Jessica Sawyer Horne
Jessica Sawyer Horne, MSW, LCSW, LISW-CP, LCAS, CCS, DCSW, ACSW, is a licensed independent clinician with nearly 16-years of experience in the behavioral health field and overall 18-years in the social work/human services field. Mrs. Sawyer Horne has a Master’s Degree of Social Work, with a specialization in Health/Mental Health, from Clark-Atlanta University, of Atlanta, GA. She also has a Bachelor’s Degree in Sociology/Social Welfare from Winston-Salem State University, Winston-Salem, NC. Mrs. Sawyer Horne has worked in different treatment setting to include but not be limited to: outpatient behavioral health, emergency services, inpatient psychiatric services, residential substance use program, integrated care, community based services, etc. The populations she has worked with range from children to geriatrics. Mrs. Sawyer Horne’s theoretical orientation is diverse (eclectic) and individualized, to include but not be limited to: Cognitive-Behavioral Therapy (CBT), Family Systems Therapy, Psycho-dynamic Approaches, Behavioral Based Therapies, Seeking Safety, Psycho-Education, Mindfulness, Solution-Focused, Supportive Psychotherapy, etc. I am honored that you have chosen to work with me. Please know that I value the counseling relationship. I consider this relationship to be one of mutual, sacred trust.
Karen Memhardt
Hi, I am Karen Memhardt, MA, Med, LPC, a Licensed Professional Counselor and Psychological Examiner. I have master’s degrees in Professional counseling, School counseling, and Psychological Examiner and teaching. I have certification in hypnotherapy, EMDR Eye Movement Desensitization Reprocessing, Psychotherapy, Christian counseling, CCTP Treating Complex Trauma. I have been practicing for fourteen years. My goal is to provide a safe supportive environment where clients can explore issues that prevent them from enjoying life to the fullest. Treatment is approached from a holistic spiritual basis to treat the whole family environment. Psychodynamic psychotherapy and educational counseling principals are integrated with various techniques and therapies to discover the cause of the psychological or behavioral disturbance, incorporating modalities of individual, family, and group counseling therapies to relieve stress and anxiety to a level of comfort desired in your family, work or school environment. Working together, we find the internal and external stressors and eliminate them or find ways to make them manageable for a successful life as measured by you. I use psychodynamic psychotherapy, a form of depth psychology, with the primary focus to reveal the unconscious content of your psyche in an effort to alleviate psychic tension. In this way it is similar to psychoanalysis. It also relies on the interpersonal relationship between client and therapist more than other forms of depth psychology. In terms of approach this form of therapy tends to be more eclectic, taking techniques from a variety of sources, rather than relying on a single system of intervention. It is used in individual psychotherapy, group psychotherapy, family therapy, and to understand and work with institutional and organizational contexts. CBT, Cognitive Behavioral and Neo Cognitive behavioral therapy is used to help you reframe thoughts to more effectively manage feelings and behaviors, and to restructure negative thoughts into a positive thought process to improve self-esteem and self-motivation. Brief therapy is used to address a specific issue in eight to ten sessions. I would ask you to participate in your therapy by asking you to do homework in-between sessions. For example I would ask you the following questions to prepare for our first session: Have you been to a counselor before? A counselor can be a useful tool. I would hope we can build a relationship that you would be able to trust in to discuss your feelings, hopes and goals to help you move forward with a new plan for your life. If you can use me as a sounding board, and use me to help you make some important decisions, this will help you have an easier time with all of your life issues. I am here to help you figure out what is best for you moving forward. What we discuss is confidential. What would you like to discuss with me today? What would you say is the main reason you are wanting to talk today? What are your long term goals for your living arrangement, relationships and your career? Do you have any techniques for helping you to relax? How are you feeling today? For a Brief therapy session I would ask you to imagine you go to sleep tonight, and while you are sleeping, a miracle happens so when you wake up tomorrow morning and everything in your life is exactly how you want your life to be, what would it look like?
Alane Roath
As a licensed therapist in Missouri, I bring nearly two decades of compassionate mental health experience to my practice. My approach centers on understanding and supporting individuals through complex life challenges, with specialized expertise in addressing depression, anxiety, relationship dynamics, and trauma recovery. I offer a deeply affirming therapeutic space that honors diverse identities and experiences. My work focuses on supporting individuals navigating social anxiety, panic disorders, mood challenges, sexuality exploration, life transitions, and interpersonal dynamics. I'm particularly committed to creating a supportive environment for those experiencing isolation, communication difficulties, and complex emotional landscapes. My therapeutic style is collaborative, empathetic, and tailored to each individual's unique journey. I draw from evidence-based practices to help clients develop meaningful coping strategies, build emotional resilience, and cultivate authentic personal growth. Whether you're confronting personal transitions, processing past experiences, or seeking deeper self-understanding, I'm dedicated to walking alongside you with genuine care and professional support.
