Dialectical Behavior (DBT) Therapists in Gray, TN
I'm certified in Dialectical Behavioral Therapy ( DBT) and experienced working with BPD & OCD.
Appalachian Christian Counseling is a non-denominational fellowship of Christian counselors reaching out to individuals & families in crisis in the Tri-Cities, TN. We seek to strengthen & encourage the hurting through a ministry to people of all kinds in Kingsport, Johnson City, & Gray, TN, whether from family strife, medical problems, financially tough times, depression, divorce, or spiritual uncertainty. Our group has counselors with multiple specialties to address your issues. Call me for information about the services we provide.
I'm certified in Dialectical Behavioral Therapy ( DBT) and experienced working with BPD & OCD.
Appalachian Christian Counseling is a non-denominational fellowship of Christian counselors reaching out to individuals & families in crisis in the Tri-Cities, TN. We seek to strengthen & encourage the hurting through a ministry to people of all kinds in Kingsport, Johnson City, & Gray, TN, whether from family strife, medical problems, financially tough times, depression, divorce, or spiritual uncertainty. Our group has counselors with multiple specialties to address your issues. Call me for information about the services we provide.
Life isn't easy. Throw in some anxiety, depression, life events, and a few relationship issues, and NOW it feels like the hard days outweigh the easy ones. You need space to breathe, to be heard, and to feel safe. Therapy offers that space—to slow down, make sense of what’s happening, and gain practical tools to stay grounded. Together, we’ll build practical tools to keep you unfrazzled in the chaos that anxiety, depression, relationship challenges, and life transitions endlessly create. If you’re ready for real change, I’d be honored to help you find your way to a calm, collected and connected self, no matter what life brings.
Life isn't easy. Throw in some anxiety, depression, life events, and a few relationship issues, and NOW it feels like the hard days outweigh the easy ones. You need space to breathe, to be heard, and to feel safe. Therapy offers that space—to slow down, make sense of what’s happening, and gain practical tools to stay grounded. Together, we’ll build practical tools to keep you unfrazzled in the chaos that anxiety, depression, relationship challenges, and life transitions endlessly create. If you’re ready for real change, I’d be honored to help you find your way to a calm, collected and connected self, no matter what life brings.
Sara Jane Carico
Clinical Social Work/Therapist, LCSW, CCTPII
1 Endorsed
Serves Area
Waitlist for new clients
I have worked for the past 16 years utilizing a variety of techniques to accomplish healing such as CBT, DBT, trauma focused, EMDR, somatic therapy, polyvagal informed therapy, mindfulness (nature, meditation, etc.), and expressive therapies (art, music, dance, crafting, etc.).
There is a reason we do the things that we do and feel the way that we feel. All mental health issues are caused by us surviving and navigating this world to the best of our abilities given all the obstacles that can get in the way. Therapy is a science and an art. In better understanding the science and the question of “why” we do the things that we do can be a powerful tool in starting your healing journey. Once having this level of insight, therapy aims to not only heal you in the present but heal the deeper underlying issues that have caused things to get to this point.
I have worked for the past 16 years utilizing a variety of techniques to accomplish healing such as CBT, DBT, trauma focused, EMDR, somatic therapy, polyvagal informed therapy, mindfulness (nature, meditation, etc.), and expressive therapies (art, music, dance, crafting, etc.).
There is a reason we do the things that we do and feel the way that we feel. All mental health issues are caused by us surviving and navigating this world to the best of our abilities given all the obstacles that can get in the way. Therapy is a science and an art. In better understanding the science and the question of “why” we do the things that we do can be a powerful tool in starting your healing journey. Once having this level of insight, therapy aims to not only heal you in the present but heal the deeper underlying issues that have caused things to get to this point.
Hello and welcome! Starting therapy or even returning to therapy can be scary. It is not easy to be vulnerable and doing work in therapy can be hard, but when you find a good fit for a therapist it can be a lot less daunting and a lot more rewarding. If you are an adult and wanting a safe, inviting, and comforting space to cry, process, laugh and/or share good news, then I have the space for you! And if you are a coffee, tea, animal or plant lover then we already have something in common!
