Book couples therapy, covered by insurance
Couples therapists in Saint Charles, MO


Top couples therapists in Saint Charles, MO
Navigate relationship challenges with compassionate couples counseling in Saint Charles. Our network of 431 providers offers flexible scheduling with availability as soon as next day, using proven approaches like the Gottman Method and Emotionally Focused Therapy. Headway accepts 70+ insurance plans nationwide.
Important note: I don't schedule through Headway contact me for availability.
I am becoming very specialized in relational issues, whether meeting with couples or individuals. As a society, so many are struggling in relationships, connections, and sexuality. I look at these issues largely from a developmental perspective meaning increased self- knowledge can make a huge difference in getting unstuck from negative patterns.
I believe every person deserves to feel heard, understood, and supported. With more than 20 years of experience in the mental health field, I have had the privilege of working with children, adolescents, adults, couples, and families facing a wide range of challenges. I earned my Master's Degree in Community Counseling from Pittsburg State University and am a Licensed Professional Counselor and Missouri Associate Alcohol Drug Counselor II.
Throughout my career, I have worked in juvenile and adult justice systems, drug courts, schools, and community behavioral health settings. These experiences have given me a broad understanding of the many factors that influence emotional well-being and personal growth. I work with concerns including anxiety, depression, ADHD, grief, anger management, substance use, relationship challenges, and adolescent behavioral issues. My goal is to provide a supportive, nonjudgmental environment where clients feel comfortable exploring their concerns and building a healthier, more fulfilling life.
I have over six years of clinical experience working with individuals navigating burnout, anxiety, faith crises, perfectionism, identity questions, depression, sexual concerns, and non-traditional relationships. I co-developed Self-Determined Relationship Therapy to bring together the most effective parts of proven models — EFT, Gottman, IBCT, ACT, IFS, and more — and adapt them to fit you, instead of fitting you to any single model. People are a lot like plants — a shade plant doesn't struggle in direct sunlight because it's broken, but because it's in the wrong conditions.
I'm a licensed marriage and family therapist with additional formal research and supervisory training. I've been in my own dark spots. That's part of why this work matters to me.
I believe therapy works best when it is grounded, compassionate, and practical. Many of the adults and couples I work with are high-achieving on the outside, but internally struggling with burnout, life transitions, or feeling disconnected in their relationships. My goal is to provide a non-judgmental, collaborative space where you feel truly heard and supported.
Professional Background & Education I am a Licensed Professional Counselor (LPC) in Missouri with extensive experience supporting individuals and couples through complex life challenges. In addition to my clinical licensure, I am currently completing my Doctorate in Education (Ed.D.) in Traumatology, with an expected graduation in 2028. My advanced doctoral training deeply informs my approach, allowing me to bring evidence-based, highly practical strategies into our work together.
Who I Serve & Specialty Areas I work exclusively with adults and couples (ages 18+), offering both flexible telehealth sessions across Missouri and in-person appointments in Moberly. My core areas of focus include:
- Adult Neurodivergence: Supporting adults navigating late-diagnosed Autism, ADHD, high-masking burnout, and executive dysfunction.
- Life & Relationship Transitions: Helping individuals and partners navigate divorce recovery, separation, co-parenting challenges, and blended family dynamics.
- Healing & Recovery: Providing trauma-informed care, support for individuals in recovery culture, and faith-informed Christian counseling.
Whether you are looking to unmask and understand your brain, rebuild connection in your relationship, or navigate a difficult major transition, I look forward to walking alongside you.
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!
ADHD is my superpower and I enjoy helping clients make sense of the chaotic mind. If you are constantly overthinking before bed or feeling paralyzed by your daily to-do list, we will work together to break that cycle. I understand past experiences, often unidentified traumas, shape how we show up in present interactions. Life transitions can be difficult, and it is my pleasure to assist you whether you are changing careers, expanding or downsizing in family roles, or just trying to decide what's next. Life stressors are inevitable, but they don't have to be anxiety-filled experiences.
I am Stephen O’Neill, LSCSW, MBA, a licensed clinical social worker with over two decades of experience in behavioral and mental health. I specialize in evidence-based approaches to help clients navigate life’s challenges, improve relationships, and achieve personal growth. I am passionate about whole-person care, integrating mental health, well-being, and practical solutions tailored to each client’s needs. I believe in fostering a safe, supportive, and nonjudgmental space where clients can explore their concerns and develop meaningful change. I will see you, I will hear you, and I will walk alongside you. My approach is grounded in collaboration, empowerment, and respect for each person’s unique journey. In my free time, I enjoy hiking, biking, canoeing, playing video games, tabletop gaming, and cars.
About our couples therapists located within 20 miles of Saint Charles, MO



- 98%Anxiety
- 96%Depression
- 96%Family issues
- 91%Relationship issues
- 89%Stress management

- 100%Aetna
- 81%Cigna
- 79%Carelon Behavioral Health
- 64%Ascension

- 100%English
- 2%Hebrew
- 2%Hindi
- 2%Portuguese
- 2%Spanish

- 96%In-person or online
- 4%In-person only

- 85%Woman
- 15%Man

- 68%Licensed Professional Counselor
- 26%Licensed Clinical Social Worker
- 6%Licensed Marriage/Family Therapist

- 100%Individual therapy
- 70%Couples therapy
- 57%Family therapy
- 28%Child or adolescent therapy
Frequently asked questions


Find the right couples therapist for you
Headway makes it easy to find support for your relationship — from finding the right provider, to understanding costs, to scheduling with ease.
Use left and right arrow keys to switch tabs. Press Shift+Tab to return to the tab list from links in the selected tab.









.jpeg)




























