I have over 16 years of combined therapy experience at the professional level and believe in the profession that I am licensed in which is social work. I believe in a client-centered perspective and derive my approaches from a variety of treatment modalities. Cognitive behavioral is a significant framework that I utilize but I believe that other approaches are also effective as sessions need to be tailored to the unique needs of the individual or clientele being served. I believe in true empathy, truly trying to understand my clients' perspectives and their insight into their lives. Each person I have done therapy with over the years and will be doing therapy with has inherent worth, dignity and I believe in their abilities to improve in areas of self-direction and self-efficacy. Therapy is all about the client who is reading this right now, the therapist is simply a conduit to improve a person's ability to reorganize their life, to improve their internal locus of control, to help a client engage in goal-oriented behavior and be conscientious of the choices one is making in life on a regular basis. Cognitive behavioral methods consider irrational thought paradigms and help to counteract these cognitions or thoughts with more rational, counterbalancing, self-esteem enhancing thoughts and help a person to see the connections between thoughts, feelings, and behavior.

I am a therapist licensed in the State of Missouri as an LCSW ( Licensed Clinical Social Worker). I have been a therapist for approximately 30 years working in various settings including a psychiatric hospital for almost 20 years, private practice and various mental health agencies. My specialties include treating depression, mood disorders, anxiety, phobias, anger, ADHD, relationship and self esteem issues. I have worked with individuals, couples and families. I utilize cognitive behavioral therapy with a systems approach considering structure, boundaries, communication, and various family dynamics. I am non-judgmental is my approach with an emphasis on "seeing" your issues through your eyes. My goal is to demonstrate that I am listening and thinking about your feelings and concerns with an attempt to assist you with healthy options and solutions. I focus on Strengths not weaknesses, and consider it a strength that you sought counseling with a therapist. I believe mental health is as important as physical health and applaud you for seeking to improve your mental health. My entire career has been about mental health and believe I have learned as much from my clients as I have from books. So, here is to learning more about you.

Hello, my name is Karen Kavaloski and I am a LPC in New Mexico, North Carolina and in Missouri. I was originally licensed as a counselor in 2009 while working in Arizona by the State of North Carolina after making a career change from a almost 30 year history in nursing. My passion since I was a young adult was counseling and it took me almost 30 years to achieve my goal of becoming a counselor. I was a Marine wife for almost 30 years and have traveled allot, I have 3 children and 5 grandchildren. My youngest, a son, and one of my grandchildren are severely autistic so I can identify with the stress and struggles some families have with managing special needs within their family. I am also a cancer survivor. I believe we all have an ability to heal the body, mind and soul and I consciously strive daily to be an active participant in my life and support and encourage others to do the same. My education beyond my nursing and counseling includes a Masters in Business Administration and a Doctorate in (Christian) Ministries. I have worked primarily over this past 17 years with trauma and substance abuse in the adult population with about 3 years working with the teenage population in these areas. I also have worked about 5 years total with prison reentry and counseling individuals and families with histories of incarceration in state and federal prison. I believe in working with individuals and families to achieve their highest goals. I believe the client is the expert in his/her own life and I fully encourage one to strive to work towards building a strong foundation within themselves and their families whatever that looks like to them, to that end I use focused solution therapy, internal systems therapy, mindfulness/compassion therapy, cognitive and cognitive behavioral, dialectical therapy, emotional freedom techniques and/or neurolinguistic techniques . I am also the author and publisher self help books under my Sacred Self Workbook Series Outside my therapy practice, I spend my leisure time reading. meditation/praying and gardening. I do light exercise daily.

I am a licensed Professional Counselor, licensed both in Arkansas and Missouri. I am a Licensed Alcohol and Drug Counselor, licensed in Arkansas. I am a Master Addiction Counselor certified on a national level. I have been working with Depression, Anxiety, Addiction issues for over forty years. I work with individuals in a collaborative manner. I use Cognitive Behavioral Therapy and elements of Rational Emotive Behavioral Therapy, Reality Therapy, Acceptance Commitment Therapy to find what works best with each person. My responsibility is to encourage each person to self evaluate their values, beliefs and behaviors in an effort to help them find a path to a more enjoyable life. Each person is different and one size does not fit all. To ask for help takes a great of courage. It is the greatest gift we can give another, is to ask for and receive help. I look forward to working with each person not only for the gift, but for the opportunity to learn a different view of life

I am a counselor with over 13 years of experience working with clients. I started my career working with adults as a career counselor and transitioned to working with adults, teens, and families. I specialize in trauma and adoption issues, depression, anxiety, and career issues. I also specialize in working with families impacted by the criminal justice system. I use a relational approach that is warm and interactive. I will be direct with clients as needed, but I prefer to let them drive sessions and decide which direction to take. I am always open to feedback from clients and encourage you to be honest about what is working or not working for you. I look forward to working with you!