Hello and welcome! Starting therapy or even returning to therapy can be scary. It is not easy to be vulnerable and doing work in therapy can be hard, but when you find a good fit for a therapist it can be a lot less daunting and a lot more rewarding. If you are an adult and wanting a safe, inviting, and comforting space to cry, process, laugh and/or share good news, then I have the space for you! And if you are a coffee, tea, animal or plant lover then we already have something in common!
I approach counseling from a Person-centered lens while incorporating dialectical behavior therapy, and exposure and response prevention (ERP) interventions so that we can be actively
I work with adolescents (13+), adults, and couples on a variety of mental health concerns, and I love helping people find it within themselves to make the change they want in their lives. I strive for warmth and openness in the counseling room, allowing for clients to feel comfortable incorporating their values/ beliefs into our sessions together.
I approach counseling from a Person-centered lens while incorporating dialectical behavior therapy, and exposure and response prevention (ERP) interventions so that we can be actively
I work with adolescents (13+), adults, and couples on a variety of mental health concerns, and I love helping people find it within themselves to make the change they want in their lives. I strive for warmth and openness in the counseling room, allowing for clients to feel comfortable incorporating their values/ beliefs into our sessions together.
More Therapists Nearby
My practice is focused on working with Christians who struggle in their closest relationships and feel overwhelmed by their emotions. Applying biblical wisdom to our everyday lives can be truly transformative, but we often need more focused attention to bridge the gap between our faith and how we think, feel, and act day to day. I work with people who know something is wrong with their marriage or in how they feel throughout the day, but can't seem to pinpoint what it is and what they need to do about it. This is when therapy becomes so instrumental to the believer.
My practice is focused on working with Christians who struggle in their closest relationships and feel overwhelmed by their emotions. Applying biblical wisdom to our everyday lives can be truly transformative, but we often need more focused attention to bridge the gap between our faith and how we think, feel, and act day to day. I work with people who know something is wrong with their marriage or in how they feel throughout the day, but can't seem to pinpoint what it is and what they need to do about it. This is when therapy becomes so instrumental to the believer.
Are you tired of feeling overwhelmed by worry and fear? Do you find yourself struggling with feelings of sadness and self-doubt, unable to break free from the grip of anxiety and depression? Whether you're a teenager navigating the challenges of adolescence, a young adult striving to find your place in the world, or a woman in your 40s seeking to rediscover your sense of self, I'm here to help. Together, we'll explore the thoughts, feelings, and behaviors that are keeping you stuck and work towards finding effective strategies to overcome these challenges.
Are you tired of feeling overwhelmed by worry and fear? Do you find yourself struggling with feelings of sadness and self-doubt, unable to break free from the grip of anxiety and depression? Whether you're a teenager navigating the challenges of adolescence, a young adult striving to find your place in the world, or a woman in your 40s seeking to rediscover your sense of self, I'm here to help. Together, we'll explore the thoughts, feelings, and behaviors that are keeping you stuck and work towards finding effective strategies to overcome these challenges.
My ideal client is someone who is motivated and open to change. An individual who is ok with self-evaluation and exploration. They would be open and honest about themselves and their situation. This is ideal but obviously not required. I look forward to working with individuals at every stage.
My ideal client is someone who is motivated and open to change. An individual who is ok with self-evaluation and exploration. They would be open and honest about themselves and their situation. This is ideal but obviously not required. I look forward to working with individuals at every stage.
For the past 7 years I have practiced in multiple settings including residential, intensive outpatient, and outpatient settings utilizing a variety of techniques to accomplish healing such as CBT, DBT, ACT, EMDR, and Psychedelic-Assisted Psychotherapy (KAP).
Therapy is a place to heal, grow, set goals, and get to know yourself, where you don’t have to wear a mask or say you’re “Okay” even if you’re not. A place to be your genuine self without judgement or criticism. I practice strengths-based treatment and want my clients to feel accomplished, validated, and supported at the end of a session. We all have different goals for therapy. Whether yours is healing trauma, improving relationships or managing stress your goals are important and deserve the time and effort that therapy requires. I can help you to gain new perspective and move toward achieving your goal.
