In Person Therapists in Saint Louis, MO
A good therapy experience can be transformative: it has the power to change one’s patterns of relating, help mend psychic wounds, and discover new ways of being. Transformation like this does not take place overnight. It takes patience and it only happens in the presence of a strong therapeutic relationship. From the very start, one of my main goals is to build that relationship by creating a safe, nonjudgmental space in which you can express thoughts, feelings, dreams, and desires that you may feel unable to share elsewhere. We'll collaborate to gain insight into the roots of your struggles, only then can we find our path forward.
A good therapy experience can be transformative: it has the power to change one’s patterns of relating, help mend psychic wounds, and discover new ways of being. Transformation like this does not take place overnight. It takes patience and it only happens in the presence of a strong therapeutic relationship. From the very start, one of my main goals is to build that relationship by creating a safe, nonjudgmental space in which you can express thoughts, feelings, dreams, and desires that you may feel unable to share elsewhere. We'll collaborate to gain insight into the roots of your struggles, only then can we find our path forward.
Louis, Missouri, and I have immediate openings for in-person or virtual therapy services.
I primarily work with competitive athletes (ages 14+) and teenage girls/young women who are interested in establishing healthy relationships, setting clear boundaries, and improving self-esteem and confidence Young women don't know their worth, and I love helping people to see themselves as worthy of love and respect. As an athlete and marathoner, I also know what it takes to achieve excellence in athletics, and I'm here to help you take your game to the next level.
Louis, Missouri, and I have immediate openings for in-person or virtual therapy services.
I primarily work with competitive athletes (ages 14+) and teenage girls/young women who are interested in establishing healthy relationships, setting clear boundaries, and improving self-esteem and confidence Young women don't know their worth, and I love helping people to see themselves as worthy of love and respect. As an athlete and marathoner, I also know what it takes to achieve excellence in athletics, and I'm here to help you take your game to the next level.
Creative Counseling 4 Kids and Teens
Clinical Social Work/Therapist, MSW, LCSW, RPT
1 Endorsed
Saint Louis, MO 63119
I believe that every child has the right to feel loved, safe and heard. Working in the Counseling/ Social Work profession for 23 years, I have gained great insight in what helps children develop self-acceptance, self-awareness, self-regulation and many more essential qualities. As a Licensed Clinical Social Worker, I engage children in play and art therapy to assist them with having their voices heard.
I believe that every child has the right to feel loved, safe and heard. Working in the Counseling/ Social Work profession for 23 years, I have gained great insight in what helps children develop self-acceptance, self-awareness, self-regulation and many more essential qualities. As a Licensed Clinical Social Worker, I engage children in play and art therapy to assist them with having their voices heard.
I look forward to talking to you, whether in person or by phone.
Confronting life’s problems is a painful process which most folks want to avoid. Unfortunately, avoiding the problems just results in more pain. I believe that learning to radically accept life as it happens helps us to manage and embrace the temporary distress that comes from life’s disappointments. When we learn to tolerate distress, we improve the quality of our lives. Improving our lives means that we exact peace and power during times of celebration and disappointment. It is my goal to validate my client's experiences while providing them the skills needed to fully embrace the peaks and tolerate the valleys of life.
I look forward to talking to you, whether in person or by phone.
Confronting life’s problems is a painful process which most folks want to avoid. Unfortunately, avoiding the problems just results in more pain. I believe that learning to radically accept life as it happens helps us to manage and embrace the temporary distress that comes from life’s disappointments. When we learn to tolerate distress, we improve the quality of our lives. Improving our lives means that we exact peace and power during times of celebration and disappointment. It is my goal to validate my client's experiences while providing them the skills needed to fully embrace the peaks and tolerate the valleys of life.
I have 15 years of experience working with families, couples and adolescents/teenagers who have endured trauma. Many I have helped struggled with self-harm, suicidal thoughts/attempts, anxiety, being bullied, peer pressure and peer conflicts, self-esteem, school performance, and/or school behaviors. I have also worked with many women over the years. Woman I have helped came to me due to weight management issues, grief, divorce, relationship issues/infidelity, finding purpose, the life-change cycle and stress/anxiety related to work/career challenges/changes. I enjoy helping clients find their inner self-confidence and strength.
