Book a therapist or psychiatrist in Missouri covered by Cigna

My name is Elizabeth Penniston, and I am a Licensed Clinical Social Worker (LCSW) with a degree from Saint Louis University. Throughout my academic journey, I dedicated myself to gaining both theoretical knowledge and practical experience, which led me to complete my practicum and supervision at a respected Domestic Violence organization. This experience has allowed me to work closely with individuals who have faced challenging and complex situations, further enhancing my skills in trauma-informed care, advocacy, and therapeutic support.

I am deeply committed to providing compassionate and effective mental health care, utilizing evidence-based practices, and fostering a safe environment for my clients. My work has instilled in me a profound understanding of the unique needs of those affected by domestic violence and the importance of empowering individuals as they navigate their healing journey.

I am a therapist and strategic behavioral‐health leader with more than a decade of experience supporting youth, families, and adults navigating complex trauma, transition, and systems involvement. My background spans emergency shelter work, foster‐care transition programs, community‐based counseling, and clinical supervision of multidisciplinary teams.

Clients often describe me as steady, collaborative, and deeply attuned to the stories people carry. I bring a trauma‐informed lens to every interaction, honoring the resilience people develop in the face of adversity. My work is shaped by years of program development, crisis intervention, and advocacy for underserved communities — and by a belief that healing grows in environments where people feel seen, safe, and respected.

Therapy can be a powerful space for support, insight, and meaningful change. With more than 20 years of experience, I work with clients across the lifespan, including those in the "sandwich generation," older adults, caregivers, and people facing serious illness. I help individuals navigate complex family dynamics, work and health stressors, and major life transitions. A central focus of my work is helping clients communicate more effectively in the relationships that matter most-with partners, parents, adult children, and siblings-and break the patterns that keep important conversations stuck.

I came to train and serve as a counselor after being helped by counseling in my 40s. Sometimes reaching out for help and making changes in life is scary and overwhelming. Sometimes we need support as we navigate these changes. I love to support my clients as they make life-giving changes.

I'm a Licensed Professional Counselor with over 20 years of experience, and I came back to this work because it matters. I've spent most of my career sitting with adults navigating trauma, anxiety, addiction, and the kind of stress that builds quietly over time — the kind most people don't talk about until it becomes unavoidable. I practice telehealth only, which means wherever you are in Missouri, you can access consistent, quality care without rearranging your life. I offer morning, afternoon, and evening appointments — including some Saturdays — because I know life doesn't stop at 5 p.m. My approach is direct and practical. I use evidence-based tools, but I adapt them to what actually works for you specifically. I'm not here just to listen — I'm here to help you move.

I am a Christian counselor. I like to watch the Lord transform lives and bring order to the chaos in our lives. I am a grief specialist. I've been helping people walk through grief for almost 15 years. It's not 'goodbye' forever, it's just 'goodbye' for now. There is peace in knowing Jesus and that faith brings comfort in all types of struggle.

With a career spanning nearly two decades in child welfare and clinical social work, Laura provides a specialized safe place for youth (ages 3–26) navigating life’s most difficult experiences. Her practice focuses on building inner coping and resilience by enhancing bodily awareness and active curiosity, ensuring that healing isn’t just a cognitive process, but a physical one.

Specialized Clinical Focus:

Childhood Trauma: Expert in childhood sexual abuse, abuse and neglect, grief, bullying, complex medical diagnosis/complications, and all the BAD, SAD, and SCARY things in-between.

Specialized Sexual Behavior Work: Extensive experience facilitating therapy for children and adolescents with inappropriate and illegal sexual behaviors.

Systemic Support: Navigating foster care, adoption, divorce, family and/or sibling dynamics, behavioral struggles, and school avoidance.

I believe mental health care should feel collaborative, compassionate, and free of judgment. My goal is to create a safe, welcoming space where you feel heard, understood, and supported throughout your treatment journey.

I specialize in women's mental health, including anxiety, depression, pregnancy (antepartum), postpartum mental health, life transitions, and the unique emotional challenges women experience across different stages of life. Whether you're preparing for motherhood, adjusting after delivery, balancing career and family, or navigating everyday stress, I strive to provide personalized, evidence-based care tailored to your goals.

My approach is warm, patient-centered, and collaborative. I take the time to understand your story, educate you about your treatment options, and develop a plan that aligns with your values and lifestyle. I believe the best outcomes happen when patients feel empowered to participate in their care and have a provider they can trust.

Currently accepting clients in WA, VA, GA & MO.

I work with adults and children who feel stuck in anxiety, worry, overthinking, or feeling easily overwhelmed. For adults, this can look like burnout, overanalyzing, and repeating patterns that are hard to break. For adults, this can look like burnout, overanalyzing, and repeating patterns that are hard to break. For children, this often shows up as big emotions, shutdowns, defiance, school struggles, or not being able to explain what’s wrong. I have over 6 years of experience working with youth, including engaging kids ages 5–11 in telehealth (yes, even the ones who don’t want to talk). My style is warm, direct, and down-to-earth.

Currently offering a variety of appointment times, including late evenings and some Saturdays.

It’s exhausting when your own mind feels like a hurdle. Maybe you’re navigating intrusive thoughts that feel impossible to shut off, or you’re struggling to get things done and remember what’s important while your brain feels like it’s constantly misfiring. Perhaps you’re grieving a version of yourself that felt certain, watching the life you planned get derailed by chronic illness or the weight of a diagnosis you didn’t ask for. When your "to-do" list feels like a mountain and your past keeps creeping into your present, it’s easy to feel lost or, worse, dismissed by the people who are supposed to help.