About Laurie
Dr. Laurie Miles is a Licensed Clinical Social Worker with three decades of experience supporting individuals through addiction, trauma, relationship struggles, and mood concerns. She offers direct, practical guidance and focuses on helping people set clear, achievable goals.
Her bedside manner is respectful and compassionate, aimed at making the first step feel less daunting. Her approach blends several evidence-informed methods. She uses Acceptance and Commitment Therapy to help people clarify values and act on them.
Background and approach
Cognitive Behavioral Therapy is used to notice and change unhelpful thinking patterns. Attachment-Based work addresses early relationship wounds that affect current connections. Dr.
Miles brings a strong focus on trauma and betrayal recovery, and on process and substance addictions. She helps people work toward sobriety, manage compulsive behaviors, and rebuild intimacy after trust breaches. Sessions emphasize concrete steps and measurable progress.
Sessions are offered by phone, live video, chat, or text messaging, and are typically 45 minutes in length. Her practice operates on a subscription model that can be canceled at any time, and fees vary by location and scheduling factors. People who reach out begin with a short matching questionnaire to connect with the right clinician and then schedule according to availability.
Dr. Miles practices in Tennessee and holds licensure as LCSW in Tennessee and Kentucky.
Evidence-informed approaches for online recovery and relationship work
Dr. Miles commonly uses Acceptance and Commitment Therapy and Attachment-Based Therapy, and she often incorporates Client-Centered principles. ACT focuses on helping people notice what matters to them and take steps toward those values even when difficult thoughts or feelings appear. It is useful for addictions, mood concerns, and living with strong urges.Attachment-Based Therapy looks at early relationship patterns and how they affect current trust, intimacy, and responses to betrayal. This helps people repair connection difficulties and understand repeated relationship cycles. Client-Centered work means sessions are respectful and collaborative, with the therapist listening closely and shaping the pace around the person's needs.
Finding the right mix of approaches is part of the work. Dr. Miles will talk with each person about goals and preferences and decide together which methods to try. That collaborative process guides whether sessions focus more on skills, values-based action, or attachment and trauma repair.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or you need a quicker check-in. Live chat and text messaging can help keep momentum between longer sessions or fit support into a busy day. These options make it easier to connect consistently and continue progress despite scheduling challenges.
Frequently asked questions
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Specialties and expertise
Top specialties
- Addictions
- Relationship issues
- Trauma and abuse
Also works with
- Attachment issues
- BDSM, kink, and alternative sex culture
- Codependency
- Compassion fatigue
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Family of origin issues
- Infidelity
- Intimacy-related issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Sex addiction
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Tennessee, Kentucky
- Languages
- English