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LM Portrait of Dr. Laurie Miles

Dr. Laurie Miles

Focused CBT-informed care for recovery and relationships

LCSW Tennessee

Experience
30 years in practice
Focus areas
Addictions, Relationship, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Laurie

About Laurie

Dr. Laurie Miles brings 30 years of clinical experience to her practice, weaving Cognitive Behavioral Therapy into a pragmatic, trauma-focused approach.

Background and approach

She combines structured, goal-oriented work with attention to attachment and family of origin dynamics, helping clients address addictions, relationship challenges, and mood-related concerns. Her style is directive and objective, oriented toward concrete steps that move people toward clearer coping strategies and recovery.

Dr. Miles applies a range of evidence-informed methods to meet complex needs such as substance and process addictions, infidelity and partner betrayal, intimacy-related issues, and obsessive or compulsive patterns.

Her work also addresses trauma and post-traumatic stress, compassion fatigue, personality and mood disorders, and issues tied to alternative sexual cultures. Sessions are offered by video, phone, live chat, or text-based messaging, and are scheduled based on availability in Tennessee.

She describes her approach as respectful and compassionate, aiming to help people regain stability and pursue interpersonal goals with clarity and purpose.

Online therapy grounded in CBT and attachment work

Dr. Miles commonly uses Cognitive Behavioral Therapy and Attachment-Based Therapy to structure online work. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like depression, anxiety, and compulsive patterns. Attachment-Based Therapy explores how early relationships shape current patterns and helps rebuild safer ways of relating in intimate and interpersonal settings.

Finding the right approach is treated as a collaborative process. The therapist will discuss goals, preferences, and concerns with each person and tailor methods accordingly, blending techniques as needed to match the client’s needs and desired outcomes.

Practical benefits of online therapy with this practice include flexible scheduling and multiple communication options such as video calls, phone sessions, live chat, or text-based messaging. These formats allow work to continue from different locations and support ongoing check-ins, skill practice, and progress monitoring while fitting into a client’s daily life.

Frequently asked questions

What concerns does Dr. Laurie Miles commonly address?
She works with a wide range of concerns including addictions, relationship problems, trauma and abuse, depression, intimacy-related issues, coping with life changes, and compassion fatigue.
What therapeutic style can I expect in sessions?
Her approach is directive and goal-oriented, often using Cognitive Behavioral Therapy along with trauma-focused interventions to create concrete, measurable steps toward progress.
How much clinical experience does this therapist have?
Dr. Miles has three decades of practice experience, bringing 30 years of clinical work to her interventions and treatment planning.
What credentials and location are listed for this clinician?
She is a Licensed Clinical Social Worker with Tennessee license TN LCSW 1043 and Kentucky license KY LCSW 252548, and she practices in Tennessee.
Are sessions available in other languages or for international clients?
Sessions are offered in English only, and she is not currently accepting international clients.
Which session formats are offered for remote care?
Online options include video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How is cost handled for therapy with this clinician?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

AddictionsRelationship issuesTrauma and abuseDepression

Also works with

Intimacy-related issuesCoping with life changesCompassion fatigue

Additional focus areas

Attachment issuesBDSM, kink, and alternative sex cultureCodependencyDrug and alcohol addictionFamily of origin issuesInfidelityMood disordersNarcissismObsessions, compulsions, and OCDPersonality disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Sex addiction

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Solution-Focused TherapyTrauma-Focused Therapy

Experience

30+ years

Licensed

Tennessee, Kentucky

Languages

English