Grief counselors and therapists in Farmington, MO

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

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.

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.

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.

I came to train and serve as a counselor after being helped by counseling in my 40s. Sometimes reaching out for help and making changes in life is scary and overwhelming. Sometimes we need support as we navigate these changes. I love to support my clients as they make life-giving changes.