Therapists in Saint Louis, MO
You may feel overwhelmed, stuck in your head, disconnected from yourself, or tired of carrying everything alone. As a lesbian counselor, I offer a grounded, affirming space for people navigating identity, relationships, family stress, life transitions, anxiety, self-esteem, trauma, and grief. I also recognize how culture, power, broader systems, and experiences of marginalization can shape what you are facing. You may be looking for therapy that feels real, collaborative, and honest, with room to be yourself, build self-trust, and move toward a life that feels more like you.
You may feel overwhelmed, stuck in your head, disconnected from yourself, or tired of carrying everything alone. As a lesbian counselor, I offer a grounded, affirming space for people navigating identity, relationships, family stress, life transitions, anxiety, self-esteem, trauma, and grief. I also recognize how culture, power, broader systems, and experiences of marginalization can shape what you are facing. You may be looking for therapy that feels real, collaborative, and honest, with room to be yourself, build self-trust, and move toward a life that feels more like you.
To be human is to struggle. Although pulling yourself up by your bootstraps is an admirable and common mindset in our society, this philosophy leaves little room for people to be real and confront their struggles in an authentic way, which leads in time to things like discouragement, burnout, and emotional difficulty. So, instead, I invite you to show up just as you are! You can trust that you’ll be met with safety and compassion as we walk together through whatever you’re facing.
I enjoy working with adults and adolescents concerning anxiety, depression, trauma and PTSD, life transitions, men’s issues, and parenting.
To be human is to struggle. Although pulling yourself up by your bootstraps is an admirable and common mindset in our society, this philosophy leaves little room for people to be real and confront their struggles in an authentic way, which leads in time to things like discouragement, burnout, and emotional difficulty. So, instead, I invite you to show up just as you are! You can trust that you’ll be met with safety and compassion as we walk together through whatever you’re facing.
I enjoy working with adults and adolescents concerning anxiety, depression, trauma and PTSD, life transitions, men’s issues, and parenting.
I work with clients longing for more peace, healthier relationships, and a better understanding of themselves. For over 14 years, in working with individuals, couples, and families, I have seen how closely our emotional well-being is connected to how we relate to ourselves and the people around us. When life gets painful or overwhelming it's easy to find ourselves stuck, unsure of how to make the changes that lead to real growth and healing. My practice is centered on providing a space where clients feel truly seen, supported, and equipped to show up more fully for themselves and those they love.
I work with clients longing for more peace, healthier relationships, and a better understanding of themselves. For over 14 years, in working with individuals, couples, and families, I have seen how closely our emotional well-being is connected to how we relate to ourselves and the people around us. When life gets painful or overwhelming it's easy to find ourselves stuck, unsure of how to make the changes that lead to real growth and healing. My practice is centered on providing a space where clients feel truly seen, supported, and equipped to show up more fully for themselves and those they love.
Life is beautiful but often/sometimes challenging. Some days we feel confident and happy while other days we may feel alone or overwhelmed. The clients I work with are seeking new tools, skills, techniques and interventions to help them feel better, more in control and empowered on a daily basis. I work with adolescents, young adults, adults and elders experiencing life transitions, anxiety, depression, trauma, relationship issues, low self-esteem and more. Everyone deserves to have a safe space, with unconditional support that allows them to be authentically themselves, always.
Life is beautiful but often/sometimes challenging. Some days we feel confident and happy while other days we may feel alone or overwhelmed. The clients I work with are seeking new tools, skills, techniques and interventions to help them feel better, more in control and empowered on a daily basis. I work with adolescents, young adults, adults and elders experiencing life transitions, anxiety, depression, trauma, relationship issues, low self-esteem and more. Everyone deserves to have a safe space, with unconditional support that allows them to be authentically themselves, always.
