Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Email Me
or
Email Me

Cara A Peroutka

Licensed Professional Counselor, MA, LPC, CCTP

Verified by Psychology Today Verified by Psychology Today
3 Endorsed
Call Me
Let's Connect (636) 942-6301
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Available both in-person and online
8654 Orf Road Lake Saint Louis, MO 63367
Many people feel overwhelmed, stretched thin, or as though they've lost a part of themselves in the daily chaos. Some are navigating the complexities of pregnancy, betrayal trauma, anxiety, or the weight of profound loss. Couples may find themselves struggling to reconnect, communicate, or move through major transitions and betrayals. I understand how difficult it can be to face these experiences while trying to keep everything else afloat. My role is to walk alongside you, listen with compassion, and help create a sense of stability—until you feel grounded and ready to move forward on your own.
I’m a therapist with both clinical training and lived experience, here to support moms, adults, older teens, and couples through life’s most personal challenges. I specialize in issues like betrayal trauma, infidelity, pregnancy and postpartum, infertility, grief, anxiety, and parenting struggles.
I offer a safe, nonjudgmental space to reduce stress, rebuild trust, and strengthen relationships. Together, we’ll work toward greater clarity, deeper connection, and lasting change. Please don’t hesitate to reach out for a free consultation to see if we’d be a good fit.
Call or Cara A Peroutka now for a free 15 minute consultation - (636) 942-6301

My Practice at a Glance

Available both in-person and online

8654 Orf Road

Lake Saint Louis, MO 63367 map

(636) 942-6301
My website
Meet with me in-person or virtually—sessions are flexible to fit your schedule.
I specialize in Marital and Premarital, Relationship Issues and Infidelity 
$135 Per Session, I accept insurance 
I see individuals and couples  
Helping individuals and couples find healing, clarity, and connection for life's more challenging seasons.
Cara A Peroutka
Let's Connect (636) 942-6301
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP

My Practice at a Glance

Available both in-person and online

8654 Orf Road

Lake Saint Louis, MO 63367 map

(636) 942-6301
My website
Meet with me in-person or virtually—sessions are flexible to fit your schedule.
I specialize in Marital and Premarital, Relationship Issues and Infidelity 
$135 Per Session, I accept insurance 
I see individuals and couples  
Helping individuals and couples find healing, clarity, and connection for life's more challenging seasons.
Cara A Peroutka

Finances

Fees

  • Individual Sessions $135
  • Couple Sessions $160
  • Sliding scale: apply if you may be eligible

Payment Methods

American Express, Discover, Mastercard, Visa

Insurance

  • Aetna
  • Anthem
  • BlueCross and BlueShield
  • Cigna and Evernorth
  • Optum
"
I accept a limited number of insurance plans for individual sessions and also offer private pay options. For couples therapy, I work on a private pay basis so we can focus fully on your relationship without insurance limitations.
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Call or for a free 15 minute consultation now - (636) 942-6301
"
I accept a limited number of insurance plans for individual sessions and also offer private pay options. For couples therapy, I work on a private pay basis so we can focus fully on your relationship without insurance limitations.
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Call or for a free 15 minute consultation now - (636) 942-6301

Qualifications

  • Verified by Psychology Today Licensed by State of Missouri / 2023025597 Cara A Peroutka
  • Education and Years In Practice

  • Attended Saint Louis University, MA Counseling-Human Development, Graduated 2004
  • Additional Credentials

  • Certificate from Certified Partner Trauma Therapist-Candidate (CPTT-C) 2026
  • Certificate from Certified Clinical Trauma Professional (CCTP) 102065 / 2025
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Feel free to ask about qualifications and training experience. or (636) 942-6301
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Feel free to ask about qualifications and training experience. or (636) 942-6301

Specialties and Expertise

Top Specialties

  • Marital and Premarital
  • Relationship Issues
  • Infidelity

Expertise

  • Anxiety
  • Coping Skills
  • Depression
  • Grief
  • Infertility
  • Life Transitions
  • Maternal Loss
  • Mood Disorders
  • Parenting
  • Pregnancy, Prenatal, Postpartum
  • Stress
  • Women's Issues
"
I help couples create greater stability and connection in their relationships, even when challenges like infidelity or betrayal have shaken their foundation. I also walk alongside individuals who are struggling with anxiety or navigating major life transitions. My goal is to provide a safe, supportive space where healing and growth can take root."
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Call or for a free 15 minute consultation now - (636) 942-6301
"
I help couples create greater stability and connection in their relationships, even when challenges like infidelity or betrayal have shaken their foundation. I also walk alongside individuals who are struggling with anxiety or navigating major life transitions. My goal is to provide a safe, supportive space where healing and growth can take root."
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Call or for a free 15 minute consultation now - (636) 942-6301

3 Endorsements

Marissa Barbeau
Marissa Barbeau
Pre-Licensed Professional, MEd, PLPC, NCC, ASAT-C, CCPS-C
Cara brings empathy and a client-centered approach in her work with clients, particularly with individuals and couples facing the impact of betrayal trauma. I highly recommend Cara as she is trauma-informed and deeply compassionate!
Karissa Curtis
Karissa Curtis
Licensed Professional Counselor, MA, LPC, CST
Cara is a compassionate, skilled counselor to whom I've entrusted many referrals!

Client Focus

Age

Teen , 
Adults

Participants

Individuals , 
Couples

Age

Teen , 
Adults

Participants

Individuals , 
Couples

Treatment Approach

Types of Therapy

  • Attachment-based
  • Cognitive Behavioral (CBT)
  • Emotionally Focused
  • Existential
  • Gottman Method
  • Mindfulness-Based (MBCT)
  • Solution Focused Brief (SFBT)
  • Strength-Based
  • Trauma Focused
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Ask about what different forms of therapy will be like. or (636) 942-6301
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Ask about what different forms of therapy will be like. or (636) 942-6301

Location

Primary Location

8654 Orf Road

Lake Saint Louis, MO 63367

(636) 942-6301

Nearby Areas

"
Meet with me in-person or virtually—sessions are flexible to fit your schedule.
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Call for a free consultation now - (636) 942-6301
"
Meet with me in-person or virtually—sessions are flexible to fit your schedule.
Photo of Cara A Peroutka, Licensed Professional Counselor, MA, LPC, CCTP
Cara A Peroutka
Licensed Professional Counselor, MA, LPC, CCTP
Call for a free consultation now - (636) 942-6301