Expert Therapy Services
in Nashville.

Music City Psych is a private therapy and executive coaching practice located in Nashville, Tennessee. Our team counsels adults, adolescents, and couples, as well as musicians and recording artists, athletes, high-performing professionals, and businesses.

About Music City Psych

Providing trusted therapy services in Nashville, Tennessee, and surrounding communities.

As a leading Nashville therapy provider and executive coaching practice, we’re committed to helping our clients break through barriers and find lasting change. Founded by David Pearl, LCSW, Music City Psych is located between Belle Meade and Green Hills. Getting to our office is convenient for anyone seeking therapy in downtown Nashville, Music Row, The Gulch, Hillsboro Village, Brentwood, and surrounding areas. 

Each of our therapists, David Pearl, LCSW, Rachel Fleischer, LPC-MHSP, and Hope Spector, LPC-MHSP, empower people to be the best version of themselves through proven therapeutic practices like Cognitive Behavioral Therapy (CBT), Acceptance & Commitment Therapy (ACT), Imago Relationship Therapy (IRT), and others. We believe that successful therapy incorporates a sense of openness, humor, communication, flexibility, and practicality. We work with you to build on your existing strengths while developing new strategies and behaviors for overcoming adversity. In short, we want to help you live your best life.

Therapy services

Individual Therapy

Individual therapy is about giving you the emotional support and guidance you need to look forward, handle stress and anxiety, and better manage your life.

Couples Counseling

We provide Nashville couples counseling and relationship skills development, with a focus on accepting differences, empathy, and safe communication.

Adolescent Therapy

Counseling for teens and kids as they navigate the challenges of growing up. We help adolescents understand and communicate their emotions, develop coping skills, and build healthier outlooks.

Sport & Performance

Focused on maximizing your potential, performance optimization is enormously valuable to musicians, actors, performing artists, athletes, and professionals alike.

Executive Coaching

Expert and experienced executive coaching at Music City Psych is for high-achieving professionals looking to take their personal and professional growth to the next level. We support both individuals seeking professional growth and companies looking to help their teams find greater success.

In-person & virtual services

All services are offered in-person and virtually.

Ask your therapist about virtual meetings. We are committed to making our services accessible to clients in the mode that is most comfortable for them.

Meet our team

Get to Know the Team
at Music City Psych

At Music City Psych, we stand on our commitment to a safe, confidential, and welcoming environment where you can explore, grow, and achieve your personal best. Whether you’re dealing with personal challenges, relationship issues, or professional hurdles, we’re here to support you every step of the way. Each member of our team brings a unique set of therapeutic skills to serve the Nashville community.

David Pearl, LCSW
Founder, Executive Coach, Sports and Performance Expert, Individual Therapy, Couples Counseling
Rachel Fleischer, LPC-MHSP
Individual Therapy, Couples Counseling
Hope Spector, LPC-MHSP
Individual Therapy, Adolescent Therapy, Couples Counseling

Featured in

Contact Us

Let's talk about how we can help.

Music City Psych is located near Belle Meade and Green Hills, with convenient access to downtown Nashville, Music Row, The Gulch, Hillsboro Village, and Brentwood.

Get in touch

Complete this form to contact Music City Psych.