Book LGBT-friendly therapy, covered by insurance
LGBT therapists in O'Fallon, MO


Top LGBT-friendly therapists and psychiatrists in O'Fallon, MO
O'Fallon residents seeking LGBTQIA+ affirming therapy can access 347 providers on Headway who specialize in supporting gender and sexual identity concerns. Sessions are flexible, available as soon as next day, and covered by insurance with copays potentially as low as $0 through our network.
My ideal client is someone ready to make a change that propels them to their next chapter in life. I believe that my clients most value my ability to remain optimistic while keeping a firm grasp on reality. We all want to reach the highest levels of self actualization, but if your anxiety, depression, or ADHD are making it hard to complete daily living tasks that may feel out of reach. My diverse experience helps me accurately empathize with a variety of life issues. I have previously worked as a primary grade teacher, residential eating disorder treatment, and assisting a psychiatrist specializing in ADHD treatment for adults.
Life can feel like too much: too many demands, too many pressures, too little space to
just breathe. Whether you are navigating anxiety, trauma, a big life change, or a
nagging sense that something needs to shift, I am here to help you find your footing. I
bring warmth, humor, and a genuine belief that therapy works best when it feels
human. My background spans schools, community health, substance recovery, and a
psychiatric hospital, so whatever you are carrying, I have likely walked alongside
someone carrying it too. If you are curious about what it would feel like to work
together, let us find out.
I am an empathetic, patient, and inclusive therapist with a passion for helping others that are going through difficult transitions in life and experiencing hardships. My foundation is based on establishing trust and providing a safe and accepting space for open communication to build a strong therapeutic alliance. I collaborate with clients to improve their emotional quality of life, develop their capacity to handle life’s stressors and mental health concerns. My counseling style is diversified, integrating person-centered, psychodynamic, emotionally focused, cognitive-behavioral, and existential therapy into counseling sessions.
I am passionate about helping adults of all ages struggling with mood disorders, anxiety, attention-deficit/hyperactivity disorder, autism spectrum disorder, trauma/post-traumatic stress disorder, obsessive compulsive behaviors. I welcome clients from diverse backgrounds, including neurodivergent and those who identify as a member of the LGBTQIA+ community.
Hi, I'm Tierra Kinnard, LCSW, and founder of Step by Step Healing Services, LLC. With more than 16 years of experience in the mental health field, I am passionate about helping individuals navigate life's challenges with compassion, understanding, and evidence-based care. I believe healing begins in a space where you feel safe, heard, and accepted exactly as you are. I specialize in treating Obsessive-Compulsive Disorder (OCD), Excoriation (Skin Picking Disorder), Trichotillomania (Hair Pulling Disorder), anxiety, depression, trauma, and grief and loss. Throughout my career, I have had the privilege of supporting individuals from diverse backgrounds, including members of the BIPOC and LGBTQIA+ communities. I understand the profound impact that mental health challenges can have on individuals, families, and relationships, and I am committed to helping clients build resilience, find relief, and create meaningful change.
I am a Licensed Clinical Social Worker with experience in both inpatient psychiatric settings and outpatient therapy. I earned both my Bachelor’s and Master’s degrees in Social Work from Missouri State University, where I developed a strong foundation in evidence-based, client-centered care.
My background includes working with individuals across a range of needs, from acute crisis stabilization to ongoing therapeutic support. I have extensive experience helping clients navigate depression, anxiety, ADHD, OCD, self-harm, anger, aggression, and oppositional defiant behaviors. I am also trained in Cognitive Behavioral Therapy (CBT), which I frequently use to help clients better understand the connection between their thoughts, emotions, and behaviors while building practical coping strategies.
About our LGBTQIA+ affirming therapists in O'Fallon, MO



- 100%LGBTQIA+
- 99%Anxiety
- 96%Depression
- 92%Stress management
- 92%Trauma

- 99%Aetna
- 92%Cigna
- 86%Carelon Behavioral Health
- 67%Ascension

- 98%English
- 1%Spanish
- 1%American Sign Language
- 1%Farsi

- 80%Online only
- 20%In-person or online
- 1%In-person only

- 77%Woman
- 20%Man
- 3%Non-binary

- 53%Licensed Professional Counselor
- 39%Licensed Clinical Social Worker
- 4%Licensed Marriage/Family Therapist
- 3%Licensed Psychologist
- 1%Advanced Practice Registered Nurse

- 100%Individual therapy
- 40%Family therapy
- 27%Couples therapy
- 19%Child or adolescent therapy
Frequently asked questions


Find the right LGBTQ-friendly therapy provider for you
Headway makes it easier to connect with affirming therapists who understand your identity — from finding the right therapist, to understanding costs, to scheduling with ease.
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