Leslie is a Licensed Professional Counselor and a graduate of Washington University, where he earned a degree in Psychology and bachelor’s degree in education from Harris Stowe. He specializes in helping individuals cope with anxiety, depression, and trauma-related stress, utilizing Cognitive Behavioral Therapy (CBT) to provide practical, evidence-based strategies for lasting change. Leslie believes that each person’s individuality—their thoughts, ideas, and emotions—shapes who they truly are. He recognizes that seeking validation from others can sometimes contribute to feelings of stress, anxiety, and depression. Through counseling
Leslie is a Licensed Professional Counselor and a graduate of Washington University, where he earned a degree in Psychology and bachelor’s degree in education from Harris Stowe. He specializes in helping individuals cope with anxiety, depression, and trauma-related stress, utilizing Cognitive Behavioral Therapy (CBT) to provide practical, evidence-based strategies for lasting change. Leslie believes that each person’s individuality—their thoughts, ideas, and emotions—shapes who they truly are. He recognizes that seeking validation from others can sometimes contribute to feelings of stress, anxiety, and depression. Through counseling
August 2026- Accepting new clients! Finding a therapist who actually gets it can feel like a full-time job. If you’re queer, trans, nonmonogamous, kinky, questioning, or just not fitting neatly into the boxes the world hands out, you might be used to doing a lot of explaining. You won’t have to do that here.
I specialize in working with queer folks, couples, and people in nontraditional relationships—including poly and nonmonogamous partnerships. I also support clients exploring sexuality, gender identity, and all the messy, meaningful, sometimes confusing parts of being human.
August 2026- Accepting new clients! Finding a therapist who actually gets it can feel like a full-time job. If you’re queer, trans, nonmonogamous, kinky, questioning, or just not fitting neatly into the boxes the world hands out, you might be used to doing a lot of explaining. You won’t have to do that here.
I specialize in working with queer folks, couples, and people in nontraditional relationships—including poly and nonmonogamous partnerships. I also support clients exploring sexuality, gender identity, and all the messy, meaningful, sometimes confusing parts of being human.
Life brings challenges, both big and small, that can feel overwhelming at times. Talking with a professional in a safe, supportive space can help you gain clarity, explore solutions, and take meaningful steps toward your personal goals. I offer counseling for a range of emotional and behavioral concerns, including anxiety, depression, self-esteem, relationship issues, and codependency. My approach is collaborative and personalized, drawing on evidence-based methods such as Cognitive Behavioral Therapy (CBT) to meet the unique needs of each client and family.
Life brings challenges, both big and small, that can feel overwhelming at times. Talking with a professional in a safe, supportive space can help you gain clarity, explore solutions, and take meaningful steps toward your personal goals. I offer counseling for a range of emotional and behavioral concerns, including anxiety, depression, self-esteem, relationship issues, and codependency. My approach is collaborative and personalized, drawing on evidence-based methods such as Cognitive Behavioral Therapy (CBT) to meet the unique needs of each client and family.
Have you found yourself struggling with life stressors such as fertility problems, chronic illness, marital discord, relationship infidelity, or even difficulty making major decisions? If so, therapy is right for you. Are you blissfully happy and seeking pre-marital counseling with a future spouse? If so, therapy is right for you too! These incentives for counseling have one common thread, a desire to pinpoint areas where you are "stuck", guard against potential threats to your relationship harmony, improve your life, improve your relationship, and become the best version of yourself.
Have you found yourself struggling with life stressors such as fertility problems, chronic illness, marital discord, relationship infidelity, or even difficulty making major decisions? If so, therapy is right for you. Are you blissfully happy and seeking pre-marital counseling with a future spouse? If so, therapy is right for you too! These incentives for counseling have one common thread, a desire to pinpoint areas where you are "stuck", guard against potential threats to your relationship harmony, improve your life, improve your relationship, and become the best version of yourself.
Thank you for considering psychotherapy. Here at 828therapeuticsolutions, I am looking forward to helping people become confident in their everyday lives and truly be at peace and live in the moment. We can't worry about tomorrow, while thinking about yesterday. We have to ENJOY today!
Thank you for considering psychotherapy. Here at 828therapeuticsolutions, I am looking forward to helping people become confident in their everyday lives and truly be at peace and live in the moment. We can't worry about tomorrow, while thinking about yesterday. We have to ENJOY today!
I have provided counseling and support for adults, adolescents, and families struggling with personal issues and relationship problems for over 25 years. I believe people are doing the best they can but sometimes need to reach out for help and support. I believe we have a purpose in life and sometimes we need help to find that purpose.
I have provided counseling and support for adults, adolescents, and families struggling with personal issues and relationship problems for over 25 years. I believe people are doing the best they can but sometimes need to reach out for help and support. I believe we have a purpose in life and sometimes we need help to find that purpose.
My name is Katie MacLean & I am the founder and owner of Social Work Saint Louis, LLC.
You shouldn't have to white-knuckle through everyday of your life. Relief is possible. Are you struggling to adjust to something in your life that's causing you stress? Sometimes the remedy can be as easy as talking to someone who really listens.
