Book a therapist or psychiatrist in O'Fallon, MO covered by Aetna

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.

Dr. Pearson draws on 30+ years of experience to carry out his work in counseling and is an experienced people helper working with individuals, marriages, families, teens and children, and organizations.

I am Andrea Smalls. I have been practicing since 2005 and licensed since 2007. I have a Master of Arts in Counseling and Guidance. I have worked in various settings including intensive outpatient, inpatient, private practice, and telehealth. I have worked with a variety of diagnoses to assist others in stabilizing mental health and regulating emotions.

Hello, I’m a dynamic and solution-focused therapist committed to guiding you toward positive change. I prioritize an energetic and corrective approach to help you tackle challenges effectively. My goal is to create a motivated and supportive space for growth. Together, we’ll focus on practical solutions to enhance your well-being.

I have been working as a clinician and an administrator for over 25 years. After gaining a Master's of Social Work, I worked in community mental health centers in Northern Arizona, Chicago, Missouri and Kansas. I have held roles as a case manager, therapist, clinical supervisor and an administrator overseeing operations of a community mental health center. Throughout my career, I have been fortunate to work at organizations across the country that focus on helping clients achieve wellness and balance in their lives. As a clinician, I am dedicated to providing personalized care to clients, and helping clients move towards wellness through the use of CBT, EMDR and other evidence based practices.

I look forward to meeting you and working with you.

I am curious and validating, providing a nurturing environment to talk openly and honestly about your struggles, strengths, weaknesses, needs, likes, and dislikes. I love helping people explore their unique and particular powers as well as how these powers impact their world and their relationships. As a passionate supporter of those who have been through unjust or otherwise traumatic experiences--including those experiencing discrimination based upon race or gender identity or sexual orientation--I am particularly interested in helping people gain skills for dealing with, and making sense of, the remnants of their pasts.

Having completed Bessel Van der Kolk's Trauma Research Foundation's Certificate in Traumatic Stress Studies in early 2025, I have a strong foundational understanding of the most cutting edge approaches to treating trauma. I am also comfortable using a combination of approaches, including Psychodynamic, Gestalt, and Acceptance and Commitment Therapy. I received an MSW from the University of Pennsylvania, a psychodynamically focused program, after which I completed Bryn Mawr's certificate program in psychodynamic psychotherapy. I have also completed 1 year of Gestalt Therapy training and the Acceptance and Commitment Therapy Immersion Program.

As an LCSW, my training emphasized the role of social environment--from the family to society at large--in how we construct our narratives, enabling me to help you make sense of what in your life is yours to own and what is a product of your environment.

Your mind may be tired, and you don’t know if you can take one more hit. We’re here to make it easier for you because, in our search for wellness, we found the answer: Comprehensive care plans tailored just for you. Let us help bring clarity back into focus so that your path towards recovery is crystal clear! We give you the tools you need to maximize the benefits, including: Your mental and physical health will improve. You’ll feel more confident in your day-to-day life.

When you’re living with trauma, the effects of a brain injury, or facing difficult health or end-of-life realities, it can feel isolating and exhausting.

I help adults navigating PTSD, TBI, grief, anxiety, and end-of-life concerns feel more supported, understood, and emotionally grounded. My goal is to provide a calm space where you don’t have to carry everything alone.

I've been a provider for the Adult Brain Injury Program for many years. If you do not have insurance, please contact me for possible financial assistance for Adjustment Counseling in Missouri through this program.