Elva 'Julia' Garafola
As a licensed therapist in TX and MO, I bring over a decade of experience supporting individuals through life's complex challenges. My practice is deeply rooted in understanding the nuanced experiences of diverse clients, with specialized expertise in addressing depression, anxiety, relationship dynamics, and personal growth. I offer a compassionate, holistic approach that honors each individual's unique journey. My therapeutic work spans a wide range of focus areas, including self-love, communication challenges, life transitions, trauma recovery, and personal empowerment. I am particularly committed to supporting clients navigating complex emotional landscapes, from workplace stress to interpersonal dynamics. My approach is collaborative and person-centered, designed to help you develop meaningful insights, build resilience, and create positive change. Whether you're experiencing relationship difficulties, struggling with personal identity, or seeking guidance through significant life transitions, I'm dedicated to providing supportive, affirming care that respects your individual experience and goals.
Novella Keyler
I have been a Licensed Clinical Social Worker (LCSW) in Missouri for over 25 years. I have recently moved to New Mexico but retain my Missouri license. . I have a Masters degree in Psychology (from a Systems perspective) from Southern Illinois University of Edwardsville and a Masters in Social Work from the University of Kansas. I am quite holistic, aware that we are all multi-faceted. I have accumulated a lot of "tools in my toolkit" along the way and work to find the best approaches and strategies for each client. Talking about the problem is only one approach to make changes. I have worked a lot with people who have depression, anxiety, self-esteem issues, and trauma. I also have experience working with people in the LGBTQ+ community. I am compassionate and believe every person has dignity, strengths and value. I love to help people find ways to help them thrive, instead of just survive. I look forward to working with you.
Cynthia Anders
I am licensed in Missouri with 12 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with grief and loss, motivation, self esteem, and confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Wesley Hirst
As you search for just the ” right” counselor, the task may seem overwhelming. ” Will I like them?” ” Will they like me?” ” Will anyone ever understand?” ” Will they really be able to help me?” The list of concerns may seem exhausting. I have over thirty years of experience but I don’t have all the answers. I have never met YOU. I have never heard YOUR hopes and dreams and life story. What I do know from my training, professional experience, and life experience is that counseling works. There is no magic pill to ” fix ” your issues but with honesty, understanding, empathy, and proven methods, we can work together to make positive changes. Probably the most important element in a client/counselor relationship is trust. I want you to feel secure in the knowledge that you are entering a safe place. You will not be judged. I will treat you with compassion, understanding, and respect. I have been a son, brother, husband, father, employee, employer, and friend. I know how complicated life and relationships can be because I’ve been there. In my spare time, I enjoy camping, backpacking, music, biking, and photography. I have frequent visits from wildlife and I’m a pet lover. I have a Master’s degree in Psychology and have extensive training in trauma. substance abuse disorders, marriage counseling, mindfulness, and adolescent behavior disorders. I look forward to meeting you.
Stacey Walsh
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.
Tanesha Walker
As a licensed therapist serving Missouri, I specialize in supporting individuals navigating complex emotional landscapes. My professional approach centers on understanding the unique experiences of diverse communities, with a particular focus on multicultural concerns. I offer compassionate guidance for those struggling with depression, anxiety, stress, grief, and challenges related to self-esteem. My therapeutic practice is rooted in creating a supportive, culturally responsive environment where clients can explore their experiences and develop meaningful strategies for personal growth. Drawing from evidence-based practices, I aim to empower individuals to build resilience, enhance emotional well-being, and cultivate a deeper understanding of themselves. I am committed to providing affirming, culturally sensitive care that honors each person's individual journey and lived experiences. My goal is to walk alongside you with empathy, respect, and genuine support as you work towards healing and personal transformation.
Cynthia Keesee
I am licensed in Missouri with 4 years of professional work experience. I have experience in helping clients with stress, anxiety, trauma, abuse, motivation, self esteem, confidence, & depression. I also have experience working with compassion fatigue. 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.
Kevin Herbert
As a licensed therapist in Missouri, I bring 18 years of dedicated experience supporting individuals through life's complex challenges. My approach is compassionate and holistic, focusing on helping clients navigate stress, anxiety, grief, and significant life transitions. I specialize in addressing a wide range of emotional and psychological experiences, including social anxiety, workplace challenges, relationship difficulties, and personal growth. My therapeutic style emphasizes understanding individual needs, whether you're dealing with midlife transitions, young adult concerns, or seeking to improve self-esteem and communication. My background includes extensive work with diverse populations, including veterans, first responders, and individuals managing chronic health conditions. I'm committed to creating a supportive environment where clients can explore their experiences, develop coping strategies, and work towards meaningful personal transformation. I understand that seeking therapy takes courage, and I'm dedicated to walking alongside you with respect, empathy, and professional guidance as you navigate your unique journey of healing and self-discovery.
