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Counseling Services

Thank you for considering Rick Underwood Counseling to help you find the coping solutions or strategies you need.


I am a licensed professional counselor providing private mental health services in your area. As a psychotherapist, I conduct treatment and counseling options via private appointments in my offices, HIPAA-compliant video sessions, and on-site treatment at my farm for equine-assisted therapy.

Individual Therapy

These are one-on-one sessions in a private setting at Dr. Underwood's Brentwood or Nolensville offices.  Sessions are also available via video through a live HIPAA-approved software application.  Dr. Underwood handles all sessions personally within his practice.

Couples Therapy

Couples who may be dating, engaged, married, or partnered are able to work with Dr. Underwood to identify specific areas of strengths, conflict and/or aspects of their relationship that they would like to change or improve. 


Dr. Underwood provides couples with a safe and confidential setting where 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:

  • Enhancing communication skills

  • Improving problem-solving skills

  • Resolving conflict

  • Understanding the dynamics of a healthy relationship

  • Experiencing emotional and sexual intimacy

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 and counselor like Dr. Underwood to guide them through their tough experiences.​


One-on-one individual therapy gives teens the opportunity to speak openly about their experiences in a nonjudgmental, confidential, safe setting. Dr. Underwood has 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 (5-8) meet on a weekly basis. Dr. Underwood personally facilitates the weekly meeting which provides an opportunity for individuals to process issues, connect with others, and experience accountability.


Group therapy participants are given the opportunity to experience genuine acceptance with confidentiality, support, and healthy emotional/relational intimacy without judgment. 

Click here for answers to some common questions about group therapy.

Equine Assisted Therapy

Mental health needs are more important than ever. Through incorporating horses, EAGALA certified professionals are here to help you. 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. Equine Assisted Psychotherapy is a solution focused, experiential model of mental health treatment. Equine Assisted Learning is an experiential model addressing learning goals. Everyone has the innate ability to solve their own problems. The role of the EAGALA team is to provide guidance that assists the client's own process and creates lasting solutions. Because horses are highly sensitive, clients can work through their life struggles by interacting with the horses without feeling judgment or interpretation by another person.


All the work is done on the ground with no riding involved. The horses are equal partners on the team and are left unencumbered to allow them to interact freely with the client. EAP enables clients to explore and examine their personal values and self-worth.


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

Counseling Services

  • Marriage Therapy

  • Trauma Therapy

  • Abuse including Sexual, Physical and Emotional

  • Premarital Counseling

  • Co-dependency Issues

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

  • Depression Therapy and Counseling

  • Anger Management

  • Grief/Loss Therapy and Counseling

  • Assertiveness Training

  • Anxiety/Phobia Therapy and Counseling

  • 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 Dr. Underwood here for more information.

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