I specialize in working with adults, older adults, caregivers of those living with a chronic disease, and the adult children of aging parents. Memory loss is a particular interest of mine and I've spent most of my professional life working with those living with Alzheimer's disease and other dementias.
My name is Katie MacLean & I am the founder and owner of Social Work Saint Louis, LLC.
You shouldn't have to white-knuckle through everyday of your life. Relief is possible. Are you struggling to adjust to something in your life that's causing you stress? Sometimes the remedy can be as easy as talking to someone who really listens.
I specialize in working with adults, older adults, caregivers of those living with a chronic disease, and the adult children of aging parents. Memory loss is a particular interest of mine and I've spent most of my professional life working with those living with Alzheimer's disease and other dementias.
Are you seeking a therapist who is committed to providing a safe and affirming environment where your experiences, feelings, and identity are respected and valued? Perhaps you have experienced hardship or traumas and feel stuck in a loop of past memories. Or maybe you are finding it challenging to be effective in your day to day life. If something about this resonates with you, I think we might be a good fit! I hope to provide a comfortable and nonjudgemental environment where you can safely show up as your authentic self to work on treatment goals that fit your current struggles.
Are you seeking a therapist who is committed to providing a safe and affirming environment where your experiences, feelings, and identity are respected and valued? Perhaps you have experienced hardship or traumas and feel stuck in a loop of past memories. Or maybe you are finding it challenging to be effective in your day to day life. If something about this resonates with you, I think we might be a good fit! I hope to provide a comfortable and nonjudgemental environment where you can safely show up as your authentic self to work on treatment goals that fit your current struggles.
I believe we all have the power within ourselves to heal. However, sometimes we get so caught up in the struggle, we lose track of our strengths. Therapy can help you recognize patterns that aren't working for you and reconnect to those strengths, leading to awareness and self-acceptance. I will guide you along that journey, encouraging you to be who you truly are in an empathetic and supportive environment. My office is a judgement-free zone, where you can express yourself honestly in a compassionate setting.
I believe we all have the power within ourselves to heal. However, sometimes we get so caught up in the struggle, we lose track of our strengths. Therapy can help you recognize patterns that aren't working for you and reconnect to those strengths, leading to awareness and self-acceptance. I will guide you along that journey, encouraging you to be who you truly are in an empathetic and supportive environment. My office is a judgement-free zone, where you can express yourself honestly in a compassionate setting.
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
Melissa T Scolaro
Clinical Social Work/Therapist, MSW, LCSW, MA
1 Endorsed
Saint Louis, MO 63117
Waitlist for new clients
When the challenges of life and relationship present you with complex dilemmas and create painful or uncomfortable symptoms, therapy offers an opportunity for healing and long-lasting psychological change.
The power of therapy is in the way it expands your choice in behaviors or ways of seeing others, yourself and your life circumstances.
Through a compassionate journey of self-exploration I will help you work toward a fuller understanding of yourself which will lead to greater choice in how you live, love, work and play.
It is a privilege to join you on your journey of self-discovery and healing.
When the challenges of life and relationship present you with complex dilemmas and create painful or uncomfortable symptoms, therapy offers an opportunity for healing and long-lasting psychological change.
The power of therapy is in the way it expands your choice in behaviors or ways of seeing others, yourself and your life circumstances.
Through a compassionate journey of self-exploration I will help you work toward a fuller understanding of yourself which will lead to greater choice in how you live, love, work and play.
It is a privilege to join you on your journey of self-discovery and healing.
“You can’t go back and change the beginning, but you can start where you are and change the ending” (CS Lewis). Whether we’re working on everyday issues or major challenges, I strive to provide a safe, compassionate, and nonjudgmental space to collaborate with you to reach your goals. No two lives are the same and my approach to therapy is not one size fits all either. I offer practical guidance with empathy, warmth, and sometimes humor. My therapeutic approaches are person-centered and solution-focused and include CBT, REBT, MI, DBT, and ACT.
“You can’t go back and change the beginning, but you can start where you are and change the ending” (CS Lewis). Whether we’re working on everyday issues or major challenges, I strive to provide a safe, compassionate, and nonjudgmental space to collaborate with you to reach your goals. No two lives are the same and my approach to therapy is not one size fits all either. I offer practical guidance with empathy, warmth, and sometimes humor. My therapeutic approaches are person-centered and solution-focused and include CBT, REBT, MI, DBT, and ACT.
