For Professionals

Twofold Counseling provides outpatient individual and couples therapy for teens and adults in Knoxville, TN. We work closely with psychiatrists, prescribing providers, treatment centers, and other professionals to ensure continuity and quality of care for shared clients.

Who we work with

We regularly partner with:

• Alcohol and drug treatment centers transitioning clients to outpatient care
• Psychiatrists and prescribing providers managing concurrent medication
• Primary care physicians who identify patients in need of mental health support
• School counselors and employee assistance programs
• Other therapists seeking specialized referral options

Our clinical approach

Our work integrates multiple evidence-based modalities, allowing us to match the approach to the client rather than forcing one framework:

Psychodynamic Therapy

for understanding deeper patterns and character structure

Somatic Experiencing

for clients whose stress lives in the body

Emotion-Focused Therapy (EFT)

for attachment and relational work

Dialectical Behavior Therapy (DBT)

for emotion regulation and distress tolerance

Acceptance and Commitment Therapy (ACT)

for getting unstuck and building psychological flexibility

Gottman Method

for couples navigating conflict, communication, and trust repair

We are especially well-suited for clients navigating

• Early recovery and post-treatment transition
• Anxiety, emotional dysregulation, and self-criticism
• Grief, loss, and major life transitions
• Relationship conflict and attachment-related difficulties
• Emotional shutdown and somatic stress responses
• Eating disorders and disordered eating patterns

Coordinated care

We believe therapy works best as part of a team. With client consent, we are happy to:

• Communicate directly with prescribing providers about treatment progress
• Provide progress updates to treatment centers for continuing care planning
• Coordinate with other members of a client's care team
• Participate in case consultation when appropriate

How to refer

To refer a client, contact us directly. You may also use the contact form on our Getting Started page, or have your client reach out directly. We respond to all inquiries within 24 hours.