Anxiety and depression therapists and psychiatrists in Missouri

I believe that everyone is worthy of love and belonging and we all have a story to tell. I use my education and background to help you process past trauma, current confusion, and relational dynamics so you can experience true healing and flourishing. If you feel stuck in the same patterns or bogged down by shame, I'm so glad you're here, and I would be honored to walk with you through the darkness to a place of light and life!

I have been practicing for 17 years, primarily seeing adults and senior citizens. I operate from a person-centered, emotionally-focused basis. You are the expert on your life, and my goal is to help you with that. I utilize experiential and psychodramatic techniques.. These methods allow for role plays and visualizations. Such techniques increase your ability to get more deeply in touch with your issues and see situations clearly. When you reenact what happens at home, in the safety of the therapy office, solutions become clear and your voice becomes strong.

I work with adolescents, adults, and couples and specialize in supporting clients facing addiction, anxiety, and depression. My goal is to help people grow through practical tools, self-awareness, and renewed hope.

I bring years of experience using evidence-based therapies to support meaningful change. Whether you’re navigating a major life shift, struggling with motivation, or working through long-standing challenges, I’m here to meet you where you are and walk alongside you as you move forward.

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.

Some things stay buried for years before you are finally ready to look at them. I work with adolescents, adults, and older adults carrying trauma, grief, family conflict, and depression. Some of my clients come to me in the middle of a crisis. Others come because something from the past is quietly running their present. In either case, you deserve a space that is honest and supportive while you do the hard work of becoming more like the version of yourself you want to be.

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.

Hi, I'm Tierra Kinnard, LCSW, and founder of Step by Step Healing Services, LLC. With more than 16 years of experience in the mental health field, I am passionate about helping individuals navigate life's challenges with compassion, understanding, and evidence-based care. I believe healing begins in a space where you feel safe, heard, and accepted exactly as you are. I specialize in treating Obsessive-Compulsive Disorder (OCD), Excoriation (Skin Picking Disorder), Trichotillomania (Hair Pulling Disorder), anxiety, depression, trauma, and grief and loss. Throughout my career, I have had the privilege of supporting individuals from diverse backgrounds, including members of the BIPOC and LGBTQIA+ communities. I understand the profound impact that mental health challenges can have on individuals, families, and relationships, and I am committed to helping clients build resilience, find relief, and create meaningful change.