For the past 7 years I have practiced in multiple settings including residential, intensive outpatient, and outpatient settings utilizing a variety of techniques to accomplish healing such as CBT, DBT, ACT, EMDR, and Psychedelic-Assisted Psychotherapy (KAP).
Therapy is a place to heal, grow, set goals, and get to know yourself, where you don’t have to wear a mask or say you’re “Okay” even if you’re not. A place to be your genuine self without judgement or criticism. I practice strengths-based treatment and want my clients to feel accomplished, validated, and supported at the end of a session. We all have different goals for therapy. Whether yours is healing trauma, improving relationships or managing stress your goals are important and deserve the time and effort that therapy requires. I can help you to gain new perspective and move toward achieving your goal.
I often use a combination of Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) along with Mindfulness-Based Stress-Reduction (MBSR) to promote healthier thinking, improved emotion regulation, and reduced stress.
Are you feeling overwhelmed by painful memories, grief, or emotional struggles that just won’t seem to go away? Do you find yourself stuck in cycles of self-blame, hopelessness, or challenges in your relationships? Maybe you’ve tried to manage everything on your own, but things still feel heavy — and now you’re ready for support.
If any of this sounds familiar, you’re in the right place. Reaching out for help takes courage, and it’s a powerful first step toward healing and growth.
I often use a combination of Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) along with Mindfulness-Based Stress-Reduction (MBSR) to promote healthier thinking, improved emotion regulation, and reduced stress.
Are you feeling overwhelmed by painful memories, grief, or emotional struggles that just won’t seem to go away? Do you find yourself stuck in cycles of self-blame, hopelessness, or challenges in your relationships? Maybe you’ve tried to manage everything on your own, but things still feel heavy — and now you’re ready for support.
If any of this sounds familiar, you’re in the right place. Reaching out for help takes courage, and it’s a powerful first step toward healing and growth.
He is particularly passionate about working with men, military veterans, and first responders, recognizing the unique challenges faced by these populations. Matthew's commitment to his clients is reflected in his therapeutic techniques and his approach to mental health. He emphasizes the importance of understanding and addressing the core issues that contribute to distress, using a blend of therapeutic modalities to provide comprehensive care. He also provides couples and group therapy, creating a supportive environment for shared experiences and growth.
He is particularly passionate about working with men, military veterans, and first responders, recognizing the unique challenges faced by these populations. Matthew's commitment to his clients is reflected in his therapeutic techniques and his approach to mental health. He emphasizes the importance of understanding and addressing the core issues that contribute to distress, using a blend of therapeutic modalities to provide comprehensive care. He also provides couples and group therapy, creating a supportive environment for shared experiences and growth.
Do you feel stuck in cycles of anxiety, overthinking, or self-doubt? Maybe you’re a teen navigating life’s changes, a young adult trying to manage stress and expectations, or a woman working to rediscover herself after years of putting others first. You may feel the weight of trauma, ADHD, or perfectionism pulling you in every direction, leaving you emotionally drained. Are you ready to quiet your mind, rebuild confidence, and find balance again? Together, we’ll create space for healing, growth, and genuine self-understanding.
Do you feel stuck in cycles of anxiety, overthinking, or self-doubt? Maybe you’re a teen navigating life’s changes, a young adult trying to manage stress and expectations, or a woman working to rediscover herself after years of putting others first. You may feel the weight of trauma, ADHD, or perfectionism pulling you in every direction, leaving you emotionally drained. Are you ready to quiet your mind, rebuild confidence, and find balance again? Together, we’ll create space for healing, growth, and genuine self-understanding.
Kristy Lester
Licensed Professional Counselor, LPCMHSP, (S)
Johnson City, TN 37604
Waitlist for new clients
With 18 years of experience as a licensed counselor, I am deeply committed to helping individuals navigate life’s most challenging moments. I specialize in guiding clients through crisis, trauma, abuse, depression, anxiety, self-confidence struggles, and addiction. I have specialties in trauma therapy, critical incident stress management debriefings, and clinical supervision. I work with multiple populations, but have special experience with first responders, and other helping professions. Understanding that each person’s journey is unique, I strive to create a safe, non-judgmental space where healing and growth are possible.