I have 15 years of experience working with families, couples and adolescents/teenagers who have endured trauma. Many I have helped struggled with self-harm, suicidal thoughts/attempts, anxiety, being bullied, peer pressure and peer conflicts, self-esteem, school performance, and/or school behaviors. I have also worked with many women over the years. Woman I have helped came to me due to weight management issues, grief, divorce, relationship issues/infidelity, finding purpose, the life-change cycle and stress/anxiety related to work/career challenges/changes. I enjoy helping clients find their inner self-confidence and strength.
I offer therapy sessions in-person or virtually through a secure online platform.
Are you a parent with concerns about your child's development, behavior, or mood? Do you have a child with a chronic health condition who could benefit from learning skills to improve coping and adjustment, increase the likelihood of following medical recommendations, or decrease anxiety or pain related to an illness or injury? Do you have concerns about your child's feeding/eating habits, toileting, fears/phobias, or disruptive behavior?
I offer therapy sessions in-person or virtually through a secure online platform.
Are you a parent with concerns about your child's development, behavior, or mood? Do you have a child with a chronic health condition who could benefit from learning skills to improve coping and adjustment, increase the likelihood of following medical recommendations, or decrease anxiety or pain related to an illness or injury? Do you have concerns about your child's feeding/eating habits, toileting, fears/phobias, or disruptive behavior?
I know what it’s like to feel helpless, alone, frustrated, confused, unseen, unheard, and unsupported. Also, I know that it’s possible to transform these experiences into something deeply meaningful. The path to this transformation involves time and intention, and the courage to look deeply at oneself. As we learn to understand and relinquish old patterns, new ways of being give forth new hope and possibility. And not just for ourselves, but for everyone around us. What a wondrous experience!
I know what it’s like to feel helpless, alone, frustrated, confused, unseen, unheard, and unsupported. Also, I know that it’s possible to transform these experiences into something deeply meaningful. The path to this transformation involves time and intention, and the courage to look deeply at oneself. As we learn to understand and relinquish old patterns, new ways of being give forth new hope and possibility. And not just for ourselves, but for everyone around us. What a wondrous experience!
Emotional Change has several therapists to provide In Office and telehealth in 2 MO locations; South County and St.
We are able to offer Telehealth services through-out Missouri. In Office services are in South County and St. Charles.
Emotional Change has several therapists to provide In Office and telehealth in 2 MO locations; South County and St.
We are able to offer Telehealth services through-out Missouri. In Office services are in South County and St. Charles.
Welcome and thank you for your interest in getting to know me. I am a Licensed Clinical Social Worker offering brief and extended therapy to children, adolescents, families, individual adults and groups. I received my Masters of Social Work from Washington University in St. Louis at The George Warren Brown School of Social Work. I am a bilingual clinician speaking both English and Spanish.
Welcome and thank you for your interest in getting to know me. I am a Licensed Clinical Social Worker offering brief and extended therapy to children, adolescents, families, individual adults and groups. I received my Masters of Social Work from Washington University in St. Louis at The George Warren Brown School of Social Work. I am a bilingual clinician speaking both English and Spanish.
Fred has a person-centered approach to care. He believes in diversity, inclusion, and the inherent dignity of all persons including those in the LGBTQ+ and other marginalized communities. His main areas of focus include stress/anxiety, depression, and grief/loss.
In his spare time, Fred enjoys music, dining out, and meditation.
Fred has a person-centered approach to care. He believes in diversity, inclusion, and the inherent dignity of all persons including those in the LGBTQ+ and other marginalized communities. His main areas of focus include stress/anxiety, depression, and grief/loss.
In his spare time, Fred enjoys music, dining out, and meditation.
I offer counseling sessions both virtually and in-person at our offices.
