About me

My name is Dr. Karyn Larson Smith and I am a Clinical Psychologist and Professional Clinical Counselor licensed in Minnesota. I have been working in the field of psychology for over 25 years and have extensive experience with community mental health, residential treatment, correctional institutions and have provided services to a wide range of different ages and populations. In private practice I have helped couples with a variety of communication, conflict, trust and intimacy issues, and with systemic, generational, parenting and blended family concerns, as well as professional and academic counseling.

In my work with couples, I encourage identification and understanding of the needs and various perspectives of each participant, any lingering impact of their individual experiences, and the patterns within the relationship and any special issues that may hinder or interfere with the connection. I look at unique strengths and support behavioral strategies and tangible steps individuals can take toward strengthened communication and trust, reduced conflict, and intimacy. Depending on the identified issues, we work together toward a greater validation of each individual and of the relationship itself. Respect, sensitivity and supportive challenge help us help each other.


  • Stress, Anxiety
  • Relationships
  • Trauma, Abuse
  • Intimacy
  • Depression
Also experienced in:
Addictions , LGBT , Family conflicts , Grief , Eating disorders , Sleeping disorders , Parenting issues , Anger management , Self esteem , Career difficulties , Bipolar disorder , Coping with life changes , Coaching , Compassion fatigue , Read more...

Clinical approaches:
Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Gottman Method, Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, Solution-Focused Therapy, Trauma-Focused Therapy

Years of Experience: 25

Services offered

  • Messaging

  • Phone

  • Video


MN Psychologist 6271


These quotes represent just a few of the many positive reviews that we have received for Dr. Karyn Smith. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with Regain might be different.

Written on Nov 15, 2023 after therapy with Karyn for 1 month on issues concerning relationship

She has been wonderful to work with listening to both of us and talking through things.

Written on Oct 18, 2023 after therapy with Karyn for 1 year and 8 months on issues concerning relationship

My husband and I are working with Dr Smith as we transition from the west coast to the east coast. We decided to join couples therapy in order to keep our marriage strong as we were living on two coasts. What a gift to have the strength and knowledge of Dr. Smith. Two more months and we will be on the same coast. Happier than ever.

Written on Jul 24, 2023 after therapy with Karyn for 3 months on issues concerning relationship

Love my therapy sessions!

Written on Jul 07, 2023 after therapy with Karyn for 6 months on issues concerning relationship

Dr. Smith is a great listener, knowledgeable, intuitive and kind. She keeps are sessions focused and productive and she meets us where we are at. I highly recommend her.

Written on Jan 11, 2023 after therapy with Karyn for 3 weeks on issues concerning relationship

Dr. Smith is a great listener and professional in her counseling. Her advice is very helpful and directly addressed our needs. She has a wealth of experience but doesn’t push her opinions or advice on us, rather she’d help walk us through our situations to see the solution for ourselves.

Written on Dec 28, 2022 after therapy with Karyn for 2 weeks on issues concerning relationship

Dr Smith is very pleasant. Our fist session was tough but we feel very positive that she will be able to get us back on track.


Written on Nov 01, 2022 after therapy with Karyn for 1 month on issues concerning relationship

Within a few sessions I felt that Dr. Smith understood and respected my feelings

I found the exercises she recommended were very helpful

Work with me!