Online Therapy in Tennessee, New York, and 40+ States

Online therapy gives you a private way to meet with a licensed psychologist from a space where you can speak openly.

You may want therapy but not want the commute, waiting room, or extra disruption in your week. You may have a demanding schedule, young children, leadership responsibilities, or a life that makes it difficult to add one more appointment across town.

Online therapy, sometimes called teletherapy or virtual therapy, can make therapy more accessible and consistent while still allowing for focused, meaningful work.

I provide online therapy to clients in Tennessee and New York. I am also authorized through PSYPACT to provide online therapy in 40+ states.

What is online therapy?

Online therapy is therapy provided through secure video sessions instead of meeting in person.

Like in-person therapy, online therapy gives you a confidential space to talk about what is affecting your life, relationships, work, mood, decisions, and sense of self. The difference is that sessions happen virtually, usually from a private place where you can speak openly.

Online therapy can help with many of the same concerns as in-person therapy, including anxiety, OCD, burnout, perfectionism, relationship stress, career stress, life transitions, grief, trauma, and feeling stuck.

For many people, the format is simple: you log into a video session, meet one-on-one, and use the time to work through what is actually happening in your life.

The work should still feel focused, personal, and useful.

Why people choose online therapy

People choose online therapy for many reasons.

For some, it is about convenience. For others, it is about privacy, consistency, flexibility, or finding the right therapist even if that therapist is not located nearby.

Online therapy may be a good fit if:

  • You have a demanding work schedule

  • You travel or move between locations

  • You prefer the privacy of meeting from your own space

  • You want to avoid commute time

  • You have young children or family responsibilities

  • You want therapy to fit more easily into your week

  • You are looking for a therapist who understands high-achieving professionals

  • You want access to online therapy in Tennessee, New York, or 40+ states through PSYPACT

Online therapy can reduce some of the friction that keeps people from starting or staying consistent with therapy.

That matters because therapy often works best when it is consistent enough to build momentum.

Online therapy for high-achieving professionals

Many high-achieving professionals prefer online therapy because their schedules are already full.

You may be managing leadership pressure, client demands, business responsibilities, parenting, travel, or a calendar that leaves little room for extra appointments. You may also value privacy and discretion.

You may look capable on the outside but feel anxious, burned out, stuck, disconnected, or overwhelmed internally. You may be used to handling pressure, taking responsibility, and pushing through. But at some point, pushing harder may stop working.

Online therapy can give you a regular place to step back, think clearly, and understand what is happening underneath the stress.

This can be especially useful if you are dealing with:

  • Anxiety and overthinking

  • Burnout and chronic stress

  • Perfectionism

  • Career stress

  • Leadership pressure

  • Relationship strain

  • Self-doubt despite success

  • Difficulty slowing down

  • Feeling responsible for everyone else

  • Trouble enjoying what you have built

For high-achieving adults, therapy is not only about symptom relief. It can also help you understand the cost of constantly performing, overfunctioning, or carrying too much alone.

What online therapy can help with

Online therapy can help with a wide range of concerns, including:

  • Anxiety

  • OCD and intrusive thoughts

  • Burnout

  • Perfectionism

  • Depression or low motivation

  • Relationship stress

  • Career stress

  • Grief and loss

  • Trauma or painful experiences

  • Life transitions

  • Identity, values, and purpose

  • Emotional reactivity or shutdown

  • People-pleasing and boundaries

  • Feeling stuck or dissatisfied

Sometimes people start online therapy with a clear concern. Other times, the issue is harder to name. You may simply know that something feels off, that your life looks better than it feels, or that the way you have been coping is no longer working.

Online therapy can help you sort through what is happening and decide what needs attention.

Online therapy for anxiety and overthinking

Online therapy can be helpful for anxiety because it gives you a consistent place to slow down and understand the patterns that keep anxiety going.

You may replay conversations, anticipate problems, overprepare, seek reassurance, avoid decisions, or feel responsible for preventing every possible mistake.

Even when things are technically fine, your mind may keep scanning for what could go wrong.

In online therapy, we may work on understanding what drives the anxiety, what keeps it going, and how to respond with more clarity. This may include work around perfectionism, avoidance, reassurance-seeking, uncertainty, relationship patterns, or professional pressure.

The goal is not to shame anxiety or pretend you can simply think your way out of it. The goal is to understand what is happening and build a more grounded way to respond.

Online therapy for burnout and chronic stress

Burnout can be difficult to address when your schedule is already overloaded.