Has your communication as a couple broken down? Maybe emotions like frustration, anxiety, or grief are getting in the way of connecting with your partner or loved ones. You may feel uncertain what more can be done for a marriage you want badly to work. Perhaps singleness has left you feeling lonely, or a confidential space just sounds like a comfort right now.
Wherever you are, I am glad you’re here and hanging on. It’s often a hard thing to need help. It's often harder still to ask for it. If you feel frustrated, stuck, or hopeless in patterns you want to change, I'm here to help.
I offer counseling sessions both virtually and in-person at our offices.
Has your communication as a couple broken down? Maybe emotions like frustration, anxiety, or grief are getting in the way of connecting with your partner or loved ones. You may feel uncertain what more can be done for a marriage you want badly to work. Perhaps singleness has left you feeling lonely, or a confidential space just sounds like a comfort right now.
Wherever you are, I am glad you’re here and hanging on. It’s often a hard thing to need help. It's often harder still to ask for it. If you feel frustrated, stuck, or hopeless in patterns you want to change, I'm here to help.
You can see me in person in my cozy office, complete with comfy couches and plenty of fidgets, or online from your own space.
SHOCKER: Life is messy, but you don’t have to face it alone.
Are you feeling stuck, overwhelmed by worry, or trapped in patterns of self-doubt? Whether you’re a teen navigating social pressures and identity challenges or an adult facing anxiety, depression, or burnout, life can feel unmanageable. You want to feel confident, balanced, and connected, to move through the discomfort instead of being held back by it. You’re ready for support and guidance to uncover the resilience and strength you know is within you. Together, we’ll get clear on your patterns, practice coping strategies that actually work, and build confidence.
You can see me in person in my cozy office, complete with comfy couches and plenty of fidgets, or online from your own space.
SHOCKER: Life is messy, but you don’t have to face it alone.
Are you feeling stuck, overwhelmed by worry, or trapped in patterns of self-doubt? Whether you’re a teen navigating social pressures and identity challenges or an adult facing anxiety, depression, or burnout, life can feel unmanageable. You want to feel confident, balanced, and connected, to move through the discomfort instead of being held back by it. You’re ready for support and guidance to uncover the resilience and strength you know is within you. Together, we’ll get clear on your patterns, practice coping strategies that actually work, and build confidence.
When life has its challenges there is hope. Finding the right therapist during these challenges is important. As your therapist, I will focus on improvement in your relationships, developing personal goals for growth, and finding your own voice.
When life has its challenges there is hope. Finding the right therapist during these challenges is important. As your therapist, I will focus on improvement in your relationships, developing personal goals for growth, and finding your own voice.
Lately you’ve been asking yourself harder questions: Why do I keep feeling this way? Why do I repeat the same patterns, even when I know better? You’ve read, reflected, maybe even been in therapy before, but the same themes keep returning. You sense that something deeper is at play. You’re not looking for a list of strategies or coping skills; you want to understand what’s really behind your struggles and learn how to create meaningful, lasting change.
Lately you’ve been asking yourself harder questions: Why do I keep feeling this way? Why do I repeat the same patterns, even when I know better? You’ve read, reflected, maybe even been in therapy before, but the same themes keep returning. You sense that something deeper is at play. You’re not looking for a list of strategies or coping skills; you want to understand what’s really behind your struggles and learn how to create meaningful, lasting change.
Life is difficult. You can be coasting along, only to wake up and realize joy and excitement feel out of reach. Activities and relationships that once energized you now feel dull or anxiety-inducing. Sleep is elusive—you struggle to fall asleep, wake up exhausted, and feel stuck in an unending cycle. Your relationships may be filled with conflict, insecurity, or disconnection. You may carry shame around issues of sexual integrity, unable to break free despite your best efforts. These struggles can feel isolating, but you don’t have to navigate them alone.
