Therapists in Saint Louis County, MO

If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.
If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.

Karen Ramos
Clinical Social Work/Therapist, LCSW
Richmond Heights, MO 63117
Not accepting new clients
Hi there! I’m Karen, and I’m a licensed clinical social worker who helps people learn to live more meaningful lives. I work with adults and young adults who want to find joy, purpose, and ease in their lives, but struggle to make this a reality. Instead, they find themselves feeling trapped by painful thoughts, emotions, habits, past experiences, or current circumstances—including political and cultural factors that impact mental health.
Hi there! I’m Karen, and I’m a licensed clinical social worker who helps people learn to live more meaningful lives. I work with adults and young adults who want to find joy, purpose, and ease in their lives, but struggle to make this a reality. Instead, they find themselves feeling trapped by painful thoughts, emotions, habits, past experiences, or current circumstances—including political and cultural factors that impact mental health.

Dr. Audrey Oliva is a Psychologist in Missouri who has been practicing since 2019. She completed her Masters of Arts and Doctor of Psychology degrees in Clinical Psychology, with an emphasis in Child and Adolescent Psychology at Adler University in Chicago, Illinois.
Dr. Oliva provides comprehensive neuropsychological and psychological evaluations from a neurodiversity-affirming and strengths-based approach. Dr. Oliva works with children, adolescents, and adults. She enjoys supporting children, adolescents, and adults with a variety of social-emotional and behavioral concerns including anxiety, depression, adjustment disorders.
Dr. Audrey Oliva is a Psychologist in Missouri who has been practicing since 2019. She completed her Masters of Arts and Doctor of Psychology degrees in Clinical Psychology, with an emphasis in Child and Adolescent Psychology at Adler University in Chicago, Illinois.
Dr. Oliva provides comprehensive neuropsychological and psychological evaluations from a neurodiversity-affirming and strengths-based approach. Dr. Oliva works with children, adolescents, and adults. She enjoys supporting children, adolescents, and adults with a variety of social-emotional and behavioral concerns including anxiety, depression, adjustment disorders.

Haley’s specialty is with providing a safe and interactive environment in which to tackle difficult subjects, deep seated trauma, or to just say the things you never thought you would say out loud. Her specialty population is teenagers and adults, and she has experience in working with children from as young as 5 years old. Haley’s experiences and settings in which she formed her clinical mental health expertise have been broad.
Haley’s specialty is with providing a safe and interactive environment in which to tackle difficult subjects, deep seated trauma, or to just say the things you never thought you would say out loud. Her specialty population is teenagers and adults, and she has experience in working with children from as young as 5 years old. Haley’s experiences and settings in which she formed her clinical mental health expertise have been broad.

You feel like you're always falling short, like you have to have it all together, and afraid to say no. You might be carrying old wounds—perfectionism, shame, or attachment patterns that keep you feeling not enough. Maybe you think, “I should be over this by now,” but you’re not. You might be carrying old traumas from childhood or relationships. When stressed you, you might tense up, get short with others, push others away, shut down or go into your "shame spiral". Together, we’ll gently explore to find the root of your pain, release what is trapped, break these cycles, and help you reconnect with your authentic self.
You feel like you're always falling short, like you have to have it all together, and afraid to say no. You might be carrying old wounds—perfectionism, shame, or attachment patterns that keep you feeling not enough. Maybe you think, “I should be over this by now,” but you’re not. You might be carrying old traumas from childhood or relationships. When stressed you, you might tense up, get short with others, push others away, shut down or go into your "shame spiral". Together, we’ll gently explore to find the root of your pain, release what is trapped, break these cycles, and help you reconnect with your authentic self.

Life’s challenges can leave you feeling lost, but you don’t have to navigate them alone. As a nationally certified counselor and African American male therapist in Missouri, I offer a space where every emotion is valid and transformation begins. Here, healing isn’t just about surviving—it’s about thriving. Let’s untangle anxiety, depression, and relationship struggles, turning them into stepping stones toward clarity and confidence. You deserve to feel seen and heard. Book your free 15-minute consultation today. Take control, embrace change, and step into the life you were meant to live.
Life’s challenges can leave you feeling lost, but you don’t have to navigate them alone. As a nationally certified counselor and African American male therapist in Missouri, I offer a space where every emotion is valid and transformation begins. Here, healing isn’t just about surviving—it’s about thriving. Let’s untangle anxiety, depression, and relationship struggles, turning them into stepping stones toward clarity and confidence. You deserve to feel seen and heard. Book your free 15-minute consultation today. Take control, embrace change, and step into the life you were meant to live.

