Alyssa Birmingham, LMFT

Clinical Director of Nashville Therapy Group

ALYSSA BIRMINGHAM, LMFT
CLINICAL DIRECTOR


Specialties:

  • Perfectionism

  • People-Pleasing

  • High-Functioning Anxiety

  • Codependency

  • Burnout

  • Relationship Distress

  • Conflict & Communication

Approach:

  • Acceptance & Commitment Therapy (ACT)

  • Attachment-Based Theory

  • Somatic Experiencing Therapy

  • Narrative Therapy

  • Radically Open Dialectical Behavior Therapy (RO-DBT)

  • Gottman Method

  • Brainspotting

Hours: Monday - Thursday | 10am - 6pm

Locations: Nashville Office, Online

Hi, I’m Alyssa.

Something brought you here; stress, burnout, relationship challenges, or simply a sense that life doesn’t feel quite right. You may feel stuck in old patterns, carrying heaviness you can’t fully name, or wondering who you are beneath the expectations and roles you’ve been living out. Whatever you’re holding, you don’t have to carry it alone.

Therapy offers a space to slow down, explore what’s happening beneath the surface, and reconnect with yourself in a way that feels more grounded and whole. Together, we’ll untangle the patterns that no longer serve you, honor the strengths that have carried you this far, and move toward greater balance and authenticity in your everyday life and relationships.

My approach is relational and collaborative, drawing from attachment, somatic, and narrative frameworks, centered on your values and goals. The themes I work with most, perfectionism, people-pleasing, the weight of expectations you didn't choose, aren't abstract to me, which informs how I practice.

Clinical Experience

Since 2012, I've had the privilege of working across community mental health, inpatient psychiatric care, and private practice, alongside training and supervising clinicians in their own development. My clinical experience spans mental health crises and mood challenges to relationship struggles and the impact of trauma. What I've learned across all of it is that unresolved emotional pain can keep us feeling stuck, even when we're longing to move forward. While telling our stories is an important part of healing, I believe lasting change often comes from deeper work, creating space for something more authentic to emerge— always with compassion, grounded presence, and genuine respect for each person's journey.

Clinical Specialties

Over the years, I’ve found myself especially drawn to supporting individuals who feel weighed down by high-functioning anxiety, burnout, people-pleasing, or perfectionism—the kinds of struggles that often go unseen by others but feel overwhelming on the inside. Much of this work often includes issues of codependency, attachment wounds, and dysfunctional family dynamics. I work with clients to untangle old patterns, reconnect with their values, and cultivate a greater sense of authenticity and balance in their lives.

When working with couples, I enjoy guiding them through challenges such as conflict, lost intimacy, or uncertainty about the future of their relationship. I often integrate the Gottman Method, a research-backed approach that provides practical tools to strengthen communication, deepen connection, and cultivate healthier, more resilient partnerships.

If any of this sounds familiar, I'd love to connect. My goal is to offer a space where you feel safe enough to be honest and supported enough to actually move forward.

Supervision Services

As an AAMFT Approved Supervisor, I provide complimentary supervision services to pre-licensed clinicians at Nashville Therapy Group. If you’re interested in joining our team, or want to inquire about direct supervision services, please reach out to me at alyssa@nashvilletherapy.org.

Education and Advanced Trainings

Master of Marriage and Family Therapy, Lipscomb University, 2014

Bachelor of Science in Psychology, Lipscomb University, 2012

Radically Open Dialectical Behavioral Therapy (RO-DBT) Level I Trained

The Gottman Method Level I Trained

Brainspotting Phase I & II Trained

Connect with Alyssa.

alyssa@nashvilletherapy.org
Call my office: (615) 492-6700 ext. 102
Call or text my cell: (615) 927-4769

Virtual Office: meet-alyssa.nashvilletherapy.org

2021 21st Avenue South, Suite C400
Nashville, TN 37212