Explore Our Services
Telehealth therapy and supervision for adults across Tennessee. Real support, grounded in evidence, built around you.
What We Offer
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One-on-one telehealth therapy for adults navigating anxiety, depression, trauma, burnout, life transitions, and more. Sessions are 50 minutes, held virtually, and grounded in CBT and trauma-informed care. Accepting new clients across Tennessee.
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Small-group telehealth sessions for adults working through shared experiences. A space to feel less alone, build skills, and heal in community. Groups are intentionally small to keep the environment safe and connected.
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Telehealth therapy for couples and families navigating conflict, communication breakdowns, and relationship strain. All partnerships welcome. The goal is understanding and a real path forward, not blame.
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Individual and group supervision for provisionally licensed clinicians working toward LCSW licensure in Tennessee. Practical, case-focused, and invested in your growth as a clinician.
Areas of Specialty
Tierra has deep experience working with adults across a range of presenting concerns. Every client is different, but these are the areas where she does her most focused work.
Anxiety
Persistent worry, overthinking, physical tension, avoidance. CBT-based work to help you understand your anxiety and stop letting it run the show.
Depression
Low energy, disconnection, loss of motivation. Therapy that meets you where you are and helps you find your way back to yourself.
Perinatal & Postnatal Mental Health
Support for the emotional complexity of pregnancy, postpartum adjustment, and early parenthood. You don't have to pretend this is all joy.
Burnout & Perfectionism
For the high achievers who are running out of steam. Work that helps you reconnect with what matters and build a life that's actually sustainable.
Trauma & PTSD
Whether it's a single event or years of accumulated stress, trauma-informed care that moves at your pace and doesn't require you to relive everything to heal.
Life Transitions
Career changes, relationship shifts, loss, identity questions. Therapy as a grounding force when the ground feels unsteady.
INDIVIDUAL THERAPY
One-on-one therapy designed around your life, your goals, and what's actually getting in the way.
Whether you're dealing with anxiety that won't quit, a trauma history you've never fully processed, burnout from carrying too much for too long, or a life transition that's left you feeling unsteady, individual therapy gives you a dedicated space to slow down and do the real work.
Sessions are 50 minutes and held via telehealth, so you can show up from wherever feels most comfortable. No commute. No waiting room. Just focused, confidential support.
Using Cognitive Behavioral Therapy as a foundation, plus a trauma-informed approach, we'll work together to understand what's driving your patterns and start shifting them. You'll leave sessions with practical tools, not just insight.
Good fit for: Adults navigating anxiety, depression, trauma, burnout, perinatal challenges, and major life transitions.
GROUP THERAPY
Healing doesn't always happen in isolation. Sometimes it happens in community.
Group therapy brings together a small number of people navigating similar experiences, facilitated by Tierra. It's a space to feel less alone, gain perspective from others who get it, and practice the skills you're building in a supportive setting.
Groups are held via telehealth and kept intentionally small to maintain a sense of safety and connection. Current and upcoming groups are listed below.
MARRIAGE & FAMILY THERAPY
Relationships are hard. That's not a flaw, it's just true.
Whether you're navigating communication breakdowns, rebuilding trust after a rupture, managing conflict that keeps cycling, or trying to get on the same page as partners or family members, therapy can help you move from stuck to something that actually works.
Sessions include couples, partners of all kinds, and family units. Tierra brings the same direct, warm, non-judgmental approach to relational work that she brings to individual therapy. No one is the identified villain. The goal is understanding and a path forward.
Sessions are 50 minutes via telehealth, serving clients across Tennessee
CLINICAL SUPERVISION
For provisionally licensed clinicians building toward full licensure.
Tierra offers both individual and group clinical supervision for MSW graduates and associate-level clinicians working toward their LCSW in Tennessee. With over 10 years of clinical experience, including a background in crisis intervention and acute psychiatric care, she brings a grounded, practical perspective to supervision that goes beyond checking boxes.
Supervision with Tierra is a space to process complex cases, develop your clinical voice, and build confidence in your work. Expect direct feedback, genuine investment in your growth, and a supervisor who takes the responsibility of shaping the next generation of clinicians seriously.
Individual Supervision: One-on-one sessions, 50 minutes, via telehealth. Group Supervision: Small group format, held via telehealth. Contact for current availability and scheduling.