Trauma and PTSD therapists & psychiatrists in St. Louis, MO

I am a therapist and strategic behavioral‐health leader with more than a decade of experience supporting youth, families, and adults navigating complex trauma, transition, and systems involvement. My background spans emergency shelter work, foster‐care transition programs, community‐based counseling, and clinical supervision of multidisciplinary teams.

Clients often describe me as steady, collaborative, and deeply attuned to the stories people carry. I bring a trauma‐informed lens to every interaction, honoring the resilience people develop in the face of adversity. My work is shaped by years of program development, crisis intervention, and advocacy for underserved communities — and by a belief that healing grows in environments where people feel seen, safe, and respected.

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 believe mental health care should feel collaborative, compassionate, and free of judgment. My goal is to create a safe, welcoming space where you feel heard, understood, and supported throughout your treatment journey.

I specialize in women's mental health, including anxiety, depression, pregnancy (antepartum), postpartum mental health, life transitions, and the unique emotional challenges women experience across different stages of life. Whether you're preparing for motherhood, adjusting after delivery, balancing career and family, or navigating everyday stress, I strive to provide personalized, evidence-based care tailored to your goals.

My approach is warm, patient-centered, and collaborative. I take the time to understand your story, educate you about your treatment options, and develop a plan that aligns with your values and lifestyle. I believe the best outcomes happen when patients feel empowered to participate in their care and have a provider they can trust.

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.

I believe everyone has the capacity to grow, heal, and create meaningful change in their lives. I work with adults navigating alcohol and substance abuse, trauma, depression, stress, and relationship challenges in a supportive, nonjudgmental environment where they feel safe being fully themselves.

Many of the clients I support feel emotionally exhausted, overwhelmed by stress, disconnected in relationships, or stuck in unhealthy coping patterns. My goal is to help clients better understand themselves, strengthen emotional resilience, and move toward healthier, more fulfilling lives.