Leslie is particularly passionate about supporting individuals facing young adult life transitions, trauma, and gender identity concerns. She understands that significant life changes, whether related to career shifts, relationships, or personal identity, can bring unique emotional struggles. She utilizes an integrative approach that draws from evidenced based practices including EMDR, somatic experiencing, Trauma-focused, CBT, and mindfulness techniques. She helps clients process their emotions, reframe negative thought patterns, and cultivate a stronger sense of self.
Leslie is particularly passionate about supporting individuals facing young adult life transitions, trauma, and gender identity concerns. She understands that significant life changes, whether related to career shifts, relationships, or personal identity, can bring unique emotional struggles. She utilizes an integrative approach that draws from evidenced based practices including EMDR, somatic experiencing, Trauma-focused, CBT, and mindfulness techniques. She helps clients process their emotions, reframe negative thought patterns, and cultivate a stronger sense of self.

Are you or your child or teen struggling in life? Do you want to help, but don't know how? Many battle anxiety and depression. Some have to cope with behavior disorders, learning disorders, or autism spectrum disorders. Others have been identified as gifted, but struggle with perfectionism, "debilitating empathy," or social skills. Throughout my career, I've helped hundreds of kids, teens and adults learn the coping skills they need to succeed in life and be happy.Call or e-mail me today to start your, or your child's journey to self-awareness, self-management, and self esteem.
Are you or your child or teen struggling in life? Do you want to help, but don't know how? Many battle anxiety and depression. Some have to cope with behavior disorders, learning disorders, or autism spectrum disorders. Others have been identified as gifted, but struggle with perfectionism, "debilitating empathy," or social skills. Throughout my career, I've helped hundreds of kids, teens and adults learn the coping skills they need to succeed in life and be happy.Call or e-mail me today to start your, or your child's journey to self-awareness, self-management, and self esteem.

I can provide counseling from a Christian perspective and also offer therapy from a non Christian focus. My practice centers on dealing with Life's issues in general while also having a focus on trauma. Not only is there a concentration on individuals, the scope of my practice also includes marriage and relationship counseling, family counseling, and even group therapy. Overall, I promote building self esteem and treating all clients with value and dignity no matter your background, lifestyle, culture or ethnicity. There is also a focus on helping clients overcome mistakes and poor choices. Finally, "Rapha" means "to heal."
I can provide counseling from a Christian perspective and also offer therapy from a non Christian focus. My practice centers on dealing with Life's issues in general while also having a focus on trauma. Not only is there a concentration on individuals, the scope of my practice also includes marriage and relationship counseling, family counseling, and even group therapy. Overall, I promote building self esteem and treating all clients with value and dignity no matter your background, lifestyle, culture or ethnicity. There is also a focus on helping clients overcome mistakes and poor choices. Finally, "Rapha" means "to heal."

SkiWise Health & Wellness Services
Licensed Professional Counselor, MEd, LPC, NCC, IECMH-E, ERS
Saint Louis, MO 63108
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.

Do you define yourself as a perfectionistic overthinker? With over 20 years of experience, I possess an innate ability to understand perfectionistic overthinkers. I dedicate my work to helping contemplators break free from the cycle of self-doubt and anxiety. Using Cognitive Behavioral Therapy and Mindfulness techniques, I empower clients to cultivate self-love and find inner peace. Embark on a journey to discover your true self, where calmness and confidence await!
Do you define yourself as a perfectionistic overthinker? With over 20 years of experience, I possess an innate ability to understand perfectionistic overthinkers. I dedicate my work to helping contemplators break free from the cycle of self-doubt and anxiety. Using Cognitive Behavioral Therapy and Mindfulness techniques, I empower clients to cultivate self-love and find inner peace. Embark on a journey to discover your true self, where calmness and confidence await!

