful metaphors into your current life. We look at how you navigate your "internal herd"—your family of origin or current relationships—and use equine-informed principles to help you set firm boundaries, overcome narcissistic abuse, and reclaim your lost voice.
3. Integrating Your Own Animal Companions
Telehealth offers a unique clinical advantage: you are in your natural environment. Your own pets can become active participants in your therapy. During moments of intense emotion, depression, or panic, I can guide you through mindfulness-based practices that focus directly on your pet. Feeling the texture of your dog’s fur, listening to your cat’s purr or synchronizing your breathing on the side of a horse with theirs, bringing you immediately into the present moment. Please call for more information and to schedule your appointment!

Beyond the Screen:  How Animal-Assisted Therapy Works in Telehealth and the Healing Power of AnimalsThe therapeutic bond...
08/20/2026

Beyond the Screen: How Animal-Assisted Therapy Works in Telehealth and the Healing Power of Animals

The therapeutic bond between humans and animals is ancient, visceral, and deeply grounding. For decades, practitioners have brought dogs, cats, and even horses into clinical spaces to help clients lower their defenses, process trauma, and regulate their nervous systems.
But as modern mental health care shifts toward online delivery, a common question arises: Can the profound healing power of animals truly translate through a secure telehealth screen?

As a Licensed Clinical Social Worker with nearly two decades of experience—including years spent facilitating equine-assisted therapy—I have watched this integration transform lives. The answer is a resounding yes! Animal-assisted therapy (AAT) does not require you to be in the same physical room as the animal to benefit from its therapeutic presence.
Learn how the healing power of animals transcends the digital divide to support your mental health journey. More to follow….
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Meet Nancy: I am a Licensed Clinical Social Worker with 19 years of experience working with adults and families now thro...
08/14/2026

Meet Nancy: I am a Licensed Clinical Social Worker with 19 years of experience working with adults and families now through a secure telehealth platform. I work with older teens, adults, couples and families, navigating anxiety, depression, mood disorders, low self-esteem, work stress, family conflict, anger, etc. across NC. I have a particular interest in working with people who have lost their voice, whether in their family of origin or in their current relationships and with those carrying trauma from narcissistic abuse. I blend several evidence-based approaches-Cognitive Behavioral Therapy (CBT), solution-focused therapy, mindfulness-based work and trauma informed care as I continue to broaden my focus into trauma, pet grief and animal-assisted practices such as past equine-assisted therapy, which I incorporate into my work even through the telehealth setting. I offer a free 15-minute phone consultation if needed before setting an appointment. I am in-network with most all insurance companies and can be reached at 919-307-5112.

08/06/2026

"Looking for mental health support as close as your computer through a secure telehealth platform? Life comes with challenges, but you do not have to face them in isolation. I am a compassionate, fully licensed therapist that has been in business for 19 years. I offer personalized counseling for older teens, adults and couples.

How I Can Help You:
• Manage daily stress and burnout
• Navigate difficult life changes
• Heal relationships and family strain
• Overcome persistent anxiety, low mood, etc.

Website is being developed. You can book a session or ask a question by calling or texting me, Nancy J. Smith directly at 919-307-5112.

07/07/2026

VULNERABILITY and ARMOR

The definition of vulnerable is: “capable of being wounded.” This can take the form of emotional or physical hurt. Being vulnerable, open to moral attack, criticism.”

The definition of armor is: “a protective covering” and as a verb is: “to provide someone with emotional, social or other defenses.”

Questions to ponder:

From whom do we learn about vulnerability?
How do we act when we get hurt?
How/when do we learn to put ourselves out there?

When we think about doing something new or meeting someone new, the way we know that it affects us first might be a physiological response such as sweaty hands, shallow breathing or simply not going. Brene’ Brown, a professor, states, “vulnerability is the core, the heart, the center of meaningful human experiences.”

Speaking of experiences with humans, I remember when I was in my late teens. I had worked very hard to save for a fence at my family’s home. I called a local fence company. When he came out, the first thing he asked was, “Where is your father? I’m not dealing with a woman.” I can’t tell you how I felt at the moment, maybe angry, or ready to cry? I didn’t cry until he left. Needless to say, I didn’t use him. It took everything in me to make another call to a fence company. I did, but not without putting on my “armor” for the next visit, vulnerability gone! I’m sure there were other times before this, but this one I have never forgotten! After this, for a while, my thoughts were, “I’m going to hurt you before you hurt me!”

I spoke above about armor. We put on our armor the same way a turtle has a shell to protect against his unforeseen enemies and to keep him safe, “in control,” and in his comfort space. We don’t have a “shell” per say to retreat in as a turtle does. We have to learn to recognize our own vulnerability, take off our armor, and find the balance of our own personal, comfortable space versus the outside world. One way to begin is to recognize your thoughts, breathe and let them flow through you without judgement.

What changes do you need to make around vulnerability and armor? Visualize it and start making small steps towards it. Remember, everyone has to start where they are. “Without vulnerability, there is no love.”

07/04/2026

Pay attention

02/15/2026

No one tells you how hard it is to rewire your brain to allow amazing things to happen after experiencing trauma or pain. Blessings exist, good people exist and a softer life exists.

You've been waiting for the other shoe to drop for so long that good things feel suspicious now. When something beautiful enters your life you brace yourself. When someone is genuinely kind you wonder what they want. When things start going well you wait for it to fall apart because that's what your experience taught you to expect.

That's not pessimism. That's a trauma response. Your brain learned to anticipate danger because danger was consistent. Safety wasn't. So now when safety arrives, your nervous system doesn't trust it. It treats good things like threats because good things in your past always came before something bad.

Rewiring that takes time. It takes consciously catching yourself waiting for disaster and reminding yourself that not every good thing is a setup. Not every kind person is hiding an agenda. Not every peaceful season is just the calm before the storm.

Blessings exist, good people exist and a softer life exists. Let it happen. Let yourself receive without immediately preparing to lose it. Let kindness land without interrogating it. Let joy settle without guilt. You survived so much hardship. You're allowed to let the good in now. Not everything that feels safe is a lie.

02/05/2026

My first video!

Address

Wendell, NC

Opening Hours

Monday 7am - 5pm
Tuesday 7am - 5pm
Wednesday 7am - 5pm
Thursday 7am - 5pm
Friday 7am - 1pm

Telephone

+19196718475

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