Part of being human is the inevitability of encountering difficulty. Most of us accept this quite easily, but it is harder for us to accept *ourselves* while we face that difficulty! So many of our experiences in our families and our culture train us to ignore or get rid of our emotions, so space or compassion for ourselves seem next to impossible. Together and with mutual vulnerability and creativity, my heartfelt wish is to effectively nurture and challenge you, and to help you discover resources within and without to meet your experiences with strength, clarity, and hope.
Part of being human is the inevitability of encountering difficulty. Most of us accept this quite easily, but it is harder for us to accept *ourselves* while we face that difficulty! So many of our experiences in our families and our culture train us to ignore or get rid of our emotions, so space or compassion for ourselves seem next to impossible. Together and with mutual vulnerability and creativity, my heartfelt wish is to effectively nurture and challenge you, and to help you discover resources within and without to meet your experiences with strength, clarity, and hope.
You may be seeking therapy because of behavior changes, challenges with mental or emotional health, relationship conflicts, school or work stress, or major life transitions. You want to better understand your own patterns, explore the systems that shape your life, and identify areas for growth and healing. You are hoping to deepen your self-awareness, or to better understand your child, and to build healthier, more meaningful connections with those around you.
You may be seeking therapy because of behavior changes, challenges with mental or emotional health, relationship conflicts, school or work stress, or major life transitions. You want to better understand your own patterns, explore the systems that shape your life, and identify areas for growth and healing. You are hoping to deepen your self-awareness, or to better understand your child, and to build healthier, more meaningful connections with those around you.
Spark! Counseling Services
Clinical Social Work/Therapist, LCSW
Online Only
Not accepting new clients
You're the person everyone else depends on, but lately it feels like you're running on empty. Maybe anxiety is getting louder, your ADHD makes everyday tasks feel overwhelming, you're burned out from caring for everyone else, or you've lost yourself somewhere along the way. I work with adults navigating anxiety, depression, ADHD, burnout, life transitions, and stress. Many of my clients are healthcare workers, helping professionals, caregivers, and high achievers who are ready to stop just surviving and start feeling like themselves again.
You're the person everyone else depends on, but lately it feels like you're running on empty. Maybe anxiety is getting louder, your ADHD makes everyday tasks feel overwhelming, you're burned out from caring for everyone else, or you've lost yourself somewhere along the way. I work with adults navigating anxiety, depression, ADHD, burnout, life transitions, and stress. Many of my clients are healthcare workers, helping professionals, caregivers, and high achievers who are ready to stop just surviving and start feeling like themselves again.
If you feel stuck, overwhelmed, or disconnected from your body, you’re not alone. I help women who are ready to explore what’s beneath the surface. Whether you're navigating trauma, anxiety, attachment wounds, or simply seeking a deeper connection with yourself, our work together will honor your nervous system and your unique healing journey. We’ll work with your body’s wisdom to help you feel safer, more grounded, and fully alive.
If you feel stuck, overwhelmed, or disconnected from your body, you’re not alone. I help women who are ready to explore what’s beneath the surface. Whether you're navigating trauma, anxiety, attachment wounds, or simply seeking a deeper connection with yourself, our work together will honor your nervous system and your unique healing journey. We’ll work with your body’s wisdom to help you feel safer, more grounded, and fully alive.
See more therapy options for Saint Louis
Nearby Searches for Saint Louis
- Affton
- Brentwood
- Clayton
- Jennings
- Ladue
- Maplewood
- Normandy
- Olivette
- Overland
- Richmond Heights
- University City
- Webster Groves
How does your Therapist compare?
Number of Therapists in Saint Louis, MO
1,000+
Average cost per session
$135
Therapists in Saint Louis, MO who prioritize treating:
| 91% | Anxiety |
| 91% | Social Anxiety |
| 91% | Health Anxiety |
| 91% | Driving Anxiety |
| 83% | Depression |
| 72% | Relationship Issues |
| 70% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
| 84% | Aetna |
| 77% | Cigna and Evernorth |
| 69% | UnitedHealthcare UHC | UBH |
How Therapists in Saint Louis, MO see their clients
| 65% | In Person and Online | |
| 35% | Online Only |
Gender breakdown
| 78% | Female | |
| 19% | Male | |
| 3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Saint Louis?
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.


