Book a therapist or psychiatrist in Columbia, MO covered by Cigna

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.

With a career spanning nearly two decades in child welfare and clinical social work, Laura provides a specialized safe place for youth (ages 3–26) navigating life’s most difficult experiences. Her practice focuses on building inner coping and resilience by enhancing bodily awareness and active curiosity, ensuring that healing isn’t just a cognitive process, but a physical one.

Specialized Clinical Focus:

Childhood Trauma: Expert in childhood sexual abuse, abuse and neglect, grief, bullying, complex medical diagnosis/complications, and all the BAD, SAD, and SCARY things in-between.

Specialized Sexual Behavior Work: Extensive experience facilitating therapy for children and adolescents with inappropriate and illegal sexual behaviors.

Systemic Support: Navigating foster care, adoption, divorce, family and/or sibling dynamics, behavioral struggles, and school avoidance.

You've probably spent a lot of time pushing through — carrying the anxiety, the grief, the stress, or the weight of things you haven't quite said out loud yet. Maybe you've wondered if what you're feeling is "bad enough" to bring to therapy, or whether anyone would really understand your specific situation. It is. And they will. I'm Jenna Miller, a Licensed Clinical Social Worker supporting individuals across diverse backgrounds — offering a space where you can finally feel heard, not just managed.

Partner 1: “I reach for you, but it feels like you’re already gone.” I’m left wondering if I matter to you at all.” Partner 2: “When you come close, I feel the pressure to be perfect, so I pull back to protect us both.” These unspoken messages leave couples lonely and stuck. I help break this anxious–avoidant cycle so partners feel safe, seen, and deeply connected again.

“I don’t understand why I want closeness so badly, yet feel disappointed when I have it. Why do I feel lonelier than others, even when I’m not alone?” Or: “I care deeply, but people say I’m distant or hard to read. When emotions get intense, I shut down—not because I don’t feel, but because it feels like too much.”

These quiet tensions live beneath awareness for many people. Longing and self-protection pull in opposite directions. Needs feel confusing, emotions feel overwhelming or unsafe, and core beliefs quietly form—I’m too much, I’m not enough, connection costs me something.

I help people loosen these patterns, reconcile the Self with more truthful and adaptive beliefs, and move toward self-acceptance and interdependence—where connection no longer threatens safety, but deepens it.

After nine years serving in the U.S. Coast Guard, I realized my deepest fulfillment came not from fixing systems, but from walking with people. Leaving the military was not a departure from service—it was a continuation of it. I pursued social work and theological training to better support people in their most important relationships. Today, my practice is devoted to couples counseling and trauma-informed care. Drawing primarily from Emotionally Focused Therapy (EFT) and EMDR, I help couples slow conflict, understand what drives disconnection, and emotional safety. As a veteran and seminary-trained therapist, I bring structure, compassion, and steady hope—meeting clients with respect, grace, and a belief in lasting change.

My name is Elizabeth Penniston, and I am a Licensed Clinical Social Worker (LCSW) with a degree from Saint Louis University. Throughout my academic journey, I dedicated myself to gaining both theoretical knowledge and practical experience, which led me to complete my practicum and supervision at a respected Domestic Violence organization. This experience has allowed me to work closely with individuals who have faced challenging and complex situations, further enhancing my skills in trauma-informed care, advocacy, and therapeutic support.

I am deeply committed to providing compassionate and effective mental health care, utilizing evidence-based practices, and fostering a safe environment for my clients. My work has instilled in me a profound understanding of the unique needs of those affected by domestic violence and the importance of empowering individuals as they navigate their healing journey.

My name is Bradley Smith, and I’m a therapist who believes that meaningful change begins with feeling understood. I work with individuals who may be struggling with anxiety, depression, stress, life transitions, relationship challenges, and the everyday pressures that can make life feel overwhelming. My goal is to create a space where you feel safe, respected, and heard without judgment.

I know that reaching out for therapy can feel intimidating, especially if you’re not sure where to start. I approach each client with curiosity, empathy, and respect for their unique experiences. Everyone’s story is different, and I believe therapy should reflect that. Together, we’ll work at a pace that feels comfortable while focusing on what matters most to you.

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’m a licensed therapist with a background in Marriage and Family Therapy. I work with individuals, couples and families who are navigating depression, anxiety, relationship challenges, or just feeling stuck. My approach is collaborative, supportive, and grounded in research—I’m here to help you make sense of what you’re going through and find a path forward. Whether you're facing a tough transition or looking to strengthen your emotional well-being, we’ll work together to create meaningful change.

Hi, I'm Debbie Landis, a Licensed Clinical Social Worker with more than sixteen years of clinical practice and over twenty-five years of experience supporting children, families, and adults through life's challenges. I earned my Master of Social Work from the University of Kansas and specialize in working with anxiety, depression, trauma, grief, relationship concerns, and the lasting effects of childhood experiences. I believe meaningful change happens when people feel safe, heard, and accepted. My goal is to provide a supportive space where you can build insight, strengthen resilience, and move toward the life you want.

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.