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Online Therapy for Adults in Tennessee 

Telehealth therapy for burnout, chronic stress, and complicated relationship dynamics across Tennessee.

At a Glance

  • Therapist: Haley Speer, LCSW, Licensed Clinical Social Worker in Tennessee (license #5773)

  • Format: secure video, 55-minute sessions

  • Fee: $180 per session, with sliding scale available

  • First step: free 30 minute consultation 

  • Also licensed in: South Carolina, North Carolina, New York, Florida, Kentucky, and Arkansas, which helps if you split time between Tennessee and another state

Who I Help

I work with adults who are smart, self-aware, and still stuck. Most of my clients are well into adulthood (30s - 60s), though I occasionally work with with young adults and college students when the fit is right.​ The people I work with tend to carry a lot, professionally, relationally, and often physically. At some point, the load becomes too heavy to keep going the same way.

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I most often work with people facing:​

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  • Burnout and chronic stress that builds quietly over year

  • Chronic illness and medical trauma, including years of feeling dismissed, misunderstood, or failed by the healthcare system, as well as specific frightening experiences

  • High-control or high-pressure upbringings (religious, cultural, or familial), and the beliefs and patterns instilled early that still run in the background

  • Complex family dynamics, both overinvolved and neglectful, and childhood roles that no longer fit adult life

  • Complicated relationship patterns with partners, parents, friends, or siblings, and the ongoing question of what you actually want from relationships

  • Long-term recovery from self-harm, disordered eating, or substance misuse, for people with several years of stability who are ready to work on the patterns underneath.

Training & Clinical Background

I earned my Master of Social Work from the University of South Carolina in 2008 and became independently licensed in 2012.

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I trained in Cognitive Processing Therapy (CPT) through the Medical University of South Carolina and have used it regularly since, including at Cherokee Health Systems (now River Valley Health), a Federally Qualified Health Center serving a rural, underserved community in East Tennessee. There I treated adults with PTSD, anxiety, and depression. I also facilitated DBT skills groups, an ACT group for chronic pain, and a process group for serious and persistent mental illness.

 

I received in depth training in DBT, TF-CBT, and PCIT from The University of Tennessee Center of Excellence for Children in State Custody. I have since pursued training in ACT and ERP. These treatment methods inform how I work, but the care I provide is never rigid or "cookie cutter." We adjust pace and focus based on what you need most. My approach always starts with with building a trusting, respectful relationship that is maintained though out our work together. 

Working with clients across Tennessee

I am licensed to provide telehealth therapy throughout Tennessee, from Johnson City and Kingsport in the northeast to Memphis in the west, and across the river into Arkansas, where I am also licensed. My clinical roots in the state are both broad and deep.

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From 2019 to 2025, I was a therapist with Headspace, the mindfulness and mental health platform. There I saw  clients across Tennessee, most of them outwardly capable adults dealing with trauma, anxiety, obsessive-compulsive patterns, and low motivation. I also developed and led a training on evidence-based trauma treatment for the clinical team.

 

My work with Headspace put me in touch with different groups across the state. One group was clients in the Nashville area who worked in music: A&R, licensing, tour management, performing, and songwriting. I enjoyed this work. Issues addressed include sleep problems, perfectionism, social anxiety, and building a life that is both creative and practical. 

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I've also worked with attorneys and Big Four professionals, here in Tennessee and in every other state I practice in. The high-stakes pressure of these careers tends to land on top of family-of-origin patterns or relationship strain and the job just turns up the volume.

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And I've worked with healthcare professionals from across the state, in Chattanooga, Knoxville, and Memphis. Residents, researchers, and nurses, who are managing the particular kind of exhaustion that comes from working in modern healthcare or academia. 

Is This a Good Fit?

This work may be especially right if:

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  • You are managing life relatively well on the outside but feel deeply exhausted and frustrated underneath.

  • You have had therapy that was just okay. Maybe you did not quite click, or you got coping skills that helped briefly, but whatever shifted did not last.

  • You are curious about your own patterns, not only looking to manage symptoms.

  • You can sit with some discomfort. Insight does not always feel good right away.

  • You want a therapist who will be honest with you, not just validating.

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This is probably not the right fit if:

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  • You are in active crisis or need same-day or emergency support. Please call or text 988, or go to your nearest emergency room.

  • You are currently experiencing active substance use, active self-harm, or active eating disorder symptoms that need a higher level of care or a specialized program.

  • You are seeking court-mandated therapy, custody evaluations, or documentation for legal purposes.

  • You want purely skills-based symptom management with little interest in what lies underneath. Most clients start with a concrete problem and find the deeper work along the way. Some finish in months and others stay over a year.

A Note on History and Recovery

I work with adults who have a history of self-harm, eating disorders, or substance misuse, specifically those who are in stable, long-term recovery and are looking to understand and address the patterns that drove those struggles in the first place.

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I do not specialize in active eating disorder treatment, active addiction treatment, or acute self-harm intervention, as that level of care requires a different kind of support than what I provide.

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I do work with clients who experience suicidal thoughts without a current plan or intent. Having these thoughts is not uncommon, and therapy is often exactly the right place to address it: thoughtfully, honestly, without panic. What I am not set up to provide is crisis intervention or emergency response. If you are in crisis, please call or text 988, or go to your nearest emergency room.

Practical Details

Format Telehealth (secure video)

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Who I see Adults (30's - 60's, occasionally younger adults or college students)

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States licensed Tennessee, South Carolina, North Carolina, New York, Florida, Kentucky, Arkansas

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Session length 55 minutes

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Fee $180 per session (sliding scale available). Payment is due at the time of session.

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Insurance Limited availability through Alma. Superbill provided; clients verify out-of-network benefits directly

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First step Free 30-minute consultation

Next Step

If this sounds like the kind of work you've been looking for, start with a free 30-minute phone consultation. We'll talk briefly about what's going on and whether working together makes sense.

Haley Spper Logo.png
Haley Speer

LCSW - PSYCHOTHERAPIST

Providing compassionate, evidence-based telehealth therapy for anxiety, depression, chronic physical illness, and trauma. You deserve support that actually helps.

CURRENTLY LICENSED IN

NY - NC - SC - TN - FL - KY - AR

QUICK LINKS

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© 2025 Haley Speer, LCSW, PLLC - All rights reserved -Telehealth only, no in-person sessions

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