Amy Yeskie
Clinical Social Work/Therapist, LCSW
1 Endorsed
Saint Louis, MO 63118
Not accepting new clients
Welcome! Taking the first step in reaching out can be challenging. My goal is to create the kind of environment that feels safe to explore whatever issue is causing you distress. As a social worker, I bring a deep empathy and a strengths-based approach to our sessions, where you are the expert in your own experience. I'm EMDR trained and utilize a variety of clinical interventions like CBT, narrative techniques, Solution Focused Therapy and Motivational interviewing, to help see what fits your needs.
Welcome! Taking the first step in reaching out can be challenging. My goal is to create the kind of environment that feels safe to explore whatever issue is causing you distress. As a social worker, I bring a deep empathy and a strengths-based approach to our sessions, where you are the expert in your own experience. I'm EMDR trained and utilize a variety of clinical interventions like CBT, narrative techniques, Solution Focused Therapy and Motivational interviewing, to help see what fits your needs.

First Choice Counseling Professional Corporation
Counselor, PhD CES, ThD PSY, MAC, MA, LPCCS
1 Endorsed
Saint Louis, MO 63102
I hold two doctorates and am working on a third, one in psychology, one in theology, and four master's degrees, one MA, MAC, MRAS, MDAACS, LCMHC, and LPCCS, making me a highly qualified professional counselor, clinician, and therapist (State-Supervisor for PLPC and NP'S ); I am trained in Eye Movement Desensitization Reprocessing (EMDR). My expertise lies in providing talk therapy to individuals of all ages, including adolescents, adults, seniors, families, and groups. To ensure the best outcomes for my clients, I utilize cognitive-behavioral therapy as a foundational approach. Member of the ACA, APA, NAADAC, and Philanthropist.
I hold two doctorates and am working on a third, one in psychology, one in theology, and four master's degrees, one MA, MAC, MRAS, MDAACS, LCMHC, and LPCCS, making me a highly qualified professional counselor, clinician, and therapist (State-Supervisor for PLPC and NP'S ); I am trained in Eye Movement Desensitization Reprocessing (EMDR). My expertise lies in providing talk therapy to individuals of all ages, including adolescents, adults, seniors, families, and groups. To ensure the best outcomes for my clients, I utilize cognitive-behavioral therapy as a foundational approach. Member of the ACA, APA, NAADAC, and Philanthropist.

My passion in our therapy space together is walking alongside individuals and couples alike on their journey towards wholeness, and to help parents find answers for their child through sound psychological evaluation. I also specialize in counseling couples through infertility - If you are experiencing infertility/reproductive loss, like my wife and I have, I would be honored to hold your story, because your story matters. I also have extensive experience as a certified school psychologist in the public schools. If you are worried about your child, I can provide a psychological evaluation to help you navigate on where to go next.
My passion in our therapy space together is walking alongside individuals and couples alike on their journey towards wholeness, and to help parents find answers for their child through sound psychological evaluation. I also specialize in counseling couples through infertility - If you are experiencing infertility/reproductive loss, like my wife and I have, I would be honored to hold your story, because your story matters. I also have extensive experience as a certified school psychologist in the public schools. If you are worried about your child, I can provide a psychological evaluation to help you navigate on where to go next.

Life has a lot of challenges. I want to help you work through your struggles and find more hope. I offer a safe and supportive environment where together we can process your feelings and frustrations. I think in order to create real, lasting change that you not only have to challenge your thoughts and behaviors, but also address the underlying feelings and emotions that contribute to them. If you are tired of feeling stuck I will work with you to identify and change your unhealthy patterns so that you can move forward.
Life has a lot of challenges. I want to help you work through your struggles and find more hope. I offer a safe and supportive environment where together we can process your feelings and frustrations. I think in order to create real, lasting change that you not only have to challenge your thoughts and behaviors, but also address the underlying feelings and emotions that contribute to them. If you are tired of feeling stuck I will work with you to identify and change your unhealthy patterns so that you can move forward.

Hello, I'm Shanna Brende, and I'm so glad you're here. With over 25 years of experience as a licensed therapist, I've had the privilege of working with individuals facing a wide range of challenges, including depression, anxiety, PTSD, addiction, and more. My journey in the mental health field has been both fulfilling and enlightening, and I am passionate about helping my clients navigate their unique paths to healing and growth.
Hello, I'm Shanna Brende, and I'm so glad you're here. With over 25 years of experience as a licensed therapist, I've had the privilege of working with individuals facing a wide range of challenges, including depression, anxiety, PTSD, addiction, and more. My journey in the mental health field has been both fulfilling and enlightening, and I am passionate about helping my clients navigate their unique paths to healing and growth.