Michelle Jones
As a compassionate therapist with extensive experience, I specialize in supporting individuals through complex emotional landscapes. My practice focuses on addressing a wide range of challenges, including depression, anxiety, trauma, life transitions, and interpersonal dynamics. I am deeply committed to creating a supportive, affirming environment where clients can explore their experiences and develop meaningful strategies for personal growth. My therapeutic approach is holistic and person-centered, drawing from evidence-based practices to help clients navigate self-discovery, heal from past experiences, and build resilience. I have particular expertise in working with issues related to social anxiety, life purpose, communication challenges, and personal identity. I strive to provide a non-judgmental, inclusive space that honors each individual's unique journey. Whether you're struggling with workplace stress, relationship dynamics, or personal transformation, I'm dedicated to walking alongside you with empathy, respect, and professional guidance.
Amanda Kirk
As a licensed therapist, I specialize in supporting individuals navigating complex emotional landscapes, with a particular focus on social anxiety, interpersonal challenges, and personal growth. My professional approach centers on creating a compassionate, affirming space where clients can explore their experiences and develop meaningful strategies for emotional well-being. My clinical expertise encompasses helping individuals work through depression, anxiety, and family relationship dynamics. I'm deeply committed to understanding each person's unique journey, offering personalized support that honors their individual strengths and experiences. Through evidence-based therapeutic techniques, I aim to empower clients to develop resilience, self-understanding, and effective coping mechanisms. My practice is grounded in a progressive, inclusive framework that respects diverse identities and experiences. I believe in collaborative therapy where clients are active participants in their healing process, working together to identify goals and create sustainable pathways toward emotional health and personal transformation.
Kevin Stegeman
I provide a supportive, structured space where we work together to understand what’s bringing you in and how to move forward. My goal is for you to feel heard, leave sessions with clarity, and begin making meaningful progress from the start. I specialize in working with adolescents and adults who are navigating anxiety, depression, ADHD, and life transitions. Many of my clients feel stuck, overwhelmed, or frustrated by patterns they haven’t been able to change on their own. They’re often looking for more than just a place to talk. My style is collaborative, client-centered, and goal-oriented. I use evidence-based, skills-focused interventions, with a strong foundation in person centered and DBT-informed strategies. Together, we’ll focus on building emotional regulation, strengthening coping skills, and creating real, sustainable behavior change. I believe everyone has the power to heal within themselves and can benefit from counseling.
*BetterHelp insurance availability, coverage, and cost may vary by state, plan, provider network, therapist availability, and deductible status.
Find a therapist near you in Piedmont, Missouri
Finding a therapist near you in Piedmont, Missouri starts with matching to a licensed professional who fits your needs, schedule, and goals. Missouri is home to people with diverse mental health needs across urban, suburban, and rural communities, which can make it challenging to find care. BetterHelp connects you with a licensed therapist through tailored matching, so you can begin care from home or wherever works for you.
The network includes over 30,000 licensed therapists globally, and over 4 million people have used BetterHelp to find support through online therapy. During matching, 93% of user preferences are met, which helps you connect with a therapist suited to what you are looking for. Whether you are searching for help with anxiety, trauma, affordable or insurance covered therapy, weekend or flexible scheduling, or virtual sessions, you can find a therapist and get started when you are ready.
Why work with a licensed therapist near you?
Working with a licensed therapist near you gives you access to professional mental health support from someone trained to help you understand and manage what you are going through. A licensed therapist can offer evidence-based approaches, a steady space to talk, and guidance tailored to your situation. In Missouri, online therapy can make that care more accessible, since sessions happen from home or wherever you are, without the need to travel to an office. This can help if your schedule is full, if travel is difficult, or if you simply prefer a more discreet setting. You can learn more about what a therapist does on the therapist role page.
Online therapy can be especially helpful for people living across Missouri, where access to in-person mental health care may vary by location.
What concerns can therapists help with?
Therapists can help with a wide range of concerns, including anxiety and stress, depression, trauma and PTSD, self-esteem and identity, people-pleasing and fear of rejection, insomnia and racing thoughts, workplace stress and burnout, substance use, parenting and co-parenting stress, grief and loss, and relationship and family challenges. Therapists on BetterHelp may draw on approaches such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), depending on your needs and goals. You can explore support for specific concerns on pages such as generalized anxiety disorder, major depressive disorder, posttraumatic stress disorder, attention-deficit hyperactivity disorder, and eating disorders.
