Feel calmer, steadier, and more like yourself again.
Alder & Hearth Counseling offers therapy for adults navigating anxiety, trauma, and life transitions in Nashville and Franklin, Tennessee. Together, we'll work toward greater calm, connection, and confidence in your everyday life.

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Nashville & Franklin, Tennessee
psychology
Support for anxiety, trauma & life transitions
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Adults, teens, children, couples & families
Sound familiar?
The reasons people come to therapy are usually ordinary, and they tend to add up.
Most people who contact us are not in crisis. They are getting through work, relationships, and family life, and noticing that the way they are getting through it is costing them something.
Finding it hard to switch off, even when nothing urgent is waiting.
Wanting to respond more calmly in the moment, and not managing it.
Adjusting to a change in work, a relationship, or family life.
Noticing the same pattern come up again, in different situations.
Wanting more confidence in everyday decisions.

How it works
Personalized therapy starts with what your weeks actually look like.
Your therapist asks about your days, your work, and the people around you, then suggests ways of working that fit. You set the direction together, and you can change it as things change.
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Starting from your actual days
Sessions begin with what is happening now: your work, your routines, and the moments that feel hardest.
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Goals you help set
You agree on what you are working toward, in your own words, and review it as things shift.
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Support that fits your week
How often you come, when, and what you try between sessions is discussed openly, so therapy sits alongside everything else you are carrying.
What we support
Six areas of practice, so you can find the one that fits.
You do not need to know what to call your situation before you get in touch. These pages describe what each area covers, in everyday terms, so you can see where you land.
psychology
Emotional wellbeing
Anxiety and panic, depression, and OCD: what they can look like day to day, and what therapy can work toward.
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Trauma, recovery & belief changes
Support after difficult or frightening experiences, alongside addiction and recovery, and religious trauma or spiritual deconstruction.
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Neurodivergence
Affirming work with ADHD and autism: understanding how you think and building days that fit, rather than trying to fix who you are.
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Body, food & chronic health
Support for the emotional side of long-term conditions, body image, and eating, and how they affect the way you feel about yourself.
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Relationships & life transitions
Couples and family work, support for children and teens, perinatal and postpartum experiences, and grief and loss.
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Identity & work experiences
Affirming support for LGBTQIA2S+ clients, therapy for men, and the particular pressures of working in the music industry.
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Ways to work together
Therapy for one person, for a couple, for a family, or for a child.
Most people arrive unsure whether they want individual time or something with a partner or family in the room. Tell us who the appointment is for and what you are hoping will change, and we will suggest what usually fits.
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Individual therapy for adults
Weekly or fortnightly sessions for one person, working on anxiety, low mood, something you are adjusting to, or a pattern you keep returning to.
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Therapy for children and teenagers
Sessions matched to a child's age and stage, with parents involved in the way that helps most. Teenagers can have some space of their own alongside that.
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Couples and relationship counseling
For partners who want to understand what keeps happening between them, and to find a way of talking that does not end in the same argument.
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Family therapy
For families navigating a change, a loss, or a long-running tension, where more than one person needs to be heard in the same room.
Our therapists
The right therapist is usually the one whose focus matches what you are working on.
Every clinician here works with particular age groups and concerns. Read the profiles, then tell us in your inquiry who you would like to see, or ask us to suggest someone.
Our offices
Two offices, in Nashville and Franklin.
Both locations offer the same services and the same standard of care. What usually decides it is which one is easier to get to, and which clinicians work there.

Nashville
Address, opening hours, parking, and accessibility details are on the Nashville page.
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Franklin
Address, opening hours, parking, and accessibility details are on the Franklin page.
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Getting started
Three steps, and you can stop at any point.
You can ask questions before committing to anything. If the first therapist is not the right fit, that is useful information rather than a problem.
1
Send an inquiry
A short form asking your name, the best way to reach you, which office suits you, and who the appointment is for. You do not have to explain your history to get started.
2
Discuss therapist fit
We reply to suggest one or two clinicians whose focus matches what you described, and answer any questions about how they work.
3
Arrange your first appointment
You book directly with your therapist, at the office you chose. The first session is usually about what brought you in and what you would like to be different.
Common questions
What people ask before they get in touch.
Use the inquiry form on the Contact page, or call the office you prefer. Tell us who the appointment is for and a little about what is going on. You do not need to put anything in writing that you would rather say out loud.
Start with the Our team page. Each profile lists the ages the clinician works with, what they focus on, and which office they are at. If you would rather not choose, describe what is going on and we will suggest someone.
Most first sessions cover what brought you in, what you would like to be different, and how your therapist tends to work. You set the pace, and you can ask about the approach at any point.
Fee starts at $150 per hour, and we accept insurance. If cost matters, ask when you inquire and we will tell you how we can best support you.
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Next step
If you are not sure whether therapy is the right thing, you can ask us first.
Send an inquiry with as much or as little detail as you like. We will tell you whether we can help, who might be a good fit, and what the next step would look like. If we are not the right practice for you, we will say so.



