Meet Emily

I consider it an honor to walk alongside each of my clients as they pursue healing, growth, and self-understanding.

At the heart of my counseling philosophy is a balance between empathy and challenge. I approach each client with deep compassion, recognizing that every emotion is valid. At the same time, I believe that not all feelings lead to a fulfilling life without intentional reflection and growth.

A Wide Range of Clients

Since entering the counseling field, I’ve had the privilege of working with a wide range of clients in various settings, including addiction rehabilitation centers, community mental health agencies, and private practice. These experiences have shaped a flexible, compassionate, and trauma-informed approach to care.

Specialty Training

I am a Certified Brainspotting Therapist, trained in this powerful modality that helps individuals access and release emotional blockages held in the brain and body—often key in resolving trauma. I am also trained in Exposure and Response Prevention (ERP) and Inference-Based Cognitive Behavioral Therapy (I-CBT), both modalities used to treat OCD. I often integrate these evidence-based methods to support meaningful and lasting change in my clients' lives.

A Deep Belief in Value

At the core of my practice is a deep belief in the intrinsic value of every person. I strive to offer a welcoming, nonjudgmental space where clients feel safe to be seen and supported. My approach is also informed by my own lived experiences—including navigating depression, anxiety, ADHD, and the challenges of growing up in a divorced family—as well as the ongoing journey of marriage and motherhood.

A Tailored Method

I do not believe in a one-size-fits-all approach to therapy. Instead, I tailor my methods to meet you exactly where you are on your journey. This integrative approach allows me to provide comprehensive, personalized care that addresses a wide range of emotional and psychological concerns.

Your Path

Each client’s path is different, and my goal is to ensure that your treatment reflects your individual needs and goals. Continue scrolling to learn more about the therapeutic methods I use.

Areas of Focus

OCD
of all forms -

Postpartum OCD
Harm OCD
Relationship OCD
Mental Health OCD
and so on.
Anxiety
Intrusive Thoughts
Depression
Negative Thought Patterns
(Perfectionism,
Rumination, etc.)
Processing Personal History
Narrative Therapy such as understanding learned behaviors, etc.

How I Practice

I believe that psychoeducation plays a vital role in the success of therapy. That’s why I make it a priority to clearly explain the methods and strategies I use—so you understand not just what we're doing in therapy, but why we’re doing it.

Many of the symptoms people experience—such as intrusive thoughts, emotional overwhelm, anxiety, chronic fatigue, hyperfixation, overthinking, and compulsive behaviors—can stem from a dysregulated or “hijacked” nervous system. This simply means that the brain's emotional center becomes overactivated, reducing access to the logical, decision-making part of the brain. You may recognize this as the "fight-or-flight" response.

There are many reasons this dysregulation can occur: chronic stress, trauma, mental health conditions such as OCD/Anxiety, or simply not having learned how to process emotions in a healthy way. The encouraging news is that the nervous system can be retrained. With the right tools and support, it’s possible to restore balance—so your body and mind can respond appropriately to stress, rather than reacting out of survival mode.

My ultimate goal in every session is to help you leave feeling more regulated—because I believe that a regulated nervous system is the foundation for lasting change.

Below, I outline the specific approaches I use to help clients move toward that goal.

Brainspotting (BSP)

Brainspotting is a brain-based therapeutic approach designed to help rewire the nervous system by accessing, processing, and releasing deeply held emotional and physical pain. It uses specific eye positions—called “brainspots”—to access areas of the brain associated with emotion, memory, and survival responses. These are often the regions that become “stuck,” contributing to distressing symptoms.While traditional talk therapy engages the conscious, cognitive brain, Brainspotting allows us to reach deeper, less conscious areas where emotional and physiological responses are stored. Though Brainspotting is a trauma-focused modality, I help clients understand that it can be highly effective even for those who don’t identify with having experienced trauma. It can be used to treat a wide range of concerns, including anxiety, depression, fears, even negative self-beliefs, and more.

Inference-Based Cognitive
Behavioral Therapy (I-CBT)

Inference-Based Cognitive Behavioral Therapy (I-CBT) is a form of Cognitive Behavioral Therapy (CBT). CBT principles help identify unhelpful thought patterns and develop strategies to shift them. The goal is to promote mental flexibility and support healthier, more adaptive ways of thinking. Over time, this can lead to a more balanced and fulfilling life. I-CBT specifically is a treatment for OCD that focuses on inferential confusion, a pattern of reasoning in which imagined possibilities can begin to feel like facts. Therapy helps clients distinguish between what their minds are imagining and what is actually happening in the present.

Exposure and Response Prevention (ERP)

ERP is widely considered the gold standard treatment for Obsessive-Compulsive Disorder (OCD) and other anxiety-related disorders. Before beginning ERP, I provide thorough psychoeducation to ensure you feel informed and supported throughout the process. ERP involves gradually exposing you to anxiety triggers while helping you resist the compulsive or avoidant behaviors that have become coping mechanisms. Over time, your nervous system learns that the original trigger is not dangerous, reducing the intensity of your anxiety response. For clients who have engaged in compulsive or avoidant patterns over a long period, ERP can feel overwhelming at first. In these cases, I often begin with Brainspotting to address underlying emotional triggers and build the emotional resilience needed for ERP to be most effective.

Faith-Based Therapy

For clients who desire it, I offer the option to integrate faith-based principles into our therapeutic work. The level of spiritual integration is entirely up to you and will always be tailored to your preferences and comfort. Faith-based therapy can offer additional meaning, strength, and hope for clients who wish to incorporate their beliefs into the healing process.

Practice Policies

When you schedule your first appointment, you will receive a full Practice Policies and Informed Consent document to review and sign. Below are a few key highlights to be aware of:

Session Fee
Individual therapy sessions are currently $125 per 50 minute session. Effective October 1, 2026, the session rate will be $140 per 50-minute session.
Insurance
I do not currently accept insurance. However, I am happy to provide a superbill that you may submit to your insurance provider for potential out-of-network reimbursement. Please check with your insurance company for details on your specific benefits.
48 Hours’ Cancellation Policy
A minimum of 48 hours’ notice is required for cancellations. Appointments not canceled outside of this window will be charged the full session fee.
Communication Policy
Please note that email, phone calls, and text messaging are not considered secure methods of communication. For your privacy and protection, all confidential communication should be conducted through the secure client portal on Simple Practice, which you’ll have access to after becoming an established client. This is the only HIPAA-compliant method of messaging I use.

Emily Johnston Counseling

Professional Mental Health Counseling Services in Birmingham, Alabama