With 18 years of experience as a licensed counselor, I am deeply committed to helping individuals navigate life’s most challenging moments. I specialize in guiding clients through crisis, trauma, abuse, depression, anxiety, self-confidence struggles, and addiction. I have specialties in trauma therapy, critical incident stress management debriefings, and clinical supervision. I work with multiple populations, but have special experience with first responders, and other helping professions. Understanding that each person’s journey is unique, I strive to create a safe, non-judgmental space where healing and growth are possible.
I am experienced in multiple therapeutic modalities, including cognitive behavioral therapy, mindfulness, Dialectical Behavior Therapy, narrative therapy, and Gottman Method Couples Therapy.
I understand counseling as a process that helps people grow into fuller, deeper, and healthier ways of engaging with themselves and the world they live in. I specialize in working with children, adolescents, young adults, and their families through depression, anxiety, and significant life changes. I am especially passionate about issues that impact women and LGBTQ+ folks, and strive to find points of connection with all my clients.
I am experienced in multiple therapeutic modalities, including cognitive behavioral therapy, mindfulness, Dialectical Behavior Therapy, narrative therapy, and Gottman Method Couples Therapy.
I understand counseling as a process that helps people grow into fuller, deeper, and healthier ways of engaging with themselves and the world they live in. I specialize in working with children, adolescents, young adults, and their families through depression, anxiety, and significant life changes. I am especially passionate about issues that impact women and LGBTQ+ folks, and strive to find points of connection with all my clients.
I use a blend of CBT, DBT, and ACT techniques with adults and kids.
Are you facing a big life change like becoming a mom or dad, grieving a death or divorce, or facing school, work, or parenting stress? Are your kids struggling with a big change, loss, trauma, or behavioral concerns? I'll help you clear the hurdles in your way and learn valuable skills to get you and your family where they want to be.
I use a blend of CBT, DBT, and ACT techniques with adults and kids.
Are you facing a big life change like becoming a mom or dad, grieving a death or divorce, or facing school, work, or parenting stress? Are your kids struggling with a big change, loss, trauma, or behavioral concerns? I'll help you clear the hurdles in your way and learn valuable skills to get you and your family where they want to be.
My approach is unique because it combines the deep empathy of a clinical therapist with the structured focus of a recovery specialist. I am committed to providing a safe space for growth, utilizing evidence-based practices to help my clients achieve lasting stability.
My approach is unique because it combines the deep empathy of a clinical therapist with the structured focus of a recovery specialist. I am committed to providing a safe space for growth, utilizing evidence-based practices to help my clients achieve lasting stability.
It is so lovely to meet you! The minute you enter my office I will accept and EMBRACE you just as you are. We are humans. We are flawed, but beautifully flawed. I strongly believe healing begins with the therapeutic relationship and I will do my best to create a safe space for vulnerability. I am a therapist AND a social worker. I believe in holistic care that is tailored to the individual (s) as well as the power of networking, referrals, and continuity of care. I may challenge you to be the best version of yourself because you deserve the best that this short life has to offer.
It is so lovely to meet you! The minute you enter my office I will accept and EMBRACE you just as you are. We are humans. We are flawed, but beautifully flawed. I strongly believe healing begins with the therapeutic relationship and I will do my best to create a safe space for vulnerability. I am a therapist AND a social worker. I believe in holistic care that is tailored to the individual (s) as well as the power of networking, referrals, and continuity of care. I may challenge you to be the best version of yourself because you deserve the best that this short life has to offer.
I am so glad you have chosen to consider and seek therapy. I am here to help as you navigate the struggles you have been facing. We will work together to move past some of the barriers that may have been holding you back from living life fully. I want our time together to feel helpful and worthwhile. I follow a trauma-informed and strengths-based approach. When appropriate, I often incorporated the use of EMDR to address trauma and negative inner core beliefs.
