Ondria Spivey, LPC-MHSP

Ondria Spivey, LPC-MHSP, helps people facing stress, anxiety, trauma, parenting strain, low self-esteem, grief, and relationship or family difficulties. She also supports those coping with career challenges, compassion fatigue, ADHD concerns, fertility questions, adoption and foster care issues, and searching for life purpose.

She brings 24 years of clinical experience in inpatient, residential, and outpatient settings. That background includes leadership roles as a clinical director in both residential treatment for youth and an outpatient counseling center. Now she practices independently in Tennessee and works with adults across a range of life stages.

Ondria combines practical strategies with attention to personal values. She uses Cognitive Behavioral Therapy ideas to help people notice how thoughts affect feelings and actions. She also draws on narrative and solution-focused approaches to help clients reframe their stories and identify small, doable changes.

When faith is important to a client, scripture and prayer may be part of the conversation. She offers that option to people who share or are open to exploring a faith perspective, while still using psychological tools when they fit the situation.

Sessions aim to be straightforward and goal-oriented. People can expect a mix of talking through current problems, learning new ways to respond, and practicing small exercises between visits. The emphasis is on finding what makes sense for each person and building practical skills for daily life.

Approaches that guide online sessions

Ondria commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in her work. Cognitive Behavioral Therapy helps people spot unhelpful thoughts and test new ways of thinking and acting to change feelings and behavior. Acceptance and Commitment Therapy focuses on values and committed action, helping people accept difficult emotions while moving toward what matters most.

She also draws on Narrative Therapy to help clients reframe their personal stories and Solution-Focused ideas to identify quick, practical steps forward. During initial sessions she will collaborate with each person to decide which approaches fit their goals and preferences, adjusting the plan as needed rather than sticking to a single method.

Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video is useful for deeper conversations and visual cues, phone calls work well when bandwidth is limited, and messaging or live chat can serve for quick check-ins or brief coaching between sessions. These options let people fit therapy into busy schedules and keep continuity when travel or work makes in-person visits difficult.