Individual Therapy


These are one-on-one sessions in a private setting at my Brentwood or Nolensville office.  These sessions are also available via video through a live HIPAA-approved software application.  Regardless of your location or type of session, it will be conducted by myself, Dr. Rick Underwood, exclusively.  I handle all of my sessions personally within my practice.  These sessions are always in a safe, caring, and confidential environment.

Adolescent Therapy


Adolescents with behavioral disorders or mental illnesses can't be expected to resolve these issues by themselves. It takes the expertise of a knowledgeable, compassionate therapist to guide them through these tough experiences.​  One-on-one individual therapy gives adolescents the opportunity to speak openly about their experiences in a nonjudgmental, confidential, safe setting. I have the experience necessary to encourage adolescents to share feelings within the context of a safe environment. 

Group Therapy


Group psychotherapy is a form of treatment in which a small number of people, usually 5-10, meet together on a weekly basis. I personally facilitate the weekly meeting which provides an opportunity for individuals to process, receive support and experience accountability. In each of the small groups, group participants are given the opportunity to experience genuine acceptance, no judgment, confidentiality, a safe environment and healthy emotional/relational intimacy.  Click here for answers to some common questions about group therapy.

Couples Therapy


Couples counseling is a process through which a couple (who may be dating, engaged, married or partnered) works with a trained therapist to identify specific areas of conflict and/or aspects of their relationship that they would like to change or improve upon.  Working with Dr. Underwood, clients find a safe and confidential setting, where as a couple they are able to explore how their individual backgrounds, beliefs, thoughts, and behaviors may be impacting their relationship in both healthy and unhealthy ways. Dr. Underwood assists the couple with addressing any immediate and pressing problems or crises as well as developing strategies for protecting and enhancing the long-term health and gratification of their relationship.


Counseling goals for couples might include things like: enhancing communication skills, improving problem-solving skills, resolving conflict so there is a win-win solution, understanding the dynamics of a healthy relationship and definitely helping the couple to find the secrets of experiencing emotional and sexual intimacy.

Equine Assisted Therapy


Equine Assisted Psychotherapy (EAP) provides a powerful experience for "real time" interaction and reflections of successes and challenges.  Horses are sensitive to non-verbal communication and respond to messages they feel from clients in the moment.  The responses from the horses become familiar to the responses experienced from spouses, co-workers, and the way they see themselves. The interaction with the horse or horses is on the ground (non-riding).

These sessions take place at Underwood Farm in Nolensville, TN.  Click here for more details.

Counseling Services that I offer:

  • Marriage Therapy

  • Trauma

  • Abuse including Sexual, Physical and Emotional

  • Premarital Counseling

  • Co-dependency Issues

  • Spouses of those who have a Sexual Addiction or Compulsive Behaviors

  • Depression

  • Anger Management

  • Grief/Loss

  • Assertiveness Training

  • Anxiety/Phobias

  • Adjustment Disorders

  • Communication and Conflict Resolution

  • Single Adults

  • Men’s Issues

  • Coping Skills/Stress Management

  • Dysfunctional Family Issues

  • Developing and Maintaining Healthy Relationships

  • Adolescent Adjustments and Social Skills

  • Processing Life Adjustments/Relationships


In addition, seminars or workshops can be provided on any of the above referenced issues. Please contact me here for more information.

Brentwood Adolescent Therapy

Brentwood Counselor

Nashville Adolescent Therapy