With a laser-sharp but thoroughly compassionate approach, Smith has joined The Oprah Winfrey Show as a regular psychological consultant. This is a considerable departure from seeing patients in her hometown of Philadelphia. Whether she's in private practice or on a television soundstage, the fundamental tenet of her work is that we each are a crazy quilt of often tacit lessons learned as children and that we're not done growing up until we acknowledge and understand the messages of our upbringing. "What people create in their work lives and families is about unfinished woundedness," she says. "Look at your adult relationships and you will see what's still unfinished in your childhood."