Holding Complexity. Building Connection.
Working with Individuals, Couples, and Families Since 2011
I believe healing happens when we can stay steady in the presence of what feels overwhelming. Much of our suffering comes from patterns we learned to survive — patterns that once protected us but now interfere with connection. In our work together, we slow down, make sense of complexity, and build relationships that feel more secure and intentional.
About Kari Needham Counseling
Kari Needham is a licensed professional counselor in the State of Tennessee (License #3036). For over fifteen years, she has worked with adults, couples, and families who are ready to engage their inner and relational complexity with depth and honesty.
Her work centers on helping clients hold emotional intensity without collapse, avoidance, or blame — creating space for clarity, accountability, and meaningful connection.
Services
Individual
Individual therapy offers a space to understand the emotional patterns that shape your choices, relationships, and sense of self. Together, we work to hold the parts of your story that feel confusing or painful, so they no longer control your present.
COUPLES
Couples therapy focuses on the emotional cycles that keep partners stuck. When we can slow those cycles down and understand the attachment needs underneath them, connection becomes less reactive and more intentional.
Family Therapy
Family therapy sessions are designed to improve familial relationships by understanding behavioral patterns, promoting clear communication and healing from past hurts that have inhibited connection within the family unit.
My Approach
Emotionally Focused Therapy
Emotionally Focused Therapy is an attachment-based treatment with interventions that are experiential and in the moment. Using this model in session allows relationships to shift, new insights to be secured and bonds of trust and compassion to be strengthened. It is a non critical, non blaming therapeutic stance that supports couples and families as they come together and work toward their mutual goals of understanding, forgiveness and closeness.
​EFT aligns naturally with my approach because it helps clients remain engaged with difficult emotions long enough to create new relational experiences.
EMDR (Eye Movement Desensitization and Repossessing)
EMDR is an evidence-based therapy that helps people heal from traumatic experiences, including early attachment wounds. Using guided eye movements or other forms of bi-lateral stimulation, EMDR supports the brain in reprocessing distressing memories so they can become less emotionally charged. This process allows clients to feel more grounded, secure, and emotionally responsive in their present lives.
EMDR is highly effective for treating PTSD, acute stress disorder, complex PTSD (attachment trauma), anxiety disorders, grief and complicated bereavement, pain disorders and somatic symptoms. It can also be of help in the treatment of OCD, depressive disorders, personality disorders, eating disorders and substance abuse. It engages the brain’s natural healing ability to foster lasting emotional and relational growth.
EMDR allows the nervous system to process unresolved experiences so that clients can hold present relationships without being overwhelmed by the past.
A Safe Space Both In Person and Virtually
Therapy is not simply a safe space. It is a structured and intentional relationship where complexity can be explored without judgment and connection can be rebuilt with clarity and steadiness.
Frequently Asked Questions
What to Expect
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Therapy services are tailored to each client or couples needs.
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Each session provides a safe and confidential environment where we will explore solutions and work together toward your therapeutic goals.
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Individual and Couples sessions are typically 50 minutes (clinical hour).
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The Standard session fee for a clinical hour is $150.00.
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Upon arrival there are two lobbies on the 4th floor. Please feel free to make yourself comfortable.
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Kari will come find you at the designated session time.
How to Schedule
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Scheduling an appointment is easy.
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Contact Kari by phone call or text at 615-415-0609 or by email at karineedham@comcast.net.
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You can also use the “Request Appointment” button.
Services Offered
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Individual, couples, and family therapy sessions.
- In Person or Telehealth appointments
- ​Monday through Friday 7:00am-2:00pm with additional late afternoon and evening times on Tuesdays and Thursdays
- Monday and Wednesday times are exclusively Telehealth
- Free Introduction conversation by Phone or FaceTime (20 minutes)
- Reimbursement Statement to file with insurance provider if applicable