

Navigate relationship challenges with evidence-based couples therapy through Headway. Saint Louis residents can access providers trained in Gottman Method and Emotionally Focused Therapy, with many offering free consultations and sessions starting as low as $0 with insurance.
H, I'm Dr. Michelle Echols and I'm a Licensed Clinical Social Worker with a Master's and Doctorate in Social Work from the University of Kentucky and more than a decade of experience helping people untangle some of life's most complicated moments — relationship struggles, family tension, substance use, and the rollercoaster that comes with being a teenager.
My sweet spots are teens, couples, and families. I genuinely love this work, and I especially love watching people who felt stuck start to move again.
Clients often describe me as approachable, practical, and easy to talk to. Therapy should be a collaborative process, and I strive to create a space where you feel comfortable being yourself without fear of judgment. My style balances support with practical problem-solving, helping clients gain insight while also developing strategies they can use in everyday life. Above all, I want you to feel heard, understood, and supported as we work toward your goals together.
Hello, and welcome. I’m a Psychiatric Mental Health Nurse Practitioner and Licensed Master Social Worker with experience treating anxiety, depression, trauma, substance use, and other mental health concerns. My approach is collaborative, compassionate, and tailored to each individual. I believe meaningful care starts with feeling heard and understood. I combine medication management with supportive therapy and practical coping strategies to help patients build resilience, improve daily functioning, and create lasting change. My goal is to provide a safe, judgment-free space where we can work together toward your personal goals and wellbeing. Please note: currently this practice is not set up to prescribe controlled substances (ex. benzodiazepines, stimulants, opioids, etc.).


Headway makes it easy to find support for your relationship — from finding the right provider, to understanding costs, to scheduling with ease.
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