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 1,345 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.
Welcome! I’m so glad you’re here. I have several years of experience working with teens and young adults, and I strive to create a space that feels comfortable, supportive, and easy to open up in - where you can truly feel heard and understood. My approach is warm and collaborative, and I’m here to help you build confidence and develop the tools you need to navigate whatever life brings your way.
Board certified in child, adolescent, and adult psychiatry, I bring years of experience helping people manage ADHD, anxiety, and depression across all ages. My background spans a wide range of clinical settings and diverse populations, giving me the flexibility to meet you where you are. I practice telehealth-only medication management, so you can access care from the comfort of home, whatever your schedule looks like.
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.
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.
You can be successful, capable, and still feel like your mind is working against you. Anxiety may have you replaying conversations for hours, ADHD can make everyday responsibilities feel unnecessarily difficult, or obsessive thoughts may leave you questioning things you know shouldn’t need this much attention. You might also be navigating your sexuality, feeling caught between who you are and what your family expects, or noticing depression pulling you away from relationships and things you once enjoyed. I work with adults, teens, couples, and families who want to understand why these patterns keep happening instead of simply learning to tolerate them. You deserve a space where your identity and experiences are understood without judgment. Together, we’ll work toward feeling more comfortable with yourself and more connected to the people who matter to you.
I am curious and validating, providing a nurturing environment to talk openly and honestly about your struggles, strengths, weaknesses, needs, likes, and dislikes. I love helping people explore their unique and particular powers as well as how these powers impact their world and their relationships. As a passionate supporter of those who have been through unjust or otherwise traumatic experiences--including those experiencing discrimination based upon race or gender identity or sexual orientation--I am particularly interested in helping people gain skills for dealing with, and making sense of, the remnants of their pasts.
Having completed Bessel Van der Kolk's Trauma Research Foundation's Certificate in Traumatic Stress Studies in early 2025, I have a strong foundational understanding of the most cutting edge approaches to treating trauma. I am also comfortable using a combination of approaches, including Psychodynamic, Gestalt, and Acceptance and Commitment Therapy. I received an MSW from the University of Pennsylvania, a psychodynamically focused program, after which I completed Bryn Mawr's certificate program in psychodynamic psychotherapy. I have also completed 1 year of Gestalt Therapy training and the Acceptance and Commitment Therapy Immersion Program.
As an LCSW, my training emphasized the role of social environment--from the family to society at large--in how we construct our narratives, enabling me to help you make sense of what in your life is yours to own and what is a product of your environment.
I am drawn to matters of the heart, the deep questions we ask, how we find meaning, move through pain, and become more free. My own healing through relationships, therapy, spirituality, expressive arts, and body movement led me to become a therapist. I completed my MA in Couples and Family Therapy from Seattle University in 2019, opened my private practice in 2021, and have trained in Internal Family Systems Therapy for 6 years. I also bring experience as a yoga instructor, doula trainee, and spiritual seeker.
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.
Hello there! I started my career as a therapist to help people on their journey to their happiest and healthiest selves. I believe in therapy with a purpose and learning new ways to manage emotions. My passion is helping people resolve trauma, anxiety, depression, grief, relationship difficulties and improving your sleep! My style is non judgmental, caring and tailored to each person’s unique strengths and immediate needs. Book a session today and take the first step in getting the life you deserve!
My name is Alicia Smith, and I am a Licensed Clinical Social Worker in Kansas and Missouri.
I specialize in working with youth & young adults who are navigating trauma, chronic stress, and difficult life transitions. Many of the people I work with feel overwhelmed, disconnected, or unsure how to move forward, and my goal is to offer a space where they can feel supported, understood, and empowered
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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