Thank you for checking out my profile, and congratulations on taking the next step improving your quality of life! I am a Licensed Clinical Social Worker in Missouri. I completed by BSW at Missouri Western State University in 2013, my MSW from Park University in 2015, and my clinical supervision in 2020. In my time as a social worker I have worked in foster care, domestic violence, and outpatient mental health. I previously worked as an outpatient therapist 8-5 Monday through Friday, but I noticed something- so do a lot of other people. By providing services through BetterHelp, I can help those who have been left out of traditional therapy due to the struggle of scheduling therapy during work hours. This also applies to those of you who are parents- I am a single mom to two amazing kids... so I know about the work/ parent/ self-care balance. I also spend a lot of time reading, and have probably cried/ laughed/ loved some of your favorite characters and authors, so lets chat about it. Sometimes the way art imitates life can be a great path towards healing. My passion is teaming with individuals to help them identify triggers that are negatively impacting their quality of life, and then identifying and developing skills for managing those triggers. Whether it is trauma, behavioral, or mental health, I believe therapy is a great tool to help bridge the gap between where life is now and where you would like to see life go. I have experience with CBT, Solution Focused Brief Therapy, Acceptance and Commitment Therapy, and Motivational Interviewing, all which showcase themselves in my warm, strengths based approach. I believe therapy is a partnership, and that success is best found when both of us are committed to the goals you identify for yourself! Thank you for considering me as your partner in this journey.

First things first..... You are not "broken". Everyone is worthy of having a joyful, satisfying life but sometimes we need help. It's ok. I would be honored to work with you and help you reconnect with yourself and gain control over your life. I aim to empower individuals and couples to rebuild relationships, improve self esteem, develop positive coping skills, and overcome any challenge life has thrown your way. I believe in counseling. I believe in having a safe place to be yourself and discuss hardships, and thoughts free of judgement. During counseling we will address your specific needs. This is your opportunity to get the help you need and deserve. As a team, we will work together.

My belief and approach to therapy begins with the idea that humans are generally self- correcting. This follows the teaching of both Carl Jung and Milton Erickson. We can get stuck for a variety of reasons and if able to get past that point, it can lead to us moving in a healthier direction. I believe that our value systems are extremely important to finding direction and solutions. I have studied comparative religions and cultures to be able to understand and work with a wide variety of people. I have worked in many different settings with a wide range of cultures and values. Currently my greatest strength is in working with individuals and couples. I started my career by creating and running an outpatient clinic as part of a runaway and homeless youth shelter. I did this for my first 18 years. We provided case management, individual and family therapy to youth and their families. We did this both in the shelter and in the community. My personal approach includes brief family therapy, problem solving therapy, structural and strategic systems theory, hypnotherapy, cognitive behavioral, communication theory and addiction therapies. I trained and supervised paid staff and graduate students. I worked in conjunction with a local university to conduct research which enabled us to improve our working therapy model and process. During this time, I completed 29 hours towards a PH. D in family therapy. I was offered a fellowship with Washington University's Ph. D program. I worked part time for New Life Christian Counseling, an outpatient therapy group, providing professional Christian therapy. I then worked 18 years for managed care helping members utilize their mental health benefits, providing phone therapy and crisis intervention. My other experiences were in outpatient office settings.

I am a Licensed Professional Clinical Counselor in Ohio and California and a Licensed Professional Counselor in Missouri and Arizona with 28 years of experience working in crisis, outpatient and inpatient settings. I have worked with clients from 3 to the 90's with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, anger management, career challenges, existential crisis, and ADHD. I also helped many people with debilitating medical illnesses and chronic pain. I am flexible and available for reality therapy if requested. My therapy style is warm and interactive. I believe in treating everyone with unconditional positive regard. I am respectful, sensitive, and compassionate. My approach combines cognitive-behavioral, humanistic, psychodynamic, mindfulness and rational-emotive therapy. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek a more fulfilling and happier life. You are taking steps towards change and I am here to support and empower you. I look forward to working with you!

I am licensed in Missouri with many years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, trauma and abuse, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

I am licensed in Missouri with 20 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, parenting issues, ADHD & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

As a licensed therapist in Missouri, I specialize in supporting individuals navigating complex emotional landscapes. My approach centers on compassionate, personalized care that honors each person's unique journey. I have extensive experience working with diverse populations, particularly focusing on mental health challenges like depression, anxiety, trauma, and life transitions. My therapeutic practice is deeply committed to creating a safe, affirming space for LGBTQ+ individuals, young adults, and those experiencing workplace stress, relationship difficulties, and personal identity exploration. I draw from evidence-based approaches to help clients develop stronger self-understanding, build resilience, and cultivate meaningful connections. With a trauma-informed and culturally responsive lens, I support clients in addressing challenging experiences such as social anxiety, attachment issues, and self-esteem concerns. My goal is to empower individuals to develop healthier coping strategies, embrace self-compassion, and move toward more fulfilling lives.

I am licensed in Missouri with 7 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, motivation, self esteem, and confidence, & bipolar disorder. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

I’m a licensed therapist in Missouri with 4 years of professional experience, and my passion lies in helping individuals navigate life’s toughest challenges. Whether you’re facing relationship struggles, family conflict, trauma, abuse, or overwhelming stress and anxiety—I’m here to walk alongside you with empathy, insight, and unwavering support. I believe every person’s story is unique, and so is the path to healing. Together, we’ll create a personalized plan that reflects your goals, your pace, and your voice. My approach is rooted in respect, compassion, and a deep commitment to helping you feel heard, seen, and empowered. Taking that first step into therapy isn’t easy—it takes real courage. But you’ve already taken it just by being here. I’m proud of you for showing up for yourself, and I’m honored to be part of your journey. Find me on these social media platforms Instagram | @Guytherapist Linkedin | Marquise Middleton