Anxiety and depression therapists and psychiatrists in Saint Charles, MO

My name is Vanessa Cox. I'm the Founder and CEO of Extensive Prevention Intervention Counseling Services (EPICS) LLC, a professional counseling practice, and the Founder and Board Secretary of EPICS J. R. Foundation. The driving force behind my lifework has been a personal mission to live with integrity and make a difference in the lives of others. With over 30 years of clinical and administrative experience,

Hello! I am a LCSW specializing in therapy for ADHD & anxiety. I spent the first eight years of my career in diverse and challenging social work roles in a community mental health setting. I have been working as a therapist for the past five years, first as a general practitioner and later as an ADHD specialist within my own practice.

If you're dealing with anxiety that won't let up, a life change that's left you off-balance, or relationship tension that keeps getting in the way — I can help. After 10 years as a school social worker in St. Louis, I know what it looks like when people are overwhelmed, and what it actually takes to move through it. Today I work with adults navigating similar territory: the pressure that builds quietly, the transitions that feel harder than expected, the moments in relationships that leave you stuck. My focus is on making therapy practical, grounded, and worth your time.

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 am a Licensed Marriage and Family Therapist in the states of South Carolina and Missouri, as well as a Licensed Marriage and Family Therapy Supervisor, AAMFT approved. I have loved working with individuals, couples, and families over the past 15 years of practice!