Dr. Laurie Miles , LCSW

Dr. Laurie Miles is a Licensed Clinical Social Worker with three decades of experience helping people navigate addiction, trauma, relationship difficulties, and complex intimacy concerns. She is licensed in Tennessee and Kentucky and brings a direct, goal-oriented style to therapy that emphasizes measurable, concrete steps toward clients' interpersonal and recovery goals.

Dr. Miles is also a Certified Sexual Addiction Therapist (CSAT), a credential indicating specialized training in assessing and treating compulsive sexual behaviors. She uses evidence-based assessment methods and structured treatment strategies to support clients in establishing sobriety and beginning the recovery process. Her work addresses a range of challenges including substance and process addictions, intimacy and sex-related concerns, family-of-origin and attachment wounds, partner betrayal, and mood and personality disorders.

Her interventions are trauma-focused and incorporate approaches designed to repair attachment patterns and address the effects of early family dynamics. In addition, she integrates the Internal Family Systems model to help clients develop Self-Leadership and to work through internal conflicts created by trauma. As a directive therapist, Dr. Miles sets objective, concrete goals and partners with clients to reach them efficiently.

Sessions are offered by live video or phone, typically scheduled between 10:00 am and 3:00 pm Central Time, and appointments run 45 minutes. Dr. Miles structures care to be focused and practical while maintaining respect and compassion for each person she works with.

Evidence-Informed Approaches for Online Healing and Recovery

Acceptance and Commitment Therapy (ACT) helps clients notice difficult thoughts and feelings without getting stuck in them, and then commit to actions that reflect their values. It is useful for addressing anxiety, depression, addictive behaviors, and life transitions by building psychological flexibility.

Attachment-Based Therapy focuses on how early relationships shape current patterns in connections and intimacy. By exploring family-of-origin dynamics and attachment wounds, this approach supports work on relationship difficulties, codependency, and healing after partner betrayal.

Dr. Miles approaches treatment collaboratively, recognizing that finding the right therapeutic method is part of the process. She works with each person to assess needs, goals, and preferences and to choose or combine approaches that fit their situation. This collaborative process helps tailor care to what will be most helpful for the individual.

Online therapy offers practical flexibility: sessions by video or phone make it easier to fit care into a busy life, while live chat and text-based messaging can provide ongoing support between scheduled appointments. For many people, working with licensed professionals remotely preserves continuity of care, reduces travel barriers, and allows consistent access to therapy across locations.