Find a therapist in Saint Louis, MO — covered by insurance


Top therapists in Saint Louis, MO accepting new patients
Saint Louis residents deserve accessible mental health care without financial barriers. Headway's network of 1,347 providers serves the Clayton, Central West End, and Downtown areas with talk therapy and medication management. Most patients save 75% on sessions through insurance, with availability within two weeks.
If you feel stuck in toxic relational loops, exhausted by chronic stress, or weighed down by trauma, you don't have to carry it alone. Healing after emotional abuse, narcissistic dynamics, or toxic family systems requires more than standard talk therapy—it takes validation, practical strategy, and real clarity. I work with individuals, married couples, families, and First Responders dealing with issues of shame, depression, anxiety, relational difficulties and sexual brokenness, work/family struggles, anxiety, grief, and spiritual confusion. I am experienced in Christian counseling for those who would like to engage with their faith in counseling. I also specialize in Narcissistic Abuse Recovery.
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.
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.
Hi, I’m Marilynn Minich, LCSW. I’m a licensed clinical social worker with an MSW and experience supporting individuals through anxiety, depression, trauma, relationship concerns, grief, life transitions, and other challenging experiences. My professional background has given me the opportunity to work with people navigating complex emotional and life circumstances, and I bring that experience into my practice with warmth, compassion, and genuine curiosity.
I believe therapy should be a space where you feel safe enough to be honest, understood without judgment, and supported in making meaningful changes. I especially enjoy helping clients better understand themselves, their relationships, and the patterns that may have developed from past experiences.
I believe everyone has the capacity to grow, heal, and create meaningful change in their lives. I work with adults navigating alcohol and substance abuse, trauma, depression, stress, and relationship challenges in a supportive, nonjudgmental environment where they feel safe being fully themselves.
Many of the clients I support feel emotionally exhausted, overwhelmed by stress, disconnected in relationships, or stuck in unhealthy coping patterns. My goal is to help clients better understand themselves, strengthen emotional resilience, and move toward healthier, more fulfilling lives.
My therapy space is warm, inviting, and open which mirrors what you will experience working with me. My approach comes from a curious and compassion space to effectively help make change happen. I am a clinically licensed marriage and family therapist. I have over 5 years experience working with individuals, couples, and families.
Taking the first step toward therapy can feel difficult, but you don’t have to navigate challenging seasons alone. I’m a Licensed Clinical Professional Counselor with over a decade of experience supporting adolescents and adults through anxiety, depression, ADHD, grief and loss, life transitions, and relationship and family concerns.
As a Certified Grief Educator, I have a particular passion for helping people navigate grief and loss. I understand that grief is not linear and that everyone experiences loss differently. Together, we can create a supportive, compassionate space where you can process your emotions, make sense of your experiences, and find ways to move forward while honoring the people and relationships you’ve lost.
My approach is warm, collaborative, and individualized. I use evidence-based strategies, including Cognitive Behavioral Therapy (CBT) and DBT-informed coping skills, along with practical tools you can use in everyday life. We may also focus on emotional regulation, communication, boundaries, coping strategies, and building confidence.
Whether you’re feeling overwhelmed by anxiety or depression, adjusting to a major life transition, working through relationship concerns, or trying to find your way through grief, therapy can provide a place to feel heard, supported, and understood. I would be honored to support you along the way.
I provide warm, high quality mental health care for adults of all ages. My main focus is empowering women and LGBTQ+ adults across the lifespan as they navigate self discovery, relationships, trauma, identity, and major life transitions. Together we will explore what feels confusing, painful, or stuck, and help you move toward greater clarity, self acceptance, and a life that feels more aligned with your values.
My background as a hospital and school nurse, as well as a parent of adult children gives me a holistic view of individuals. Whether we are navigating relationships together, resolving grief, relieving anxiety or other concerns, I use my positive regard to see, hear and understand what my client is saying. I believe each of your sessions unfolds possibilities for healing. I am passionate about helping clients.
Parenting a child with special needs—especially a neurodivergent child—can be both rewarding and challenging. I’m here to support parents and caregivers with warmth, understanding, and practical tools so you can feel more confident and supported in your role.
I currently provide individual therapy to children in a school setting and have spent years working in foster care, adoption, and residential treatment. As a former foster parent and respite provider, I’ve gained a deeper understanding of the unique experiences families navigate while caring for children with special needs. I also started a support group in my community to support caregivers, inspired by both my professional experience and my own parenting journey.
In addition, I have spent years helping employees and volunteers in non-profit fields navigate self-care, compassion fatigue, and responses to burnout.
I am a Licensed Professional Counselor with extensive experience helping adults navigate anxiety, depression, trauma, relationship difficulties, life transitions, and concerns related to alcohol use. I especially enjoy working with clients who may appear capable and successful on the outside but feel overwhelmed, stuck, anxious, or disconnected from themselves.
My style is warm, conversational, nonjudgmental, and straightforward. I believe therapy works best when you feel comfortable being yourself rather than feeling like you have to say the “right” thing in session. My goal is to understand both what you are struggling with and who you are as a person so that therapy feels relevant to your life.
You've been looking for a therapist who will get it. Who won't need you to explain, defend, or translate. Whether you're navigating anxiety, depression, or the particular weight of figuring out who you are in a world that doesn't always make that easy, you deserve a space where all of you is welcome. I'm an LCSW with 8 years in mental health and a proud member and ally of the LGBTQIA+ community. I work with adults dealing with anxiety, depression, identity, and the everyday experience of just being your full self. My goal is to help you build toward where you actually want to be, at a pace that works for you.
About our therapists located within 20 miles of Saint Louis, MO



