Anomaly Therapy & Consultancy
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Where we stand

A boutique practice
for the people who
carry a lot.

Anomaly is a private therapy and consultancy practice in Nashville, founded on the belief that high performers, founders, creatives, and the partners they love deserve relational depth — not wellness clichés.

Who we are

A relationship that is discerning, emotionally attuned, and authentic.

Anomaly Therapy was founded by Jess Mansell, LPC-MHSP, to create a different kind of therapy room — one designed for clients whose lives don't slow down, whose visibility shapes their work, and whose ambition has often outpaced their relational vocabulary.

The work is grounded, intentional, and emotionally precise. We place value in holding space. We challenge with purpose. We support you without softening your reality. This is therapy designed for lives with pressure, complexity, and responsibility — and the relational architecture they require.

The Anomaly Therapy team in conversation on a tan leather couch in the office lounge.
The Anomaly Therapy team laughing together in the office lounge.

Meet the team

Clinicians for complex lives.

Our team is intentionally small. Every clinician at Anomaly is selected for their clinical excellence and ability to sit with the kind of clients who don't usually let anyone in.

Jess Mansell, LPC-MHSP, Founder & Therapist.

LPC-MHSP · Founder

Jess Mansell

Therapist & Founder

Jess founded Anomaly to build the kind of room she wanted for her own clients — refined, attuned, and straight forward. She works with high-performers, executives, the perinatal population, and the partners they love.

Cayce Smith, Therapist.

Associate License

Cayce Smith

Therapist

Cayce works with high-achieving professionals, creatives, and couples navigating anxiety, burnout, trauma, and relationship challenges. She is known for her warm, direct style, and her ability to help clients uncover patterns, build resilience, and create lasting change.

Ashley Wellander, Therapist.

Associate License

Ashley Wellander

Therapist

Ashley works with adults navigating anxiety, identity, and the quiet pressure of high-functioning lives. Her approach is grounded, kind, and emotionally clear.

Jillee Walter, Therapist Intern.

Intern

Jillee Walter

Therapist Intern

Jillee works under licensed supervision with clients in our Accessible Care program. Her work is attentive, curious, and unhurried.

Paige Ring, Therapist Intern.

Intern

Paige Ring

Therapist Intern

Paige works under licensed supervision with clients in our Accessible Care program. She brings a thoughtful, careful presence to the room.

Looking to join the team? We hire selectively. Careers

Begin

The first step is a conversation.

Schedule a free, no-pressure consultation. We'll listen, ask the right questions, and help you find the right clinician on the team.

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