

Find compassionate mental health support in O'Fallon with Headway's network of experienced providers specializing in anxiety and depression using cognitive restructuring, exposure therapy, and interpersonal therapy. Flexible scheduling and virtual options make it easy to prioritize your mental wellness without disrupting your routine.
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 clinically licensed therapist who works with teens and adults. I support clients who are dealing with anxiety, ADHD, depression, emotional regulation, relationship stress, life transitions, and self esteem concerns. I aim to create a space that feels warm, genuine, and safe. I believe therapy does not have to feel intimidating to be effective, and I often use appropriate humor to help clients feel more comfortable while doing meaningful work.
My commitment to you is simple: I will listen carefully, communicate openly, and act with integrity in every interaction. I’ll take the time to understand your unique goals, challenges, and values, and I’ll tailor my approach to meet your needs rather than offering one-size-fits-all solutions. You can expect transparency from me at every step. I’ll explain not only what I recommend, but why I recommend it, so you always feel informed and empowered to make decisions.


Headway helps you find calm with expert-guided support — from finding the right therapist or psychiatrist, to understanding costs, to scheduling with ease.
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