Chris M. Johnston, LCSW

No-frills style counseling
in Spring Hill, TN

Counseling for Adults Who Are Ready to Do the Real Work

 

Thoughtful, evidence-based therapy for anxiety, depression, relationship challenges, and life transitions in Spring Hill, TN.

✓ Accepting new adult clients (ages 18+)

✓ Individual therapy & couples counseling—I don't work with children, teens, or families

✓ Blue Cross Blue Shield accepted | Self-pay available

Your next therapist

AS FEATURED IN NASHVILLE VOYAGER MAGAZINE

"Come as you are— I will do my best to meet you where you are at! No judgment from me."

Read My Full Interview in Nashville Voyager →

 

Counseling and Therapy

“Why should I go to therapy?”

The world can be difficult. Relationships can be difficult. Dealing with your own experience can also be difficult.

This has been true for a long time, and there's a lot of noise out there on how to become "better versions of ourselves."

Self-help media. Ted Talks. Podcasts. Social media influencers. Personality tests.

So then, why does there seem to be so few workable solutions out there?

Because real change requires more than information—it requires a structured process with someone who knows how to guide it.

Addressing ourselves in order to address our relationship to the world is where we can start. Counseling helps with this.

You might be asking:

"How does talking to a stranger help with my problems—Can't I just fix them myself?"

You can fix things yourself—and therapy helps facilitate this. READ MORE HERE

 
ABOUT ME

ABOUT CHRIS JOHNSTON

Schedule Appointment

Free 10 minute consult, usually by phone.

CALL ME
EMAIL ME
Telehealth THERAPY available

I specialize in working with adults experiencing:

Individual Therapy:

  • Depression and persistent low mood - When you're stuck and can't seem to move forward

  • Anxiety and overwhelming worry - When your thoughts won't quiet down

  • Work stress and career challenges - When professional life feels unsustainable

  • Trauma and past experiences - When the past keeps showing up in your present

  • Life transitions - Career changes, midlife questions, identity shifts

  • Behavioral patterns you want to change - Habits, responses, and reactions that aren't serving you

Couples Counseling:

  • Betrayal and broken trust - When relationships have been damaged and you're working to rebuild

  • Communication breakdowns - When you're talking but not connecting

  • Relationship patterns - When the same conflicts keep recurring

  • Major life decisions - When you're navigating change together

I work exclusively with adults (18+). I don't provide therapy for children, teens, or families.

 FEE STRUCTURE:

Investment in Your Mental Health

Initial Consultation: Free 15-minute phone consultation


Individual Therapy:

  • First Session (Intake): $140

  • Ongoing Sessions: $150 per 50-minute session

Couples Counseling:

  • First Session (Intake): $140

  • Ongoing Sessions: $170 per 50-minute session

Payment options:

  • Self-pay: Many clients find that paying out-of-pocket gives them complete control over their treatment—no insurance restrictions, no session limits, complete confidentiality

  • Insurance: I accept Blue Cross Blue Shield (BCBS) plans for individual and couples therapy

  • Sliding scale: Limited availability for those experiencing financial hardship

Why invest in private-pay therapy?

When you choose to invest directly in your mental health care, you get:

  • Complete privacy (no insurance company involvement or records)

  • No session limits imposed by insurance

  • Full control over the frequency and focus of treatment

  • No diagnosis required to be submitted to insurance

  • Flexible scheduling based on your needs, not insurance guidelines

Many clients find the investment pays for itself through improved work performance, better relationships, and reduced stress-related health issues.

Insurance users: If you're using BCBS benefits, I'll verify your coverage and help you understand your out-of-pocket costs before we begin.

Note: I only accept Blue Cross Blue Shield commercial insurance (not Medicare or Medicaid). I do not provide superbills or documentation for out-of-network reimbursement with other insurance companies. This allows me to maintain complete confidentiality and treatment flexibility for all clients.

LEARN MORE ABOUT fee PAYMENT OPTIONS

What to expect in therapy

“What are counseling sessions like?”

They are very normal and relaxed interactions. You don't have to lay down on couches anymore. If you were to witness a session, it would simply look and sound like people having a discussion with each other.

The truth is, however, that an experience is happening for the client that is much more than that—it's genuine treatment.

Your everyday experience works like this: You have an inner-world (your thoughts, feelings, sensations, and beliefs) and you have an outer-world (your behavior). If you choose to express your inner-world to the outer-world, you're allowing other people to interpret your thoughts and feelings through your behavior. You get to choose how that goes by monitoring the process in real time.

When we monitor our own behavior, we do so from the inside, trying to adjust and stay on track with what we want to express on the outside. This is how and why we form narratives and attitudes over time. We're constructing parameters to efficiently interact with the world.

In therapy, that human interaction process is intentionally collaborative and carefully structured to allow for clear self-monitoring and natural adjustments to your inner-world. You do the changes yourself because you become more aware of the whole process.

“What does the therapist actually do?”

Therapists are good listeners. They are also good reflectors—not unlike a good mirror with a particular kind of frame. They take a lot of information coming from the client and reflect back the more salient and profound things in order to help the client hear it from the other direction. This allows the client to pick out valuable information to be highlighted, focused, and worked on. Judgment free.

The effect this has cannot be underestimated for its value.

Do therapists offer good advice? Sometimes, yes…but it is usually the client who is really driving the process. Through choosing to work on what a client wants to work on, the advice is allowed to surface more naturally. There is a lot of power in allowing yourself to figure out your own problems. Therapists can help facilitate clients to express their own wisdom.

Therapists are also experts at keeping your information confidential. In fact, there is really no treatment at all without tight confidentiality in counseling—it builds trust and develops a collaborative alliance.

In this way, you are welcomed in as the co-collaborator for your own treatment.

Through this intentionally safe structure, therapists create a safe space to explore things you cannot explore elsewhere with other people.

“What eventually happens to me in counseling?”

Over the course of at least a few sessions, you may start to notice less of the symptoms that prompted you to look into therapy. Goals are set and benchmarks are passed.

Increasingly, you will have more and more ability to take control over the original wellspring of toxic thoughts and troublesome feelings that brought you in. You may even start to feel lighter and more confident.

Eventually, your beliefs start to complement your increased energy and support your brighter mood. You are creating a structure in your mind that turns negative problems into positive experiences.

With some clients, a deeper sense of wisdom and broad perspective-shift is accomplished. A strong sense of discovering their authentic selves. This is no small thing.

The wonderful part about all of this is that you get to take it all with you. You are the one doing all of the "heavy lifting"—learning how to be your own therapist. These are individualized, tailor-made lessons for your own inner-world and the ability to interact successfully with the collective outer-world around you.

Ready to Get Started?

Step 1: Schedule your free 15-minute phone consultation
Step 2: We'll discuss what you're looking for and whether we're a good fit
Step 3: If it feels right, we'll schedule your first session

Questions Before You Schedule?

"Do you take my insurance?"
I accept Blue Cross Blue Shield for both individual and couples therapy. I do not accept other insurance plans or provide superbills for out-of-network reimbursement. This policy allows me to maintain complete confidentiality and treatment flexibility. Many clients find that the investment in private-pay therapy is worthwhile for the privacy and freedom it provides.

"What if I can't afford your full fee?"
I keep a limited number of sliding scale spots available. Please mention this during your consultation call.

"Do you see couples or children?"
I work with individual adults and couples (all adults 18+). I don't provide therapy for children, teens, or families. I'm happy to provide referrals for child/adolescent specialists or family therapists if needed.

"How often will I need to come?"
Most clients start with weekly sessions, then transition to every other week as they make progress. The frequency is always your choice based on your needs and goals.