Anxiety and depression therapists and psychiatrists in Missouri

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.

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.

Hello, my name is Amanda Grippi. I am a licensed counselor in both Missouri and Illinois. I earned my Master's degree from Southern Illinois University with a focus in community psychology and I have been in practice for over 20 years. In addition to helping people with Anxiety and Depression, I have advanced training in neurodivergence including ADHD and Autism as well as trauma. I also have extensive experience working with members who identify as LGBTQ+.

If you're carrying the weight of depression, anxiety, or a past you haven't been able to fully

process, you don't have to figure it out alone. With more than five years as a Licensed Clinical

Social Worker, I work with adults and seniors who are ready to make sense of what they've been

through and start moving toward the life they want to build.

I have a particular passion for working with people navigating mood disorders like bipolar disorder,

trauma and PTSD, and the kind of emotional challenges men often face but rarely talk about. I also

work with couples who want to strengthen their connection before things fall apart.

I have over 20 years of counseling experience. I enjoy meeting people where they are to assist with life's ups and downs. I specialize in trauma, anxiety, depression, and couples.