Christine Filonow
Clinical Social Work/Therapist, LCSW
Creve Coeur, MO 63141
Not accepting new clients
My goal is for people to live their life optimally. My objective is help people adjust to and cope with whatever they have to deal with, external or internal, and make the changes they need to feel better. I have experience addressing mild to severe anxiety and depression in adolescents and adults, as well as general stress and life transitions. I hope to help you move forward and regain a more positive outlook. I have served in this field for nearly 20 years and am familiar and comfortable working with a very wide range of life stressors, relationship challenges, and mental health issues. Everyone is welcome.
My goal is for people to live their life optimally. My objective is help people adjust to and cope with whatever they have to deal with, external or internal, and make the changes they need to feel better. I have experience addressing mild to severe anxiety and depression in adolescents and adults, as well as general stress and life transitions. I hope to help you move forward and regain a more positive outlook. I have served in this field for nearly 20 years and am familiar and comfortable working with a very wide range of life stressors, relationship challenges, and mental health issues. Everyone is welcome.

Do you ever feel stuck repeating the same old behaviors you swore you wouldn't ever do again? Or feel stuck playing a role you which not to identify with? If feeling stuck knowing what you want but not being able to achieve resonates with you, I may be a good fit for your needs. Life experiences teach us coping skills, both healthy and unhealthy. My passion is assisting clients rediscover their inner strength and process the unhealthy events in their past. This process is for those who want more out of life than they are currently receiving.
Do you ever feel stuck repeating the same old behaviors you swore you wouldn't ever do again? Or feel stuck playing a role you which not to identify with? If feeling stuck knowing what you want but not being able to achieve resonates with you, I may be a good fit for your needs. Life experiences teach us coping skills, both healthy and unhealthy. My passion is assisting clients rediscover their inner strength and process the unhealthy events in their past. This process is for those who want more out of life than they are currently receiving.

Are you feeling overwhelmed by anxiety, struggling with persistent sadness, or finding it difficult to manage intense emotions? Are you an athlete seeking to unlock your full mental potential and enhance your performance? I offer a safe, supportive, and collaborative space for adults and adolescents to navigate these challenges and cultivate greater emotional well-being and resilience.
As a dedicated counselor, I am passionate about empowering individuals to understand themselves better, develop effective coping strategies, and build fulfilling lives.
Are you feeling overwhelmed by anxiety, struggling with persistent sadness, or finding it difficult to manage intense emotions? Are you an athlete seeking to unlock your full mental potential and enhance your performance? I offer a safe, supportive, and collaborative space for adults and adolescents to navigate these challenges and cultivate greater emotional well-being and resilience.
As a dedicated counselor, I am passionate about empowering individuals to understand themselves better, develop effective coping strategies, and build fulfilling lives.

Healing happens in relationships. That's why building an honest and intentional relationship with my clients is the foundation of my work. It takes courage to open up to someone, so I always meet my clients with warmth and transparency. I am deeply committed to supporting queer clients. I am proud to offer letter writing services to improve accessibility of essential gender-affirming care. I celebrate, honor, and affirm my clients' identities and exploration.
Healing happens in relationships. That's why building an honest and intentional relationship with my clients is the foundation of my work. It takes courage to open up to someone, so I always meet my clients with warmth and transparency. I am deeply committed to supporting queer clients. I am proud to offer letter writing services to improve accessibility of essential gender-affirming care. I celebrate, honor, and affirm my clients' identities and exploration.
See more therapy options for Saint Louis County
How does your Therapist compare?
Number of Therapists in Saint Louis County, MO
2,000+
Average cost per session
$125
Therapists in Saint Louis County, MO who prioritize treating:
92% | Anxiety |
86% | Depression |
70% | Stress |
67% | Relationship Issues |
67% | Trauma and PTSD |
62% | Self Esteem |
61% | Grief |
Average years in practice
11 Years
Top 3 insurances accepted
88% | Aetna |
83% | UnitedHealthcare UHC | UBH |
82% | Cigna and Evernorth |
How Therapists in Saint Louis County, MO see their clients
57% | In Person and Online | |
43% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Saint Louis County?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.