Spence Counseling, PLLC

04/21/2026

This friend was INSIDE the office. I hope he relocates well and I thank him for his moment of friendship this morning. 😊

04/13/2026

Being a science person, I will always find animals to be amazing. My chemistry and biology undergrad mean I know how to keep a good stable aquarium. My kid’s betta fish needed medicine and while I was at the pet store, I saw this guy. I thought about this fishy all day and night and finally decided to go back the next day to see if he was still there, and he was! So we now have an office fish and he is stunning. Looking forward to keeping this nice little planted tank in my office. He has no name so whenever anyone asks his name, I just reply with that person’s name. Makeba asked and I said “I named him Makeba!”. I plan to continue doing this until someone catches on.

04/09/2026

Represent! My sister and nephew (who is definitely too cool for me these days) live in NJ but are visiting TN and flaunting that Spence Counseling swag! Sara also owns a therapy practice, albeit a different kind! Sara Brummer

04/07/2026

We managed to get in 47 miles for our Trevor Project fundraiser in March. Here are a few snippets of the time we got to spend outside.

03/30/2026

One moment you’re a young 20 something going to punk shows and the next you’re an almost 40 year old therapist who gets excited about the joy of spotting a Northern Flicker. Those feather patterns though! Gorgeous.

03/27/2026

Friday afternoons are hard, but our therapists continue to show up. Look at them doing notes together!!
This job is heavy and we have to take it seriously, but that doesn’t mean we have to take ourselves too seriously. What a cool thing to witness this balance!!

03/20/2026

Remembering that I first used this intervention (Personal Values Card Sort, Miller, Baca, Matthews, Wilbourne, 2001) TWENTY YEARS AGO and I still use it now. Therapists, what interventions have been your tried and trues over the years?
I also want to add the following facts about my life during graduate school: 1. Our tests were on pen and paper and our essays were printed and turned in to professors inboxes in their offices, 2. We used newfangled flash drives and clunky power point presentations, 3. Most professors did not allow laptops in the classroom- hand written notes only!, 4. We had iPods and CDs, 5. Obama was president,

03/18/2026

03/18/2026

Couldn’t resist pestering Royall this morning because 1. I find his headset endearing and 2. I want folks to meet the very kind guy who answers the phone when you call!

03/17/2026

Dang, we’ve done a lot of work. From March 2024 to March 2026- what a ride! I think we look better for the wear though!

03/12/2026

A little morning doodle to let you know that even when there's some heavy headlines out there, we are doubling down in our commitment to work with trans folks til the cows come home… and even after the cows come home. Cows being home is no reason to stop a good thing. Dang, I should have done the doodle of a cow. Although that'd be giving “Chick-fil-A”. 🐄🤣
ANYWAY, enjoy the karaoke version of Hole's Celebrity Skin, just a song that's been in my head lately, and remember we are here. We aren't going anywhere. 😊

03/02/2026

Touch grass as the young'ns say!