Couples therapists in Saint Louis, MO

I have 26 years of experience dealing with individuals, couples, families in therapy. We will work together to develop plans that are unique and right for you.

Hello, I’m Abby Pease, LCSW, QS! As a therapist, I strive to create a safe and welcoming space where clients feel truly seen and supported. I bring warmth, energy, and a touch of humor into my work, helping clients navigate challenges while also reminding them that healing doesn’t always have to be heavy. My goal is to walk alongside you with compassion and clarity as you move toward growth and resilience.

I am deeply committed to helping individuals discover meaning and purpose in their lives. With more than four decades of experience as a counselor, I specialize in guiding clients through recovery from addictions, anxiety disorders, and PTSD.

As an Associate Professor in the Online Department of Community Care and Counseling within the School of Behavioral Sciences at Liberty University, I facilitate courses designed to help students and clients rediscover their zest for life and cultivate lasting emotional well-being.

In my private practice, I work extensively with couples, equipping them with practical tools and proven techniques to restore joy, strengthen relational intimacy, and build fulfilling, resilient relationships.

I live in Lynchburg, Virginia, where I remain actively engaged in my community. My areas of specialization include trauma and complex trauma, anxiety, depression, child abuse recovery, and relational intimacy. I am also the author of Joy on the Same Page (2023), which outlines my Relational Intimacy approach.

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I believe that everyone deserves a safe space to feel heard and supported. I pride myself on being a proactive advocate for my clients, ensuring that every strategy we implement is tailored to their unique long-term goals.

Currently accepting clients in WA, VA, GA & MO.

I work with adults and children who feel stuck in anxiety, worry, overthinking, or feeling easily overwhelmed. For adults, this can look like burnout, overanalyzing, and repeating patterns that are hard to break. For adults, this can look like burnout, overanalyzing, and repeating patterns that are hard to break. For children, this often shows up as big emotions, shutdowns, defiance, school struggles, or not being able to explain what’s wrong. I have over 6 years of experience working with youth, including engaging kids ages 5–11 in telehealth (yes, even the ones who don’t want to talk). My style is warm, direct, and down-to-earth.

Currently offering a variety of appointment times, including late evenings and some Saturdays.

If you've spent much of your life feeling misunderstood, overwhelmed, different, or exhausted from trying to fit into expectations that don't feel right for you, therapy can offer a space to better understand yourself and build a life that works for who you truly are. Many of my clients come to therapy feeling stuck in cycles of anxiety, OCD, trauma responses, burnout, self-doubt, or emotional overwhelm. Others are navigating ADHD, identity exploration, chronic illness, LGBTQIA+ experiences, relationship challenges, or life transitions and are looking for a place where they can show up authentically without judgment.

As a Licensed Clinical Social Worker, I work with adolescents and adults from diverse backgrounds, with a special focus on neurodivergent individuals, LGBTQIA+ clients, and those navigating trauma, chronic health concerns, and identity-related challenges. My goal is to help you better understand your experiences, build on your strengths, develop effective coping tools, and create a life that feels more aligned with your values, needs, and sense of self.

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.

I began my career in community mental health in 2010. I completed my Master of Science in Clinical Mental Health Counseling at Evangel University. Prior to becoming a therapist I worked as a nurse for 13 years. This background leads me to take a holistic, whole-person approach to my practice. I work with children, adolescents, and adults and have specialized in treatment of trauma, ADHD, and child-parent conflicts.

I believe that one of the most important aspects of therapy is finding a provider who you truly connect with. This is why it is my goal to make you feel seen, heard and understood as you take these important steps towards personal growth, healing and fulfillment. While I work with a wide range of populations and presenting concerns, my areas of focus include relational trauma, self-esteem, and anxiety.