- 95%Anxiety
- 91%Depression
- 88%Stress management
- 82%Trauma
- 81%Relationship issues

- 99%Aetna
- 80%Cigna
- 66%Carelon Behavioral Health
- 61%Ascension

- 99%English
- 2%Spanish
- 1%Bosnian
- 1%Hindi
- 1%Portuguese

- 95%In-person or online
- 5%In-person only

- 85%Woman
- 14%Man
- 1%Non-binary

- 66%Licensed Professional Counselor
- 29%Licensed Clinical Social Worker
- 4%Licensed Marriage/Family Therapist
- 1%Licensed Psychologist

- 100%Individual therapy
- 34%Family therapy
- 24%Couples therapy
- 22%Child or adolescent therapy
Frequently asked questions


Find the right therapist for you
Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Therapist in Saint Louis
Searching for therapists in Saint Louis starts with knowing what kind of support fits your needs. Some therapists focus on anxiety, depression, trauma, grief, or relationship challenges, while others work with concerns like ADHD, stress, identity, or life transitions. As you compare Saint Louis therapists, look for training and specialties that match what you want to address. A therapist’s bio can also help you understand their approach, such as cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, or trauma-informed care.
Saint Louis has a range of therapy options across areas like Clayton, Central West End, Downtown, and nearby neighborhoods, so it helps to narrow your search by location, appointment format, and schedule. Some people prefer an in-person office that fits their commute, while others choose virtual therapy in St Louis for added flexibility. You can also compare whether a therapist is accepting new patients, offers evening or weekend availability, provides a free phone consultation, or works with the session structure you prefer. Reading profiles before booking can show how a therapist describes their style, communication, and experience with concerns like couples counseling, family stress, or individual care.
Therapy in Saint Louis can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand your expected out-of-pocket expense before you begin. Headway helps you find therapists in Saint Louis who are accepting new patients and offer upfront cost estimates after you enter your insurance details. Nationally, Headway partners with a wide range of insurance plans, and you can confirm coverage for therapists in your area on Headway. You can browse therapists, review bios, compare availability, and book directly when you’re ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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