Obsessive-compulsive disorder therapists & psychiatrists in Farmington, MO

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.

Very empathic, resilient, welcoming and non judgmental.

I care about real connection, steady progress, and creating a space where you can show up as yourself. I’ve spent years helping people sort through heavy thoughts, navigate big life changes, and rebuild a sense of direction. I won't rush you or force you into a mold, I help you understand what matters to you and take the steps to move towards it. I'm happy to be the calm, steady guide who will walk alongside you.

Hi, I'm Tierra Kinnard, LCSW, and the 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 am a Licensed Professional Counselor and Registered Play Therapist. I work with ages 8+ in addictions, depression, anxiety, trauma, self-harm, and suicidal ideations. We all experience unwanted circumstances, emotions, and addictions that are difficult to handle alone. What has been harmed in relationship with others must be healed with relationship. That's where I come in.

For those who cannot use insurance, my self-pay rate is flexible as I provide a sliding fee scale. Please contact me for more information.

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.

I’m Dr. Pearson, and I draw on over 30 years of counseling experience helping individuals, couples, marriages, families, teens, children, and organizations work through life’s challenges. I support clients dealing with depression, anxiety, stress, anger, relationship issues, family conflict, addiction and alcohol concerns, military-related stress, and major life transitions. My background includes working with people across many stages of life, including active-duty military members, veterans, DoD staff, military families, couples preparing for marriage, families under stress, and individuals seeking healthier ways to live at home, at work, and in their relationships. I believe therapy should offer hope, practical support, and a clear path toward healthy change.