01 · Who Paula works with

Paula works with stress, Anxiety, grief and parenting issues

Paula lists 13 specialisms and 36 further focus areas. Specialisms are the subjects Paula chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Paula's own words

What Paula says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a Licensed Clinical Social Worker licensed in Tennessee with over 20 years of experience. I have worked with clients in a wide range of settings that include hospital, home health, hospice, dialysis, military, and school. I have a wide range of experience including depression, anxiety, relationship issues, parenting problems, end of life issues, medical decision making, OCD and ADHD.

My counseling style is warm and interactive. I believe in treating everyone with respect, sensitivity, and compassion. My approach combines cognitive-behavioral, solution focused therapy, and motivational interviewing. I believe in treating each person as a unique and special individual and will tailor our dialog and treatment plan to meet your specific needs. I believe that you are your own best expert and that you possess the strengths that will help you lead a better life.

It takes courage to seek a more fulfilling and happier life and to take the first steps towards a change. If you are ready to take that step I am here to support and empower you.

I look forward to working with you!

Paula Fowler, on the BetterHelp listing · read 7 Oct 2026

03 · How Paula works

The 3 approaches Paula lists, in plain English

These are the clinical methods Paula lists. The descriptions are Maker Therapy's, not Paula's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Paula runs a session.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Paula practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Paula's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Paula at this point.

2. Naming Paula specifically

   BetterHelp matches algorithmically by default, so asking for Paula is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Paula.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

2 questions worth asking Paula

Built from what Paula actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Paula's - Paula has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

Tennessee

Licence

TN LCSW 7074

Licence number

7074

Licence expires

31 Mar 2028

NPI

1962908699

Years in practice

6

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Paula's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Paula. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.