Dr. Laurie Miles , LCSW

Dr. Laurie Miles is a Licensed Clinical Social Worker (LCSW) licensed in Tennessee and Kentucky with 30 years of clinical experience working with individuals. She is also a Certified Sexual Addiction Therapist (CSAT) - a credential indicating specialized training in assessing and treating sexual and process addictions - and she uses evidence-based assessment methods and treatment strategies to support clients in establishing sobriety and beginning recovery.

Her practice emphasizes directive, goal-oriented work, employing objective and concrete targets to help people make measurable progress toward interpersonal and behavioral goals. Intervention methods are trauma-focused, attending to family of origin and attachment issues as well as the trauma that can accompany partner betrayal. She incorporates the Internal Family Systems model to address trauma and promote Self-Leadership.

Dr. Miles works with a range of presenting concerns including addictions, relationship difficulties, trauma and abuse, depression, intimacy-related issues, coping with life changes, and compassion fatigue. Additional areas of focus include attachment issues, BDSM and kink aware care, codependency, drug and alcohol addiction, family of origin issues, infidelity, mood disorders, narcissism, obsessive-compulsive presentations, personality disorders, post-traumatic stress, process addictions such as porn or gambling, and sex addiction.

Sessions are offered by live video or phone, with typical availability noted between 10 am and 3 pm Central Time and standard sessions lasting 45 minutes. She applies directive, trauma-informed, and evidence-based approaches to tailor care to each individual’s needs.

Therapeutic Approaches for Online Recovery and Relationships

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take committed action even when difficult thoughts and feelings are present. It is useful for challenges such as addiction, depression, and anxiety because it emphasizes practical steps toward a meaningful life rather than trying to eliminate distress.

Attachment-Based Therapy focuses on understanding how early relationship patterns shape current ways of relating to partners, family, and self. This approach is helpful for intimacy concerns, attachment issues, codependency, and healing the relational wounds that contribute to trust and closeness difficulties.

These approaches are applied collaboratively. Finding the right therapeutic fit is part of the process - the therapist will work with each person to identify which methods align with their goals, needs, and preferences, and will adjust strategies as progress is made.

Online therapy offers flexible access to licensed professionals through video calls, phone sessions, live chat, or text-based messaging. This flexibility supports consistent care for people with busy schedules, transportation limits, or those who prefer remote interactions, while still allowing therapists to use structured, evidence-informed techniques to address addictions, trauma, relationship concerns, and mood disorders.