I am so glad you have chosen to consider and seek therapy. I am here to help as you navigate the struggles you have been facing. We will work together to move past some of the barriers that may have been holding you back from living life fully. I want our time together to feel helpful and worthwhile. I follow a trauma-informed and strengths-based approach. When appropriate, I often incorporated the use of EMDR to address trauma and negative inner core beliefs.
David Sapp is Licensed in the State of Tennessee as a Professional Counselor Mental Health Service Provider (LPC-MHSP) and a Senior Psychological Examiner (LSPE). David relocated to Tennessee after growing up in New York. He received his undergraduate degree in Psychology from Milligan University and his Masters of Education in Counseling from East Tennessee State University. He has worked for 35 years as a Professional Counselor in East Tennessee in a variety of settings including outpatient counseling as well as schools, nursing homes, hospitals, and jails. In addition, David has been an adjunct instructor at MilliganUniversity.
David Sapp is Licensed in the State of Tennessee as a Professional Counselor Mental Health Service Provider (LPC-MHSP) and a Senior Psychological Examiner (LSPE). David relocated to Tennessee after growing up in New York. He received his undergraduate degree in Psychology from Milligan University and his Masters of Education in Counseling from East Tennessee State University. He has worked for 35 years as a Professional Counselor in East Tennessee in a variety of settings including outpatient counseling as well as schools, nursing homes, hospitals, and jails. In addition, David has been an adjunct instructor at MilliganUniversity.
My clients are people who are tired of just surviving — and ready to actually understand why life keeps feeling so hard. They come in carrying depression, anxiety, grief, life transitions, substance use struggles, mood disorders, and sometimes the weight of facing the end of a life — their own or someone they love. What they share is a desire for more than symptom relief. They want clarity. They want to finally make sense of what they're feeling and why. Some have tried therapy before and felt like something was missing. Others are coming for the first time, unsure where to begin. Wherever they start, I help them move forward by bui
My clients are people who are tired of just surviving — and ready to actually understand why life keeps feeling so hard. They come in carrying depression, anxiety, grief, life transitions, substance use struggles, mood disorders, and sometimes the weight of facing the end of a life — their own or someone they love. What they share is a desire for more than symptom relief. They want clarity. They want to finally make sense of what they're feeling and why. Some have tried therapy before and felt like something was missing. Others are coming for the first time, unsure where to begin. Wherever they start, I help them move forward by bui
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Who is DBT for?
Dialectical Behavior Therapy (DBT) is designed for people who experience extreme emotional suffering because they lack the skills of emotion regulation and distress tolerance. The basic affliction can underlie a wide range of conditions, from borderline and other personality disorders to PTSD and treatment-resistant anxiety and depression. The therapy is helpful to those whose emotional reactivity is so intense it is disruptive to everyday functioning and leads to frequent crises.
Why do people need DBT?
The ability to regulate emotions is a core psychological skill that enables people to function in life and pay attention to the world outside themselves; it is consistently associated with well-being. DBT is designed to help people learn how to manage and regulate their emotions. Originally developed to treat people with borderline personality disorder whose extreme emotional suffering led to self-harming behavior and suicide attempts, the therapy is now applied to other conditions involving emotion dysregulation, particularly when other treatments have failed.
What happens in DBT?
Individuals meet weekly with their therapist to discuss their experiences relating to moods, behavior, and skills. Using checklists they maintain, they review emotional experiences and positive practices they engage in. The diaries help individuals discern what led up to a specific problem encountered, this is followed by discussion of the consequences of their actions. In addition, individuals may meet in class-like small groups to learn skills such as mindfulness, emotion regulation and distress tolerance.
How long does DBT last?
Because it is intended to establish long-lasting behavioral change among those with persistent problems, DBT is designed to last six months to a year. DBT includes both weekly sessions of individual therapy and weekly skills-training sessions conducted in small groups. Studies of DBT have documented improvement within a year of treatment, particularly in controlling self-harmful behavior; nevertheless, individuals may require therapy for several years.