You may know you need help, but feel like you do not have time to get it. Online therapy can make it easier to keep therapy consistent without adding a commute or another complicated appointment into your week.

Burnout may show up as:

  • Exhaustion

  • Irritability

  • Numbness

  • Resentment

  • Trouble resting

  • Loss of motivation

  • Feeling disconnected from your work or relationships

  • Feeling like you are always behind

  • Difficulty enjoying what you have built

Online therapy can help you examine what is driving the burnout. Sometimes the issue is workload. Sometimes it is perfectionism, people-pleasing, difficulty setting limits, fear of disappointing others, or confusion about what you actually want.

The goal is not simply to relax more. The goal is to understand what needs to change so your life is more sustainable.

Online therapy for OCD and intrusive thoughts

Online therapy can also be used for OCD, intrusive thoughts, compulsions, and reassurance-seeking.

OCD often pulls people into checking, researching, confessing, mentally reviewing, avoiding, repeating, or trying to feel certain. The relief may last for a moment, but the cycle usually comes back.

Depending on what you are dealing with, therapy may include Exposure and Response Prevention, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and work around uncertainty, avoidance, and compulsive reassurance.

Online therapy can be useful because many OCD patterns show up in daily life. Meeting virtually can make it easier to connect the work of therapy to the actual places, situations, thoughts, and routines where symptoms occur.

The goal is to help you understand the OCD cycle, reduce compulsions, and build a life less controlled by rituals, reassurance, and avoidance.

Privacy and convenience

Online therapy works best when you have a private, quiet place where you can speak openly.

For some people, that is a home office, bedroom, parked car, private office, or another space where they will not be interrupted. The exact setting matters less than whether you can be honest and focused during the session.

Online therapy can be especially helpful if you value:

  • Privacy

  • Convenience

  • Consistency

  • Less commute time

  • More scheduling flexibility

  • Access to a psychologist outside your immediate area

  • The ability to meet from a familiar environment

Online therapy is not second-best therapy. For many people, it is the format that makes therapy realistic and sustainable.

Is online therapy right for you?

Online therapy may be a good fit if you want therapy but need a format that works with your real life.

It may be especially useful if you:

  • Prefer meeting from home or work

  • Have limited time for commuting

  • Travel or have an unpredictable schedule

  • Want online therapy in Tennessee

  • Want online therapy in New York

  • Want online therapy in 40+ states through PSYPACT

  • Feel comfortable talking by secure video

  • Have a private space for sessions

  • Want therapy that is direct, thoughtful, and practical

Online therapy may not be the best fit for every situation. Some people prefer in-person therapy. Some situations require a higher level of care or more local support. If online therapy is not appropriate for your needs, we can discuss that honestly.

What online therapy with me is like

My approach to online therapy is direct, thoughtful, and practical.

I do not see online therapy as a watered-down version of in-person therapy. The work can still be focused, personal, and meaningful.

In therapy, we may focus on:

  • Understanding what is actually happening

  • Identifying patterns that keep repeating

  • Reducing anxiety, avoidance, or self-criticism

  • Clarifying values, responsibilities, and choices

  • Improving relationships and communication

  • Understanding emotions without being ruled by them

  • Separating real responsibility from excessive pressure

  • Building more sustainable ways of living and working

  • Making changes that fit your actual life

Therapy can include practical tools, deeper reflection, direct feedback, and attention to the patterns underneath your symptoms.

The goal is to use the time well, whether we are meeting in person or online.

Who I work with

I work with adults and high-achieving professionals who may look capable on the outside but feel anxious, burned out, stuck, disconnected, or overwhelmed internally.

Many of my clients are thoughtful, responsible, and driven. They may be successful in work, leadership, school, business, or family life, while privately struggling with overthinking, perfectionism, self-doubt, relationship strain, or difficulty slowing down.

I often work with professionals such as executives, lawyers, physicians, entrepreneurs, business owners, leaders, and other high-achieving adults who are carrying significant responsibility and want therapy that is direct, thoughtful, and practical.

Therapy approaches I use

Therapy works best when it is tailored to the person, concern, and goals. My work draws from several approaches depending on what you are dealing with and what kind of help would be most useful.

You can learn more about each approach here:

I tailor therapy to the person in front of me. The goal is to understand what is actually happening and use an approach that fits what you are dealing with.

Schedule a free phone consultation

Phone: (615) 266-6772

Email: Joe@joerustum.com

Address: 762 East Argyle Avenue, Nashville, TN 37203

Online therapy: Available in over 40 states through PSYPACT