Please note that therapists on BetterHelp do not provide psychiatric medication management or formal diagnoses.
Online therapy vs. in-person therapy in Missouri
Online therapy and in-person therapy both connect you with a licensed professional, and the main difference is how you meet. In Missouri, online therapy through BetterHelp lets you have sessions by phone, video, or in-app messaging, so you can meet from home or on a schedule that fits your life. In-person therapy takes place at an office and may involve travel and set appointment windows. Online therapy may be more accessible for people with busy schedules, limited transportation, or a preference for a more discreet setting. Both formats can support meaningful progress, so the right choice often comes down to what fits your life.
Finding a therapist that accepts insurance in Missouri
BetterHelp accepts insurance through many major insurance plans. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability, and deductible status. Eligible members' average copay is $23 per session.
You can check your in-network status on the BetterHelp site through the sign up flow. If you prefer to pay without insurance, BetterHelp subscriptions range from $70 to $100 per week, billed as an alternative way to access the same care, and you can use HSA and FSA funds toward the cost. For a full breakdown of how BetterHelp works with insurance plans, see BetterHelp insurance coverage.
How BetterHelp helps you find the right therapist in Missouri
BetterHelp helps you find the right therapist in Missouri through personalized matching that considers your needs, preferences, and goals. After you answer a few questions during the sign up flow, you can be matched with a licensed therapist from a network of over 30,000 professionals, and 93% of user preferences are met during matching. The search and location matching cover common near-me needs, including anxiety, trauma, affordable or sliding-scale support, weekend or flexible scheduling, and virtual sessions. If your first match is not the right fit, you can switch therapists at no extra cost. When you are ready, you can get started and begin the process.
Therapists near you in Missouri
Below, you’ll find licensed therapists authorized to provide online therapy to adults across Missouri, including residents in Piedmont.
Each provider meets state licensing requirements and has experience supporting clients with a wide range of mental health concerns using evidence-based therapeutic approaches.
Please note: Therapists on BetterHelp in Missouri do not provide psychiatric medication management or formal diagnoses.
Frequently asked questions about finding a therapist near me
How much does therapy cost near me?
Therapy costs near you can vary by provider, format, and payment method. With BetterHelp, subscriptions range from $70 to $100 per week, and you can use HSA and FSA funds toward the cost. BetterHelp also accepts insurance through many major insurance plans, and eligible members' average copay is $23 per session. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability, and deductible status.
Does BetterHelp accept insurance?
Yes. BetterHelp accepts insurance through many major insurance plans. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability. Eligible members' average copay is $23 per session. Check your in-network status on the BetterHelp site through the sign up flow. For a full breakdown of how BetterHelp works with insurance plans, see BetterHelp insurance coverage.
Is online therapy effective?
Online therapy can be an effective way to receive licensed mental health care for many common concerns. Research suggests that online therapy may support progress in ways comparable to in-person care for concerns such as anxiety and depression. On BetterHelp, you connect with a licensed therapist who can use evidence-based approaches such as CBT and DBT, and you can meet by phone, video, or in-app messaging.
Do I need a diagnosis to see a therapist?
No, you do not need a diagnosis to see a therapist. Many people begin therapy to work through stress, life changes, relationships, or personal growth without any diagnosis. Please note that therapists on BetterHelp do not provide psychiatric medication management or formal diagnoses. If you are looking for a starting point, personalized matching can connect you with a licensed therapist suited to your goals.
How quickly can I start therapy?
You can often start therapy within 24 to 48 hours of signing up with BetterHelp. After you answer a few questions during the sign up flow, personalized matching connects you with a licensed therapist, and you can schedule your first session once you are matched. This process is designed to help you begin care at your own pace, without a long wait.
Can I switch therapists if it’s not the right fit?
Yes. If you feel your therapist is not the right match, you can request to be matched with another licensed provider at no additional cost. You are able to do so through the BetterHelp user portal and select switch therapists if needed.
Is online therapy discreet?
Online therapy with BetterHelp offers a discreet setting where you can connect with a licensed therapist from the comfort of your home. Sessions take place by phone, video, or in-app messaging, so you can meet without going into an office. Your account and sessions are protected with strong safeguards, and you choose how and where you attend. This can make therapy feel more comfortable for people who prefer a discreet way to get support.
Find a Therapist in Piedmont, Missouri
Ready to begin? BetterHelp can match you with a licensed therapist serving Piedmont and the surrounding MO area. When you are ready to take the next step, get started.