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LGBT therapists in Saint Louis, MO


Top LGBT-friendly therapists and psychiatrists in Saint Louis, MO
Saint Louis residents seeking LGBTQIA-affirming mental healthcare can find open-minded, warm providers on Headway ready to support your journey. With flexible scheduling and over 368 providers across the nation, you'll connect with someone who meets you where you are—often within days.
Hello, I’m Abby Pease, LCSW, QS! As a therapist, I strive to create a safe and welcoming space where clients feel truly seen and supported. I bring warmth, energy, and a touch of humor into my work, helping clients navigate challenges while also reminding them that healing doesn’t always have to be heavy. My goal is to walk alongside you with compassion and clarity as you move toward growth and resilience.
I believe you've been gathering crucial information throughout your life that's needed to feel peace from painful past experiences and to create a fulfilling present life. The ability to access and apply that information is where I can help. Searching for the right therapist can be hard, but the search itself says that you're using your knowledge to take charge of finding the support you need. That's empowerment. Searching also means you believe in the possibility of making changes in your life. I call that hope. Empowerment and hope are all you need to start finding a new way of being.
Everyone has the capacity for growth. Therapy offers a space to process life experiences with someone who will listen with empathy and support as you pursue a life that feels authentic and meaningful.
I am a Licensed Professional Counselor with a Master's degree in Professional Counseling from Grand Canyon University and 18 years of experience in behavioral health and addiction services. Throughout my career, I have worked with individuals facing substance use challenges, mental health concerns, life transitions, and personal struggles that can leave people feeling stuck, overwhelmed, or disconnected from who they want to be.
I specialize in working with adults experiencing addiction, anxiety, depression, self-esteem concerns, men's issues, LGBTQ+ concerns, relationship challenges, trauma, and major life transitions. I am passionate about helping clients discover their strengths, develop healthier coping skills, and create meaningful, lasting change.
I believe that healing happens when people feel accepted, understood, and supported. My goal is to provide a safe, inclusive, and affirming environment where clients can explore their experiences without judgment. No matter how difficult things may feel today, I believe there is hope for growth, healing, and recovery.
I get to know each client individually, so we can work collaboratively to come up with goals that we work toward at your pace, ebbing and flowing as your needs change. My clinical experience has included intensive in-home crisis stabilization therapy, complex trauma treatment, solution-focused brief therapy, and treatment of dual-diagnoses.
I moved to St. Louis, MO from Tampa, FL in 2019 to study Social Work at Washington University, and chose to make a home here with my spouse, child, and pets. I spend most of my leisure time cooking, gardening, reading, hiking, and going on crafting sprees. I also love to travel away from home, in search of grand museums and new foods.
Taking New Clients June 8th!
I am a Licensed Professional Counselor and owner of Horizon Within Counseling. I work with children, teens, adult, couples and families, helping navigate anxiety, stress, trauma, life transitions, and relationship challenges. I offer a warm, collaborative and solution-focused approach , using evidence-based practices including EMDR to help clients feel empowered, build resilience, and move forward with greater purpose and balance.
As an independently licensed professional counselor, counselor educator, and supervisor, I believe that everyone deserves a space where they can feel heard, supported, and accepted. I've been practicing for 15 years and hold a master's degree in Clinical Mental Health Counseling, a doctorate in Counselor Education, and a Fellowship in Thanatology with specialized expertise in grief and loss. As a member of the LGBTQIA+ community and someone with AuDHD, I bring both professional knowledge and lived experience to my work. My goal is to create a warm, affirming environment where you can show up as your authentic self and move toward meaningful change.
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!
About our LGBTQIA+ affirming therapists located within 20 miles of Saint Louis, MO



- 100%LGBTQIA+
- 100%Anxiety
- 100%Depression
- 96%Relationship issues
- 96%Trauma

- 100%Aetna
- 70%Cigna
- 65%Carelon Behavioral Health
- 48%Ascension

- 100%English
- 4%Portuguese

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

- 83%Woman
- 13%Man
- 4%Non-binary

- 52%Licensed Professional Counselor
- 39%Licensed Clinical Social Worker
- 4%Licensed Psychologist
- 4%Licensed Marriage/Family Therapist

- 100%Individual therapy
- 48%Family therapy
- 26%Couples therapy
- 17%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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