Life is difficult. You can be coasting along, only to wake up and realize joy and excitement feel out of reach. Activities and relationships that once energized you now feel dull or anxiety-inducing. Sleep is elusive—you struggle to fall asleep, wake up exhausted, and feel stuck in an unending cycle. Your relationships may be filled with conflict, insecurity, or disconnection. You may carry shame around issues of sexual integrity, unable to break free despite your best efforts. These struggles can feel isolating, but you don’t have to navigate them alone.
If you are reading this, then chances are you or someone you love is in need of professional counseling. I understand this can be a difficult process and cause significant anxiety. But you are just a simple phone call away. So whether you are struggling with depression or anxiety disorder, marital problems, spiritual abuse or issues of faith, trauma from childhood abuse, or some form of addiction, you have turned to the right place. Together, as a relationship of trust begins, we will identify what you hope counseling will provide and a plan to address that hope.
If you are reading this, then chances are you or someone you love is in need of professional counseling. I understand this can be a difficult process and cause significant anxiety. But you are just a simple phone call away. So whether you are struggling with depression or anxiety disorder, marital problems, spiritual abuse or issues of faith, trauma from childhood abuse, or some form of addiction, you have turned to the right place. Together, as a relationship of trust begins, we will identify what you hope counseling will provide and a plan to address that hope.
David T Koch
Licensed Professional Counselor, MA, LPC
3 Endorsed
Saint Louis, MO 63141
Waitlist for new clients
While I prefer in-person sessions, I also offer online counseling for clients in the state of Missouri through a HIPAA compliant format.
If you are anything like me, you have had a moment in your life when you asked yourself "How can I make the pain stop?" For me, therapy is one option for hurting individuals who want to work through pain to find answers to life's experiences & questions. Ideally, we can clear the wreckage of our past and work to flourish personally and relationally. I have had the privilege & challenge to walk alongside individuals, couples and families working to initiate the road to recovery that is so often littered with significant loss & conflict. If you are thinking of starting therapy & are feeling anxious or hopeless, you are not alone!
While I prefer in-person sessions, I also offer online counseling for clients in the state of Missouri through a HIPAA compliant format.
If you are anything like me, you have had a moment in your life when you asked yourself "How can I make the pain stop?" For me, therapy is one option for hurting individuals who want to work through pain to find answers to life's experiences & questions. Ideally, we can clear the wreckage of our past and work to flourish personally and relationally. I have had the privilege & challenge to walk alongside individuals, couples and families working to initiate the road to recovery that is so often littered with significant loss & conflict. If you are thinking of starting therapy & are feeling anxious or hopeless, you are not alone!
I work with those who are courageously facing pain and trauma in their lives. Perhaps you wonder if you can look at your own experiences. Maybe you fear being overwhelmed if you dare look. You may be thinking anxiety will overwhelm you. It need not be this way. Allow me to journey with you as you explore the questions tugging at you. You need not face them alone. Support is here; it is real. You CAN face these challenges, and you need not face them alone in the silence of your heart. Reach out now for the support you deserve.
I work with those who are courageously facing pain and trauma in their lives. Perhaps you wonder if you can look at your own experiences. Maybe you fear being overwhelmed if you dare look. You may be thinking anxiety will overwhelm you. It need not be this way. Allow me to journey with you as you explore the questions tugging at you. You need not face them alone. Support is here; it is real. You CAN face these challenges, and you need not face them alone in the silence of your heart. Reach out now for the support you deserve.
I believe that therapy is about feeling understood. My job is to give you this feeling in session with me, and to help make it an enduring feature of your life when you are not in the room. I do this by listening, with care and curiosity, to whatever you want to tell me, by pointing out the instances when you get in your own way, and by letting you know that, no matter how great the difficulty you are facing, we can explore it together.
I believe that therapy is about feeling understood. My job is to give you this feeling in session with me, and to help make it an enduring feature of your life when you are not in the room. I do this by listening, with care and curiosity, to whatever you want to tell me, by pointing out the instances when you get in your own way, and by letting you know that, no matter how great the difficulty you are facing, we can explore it together.
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
See more therapy options for Saint Louis
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