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?
Karen Kavaloski
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.
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.
Toni McClure
I am a Licensed Clinical Social Worker (LCSW), with a family therapy concentration, and Life Coach with over 30 years’ experience who will work with you to reach your goals. I am also a trained crisis counselor, and Employee Assistance Professional. I have proudly offered clinical services to our active military, reserved, and veterans. I have also worked intensively with survivors of domestic violence and sexual assault, with a strong background in trauma recovery. I especially enjoy helping individuals find their internals strengths to solve problems. I specialize in helping individuals gain and maintain a healthy and balanced life: holistic approach. I have worked with clients with a wide range of concerns including and not limited to depression, anxiety, life stress, family issues, trauma, and grief and loss. My approach is strengths-based , cognitive-behavioral, mindfulness, problem-solving, motivational interviewing, and solution-focused therapy, tailored to meet your unique and specific needs/goals. We will work closely together as we embark on your journey to implement your roadmap to success. I listen and genuinely care about you and your concerns. I will help you identify and use your strengths and set personal goals. I will also assist you with finding the skills and tools necessary to rise above obstacles, improve your life, and reach your personal goals. Ultimately to empower you to make the positive changes you are seeking.
Johnnie Ezell
I'm a licensed therapist practicing in Arkansas and Missouri with extensive experience supporting adults through life's most challenging transitions. My work focuses on helping individuals navigate depression, anxiety, stress, grief, and self-esteem concerns, as well as addiction-related struggles and their underlying causes. I specialize in addressing social anxiety, phobias, guilt, shame, and forgiveness work. I'm particularly skilled in supporting clients with mood disorders, midlife transitions, seasonal affective patterns, and process addictions. I also have deep experience working with military veterans and older adults, as well as those navigating codependency and control issues. My approach is grounded in genuine respect for each person's values and worldview. I believe in meeting clients where they are—without judgment—and creating space for honest exploration of what's holding them back. I draw on evidence-based practices tailored to your unique needs and circumstances. Whether you're facing a specific life challenge or seeking deeper self-understanding, I'm here to support your journey toward greater peace and authenticity. I'm honored to walk alongside you in this process.
Vicki Budd-Darby
As a licensed therapist with three decades of experience, I specialize in supporting individuals through complex life challenges. My practice focuses on addressing addiction, relationship dynamics, trauma recovery, and navigating significant life transitions. I offer compassionate, comprehensive support for individuals struggling with grief, isolation, attachment issues, and personal growth. My therapeutic approach is deeply rooted in understanding each person's unique journey, with particular expertise in women's and men's issues, caregiver stress, and healing from past experiences. I create a supportive environment that honors individual experiences and empowers clients to develop healthier coping strategies and deeper self-understanding. I am committed to helping clients work through challenging emotions like guilt, shame, and emptiness, and supporting them as they rebuild connection, self-love, and personal resilience. Whether you're facing addiction, relationship difficulties, or navigating major life changes, I'm dedicated to walking alongside you with empathy and professional guidance.
Steven Forsyth
I began my addictions counseling career six years after entering recovery from alcohol/drug use, on 5/13/1982. My original counseling schooling was in Rational Emotive Therapy, which evolved into Cognitive Behavioral Therapy, and led to my schooling in Narrative Therapy and Transactional Analysis. Most recently, I have become interested in Miller & Rollnick's Motivational Interviewing, Prochaska & Diclemente's Stages of Change model of behavior change, Berg & Miller's Solution-Focused Therapy, Marlatt & Donovan's relapse prevention strategies and techniques, ACT therapy, and Internal Family Systems therapy. My most recent Certification is in Robin Shapiro's Eye Movement and Desensitization Reprocessing-EMDR-, through the EMDRIA International Institute in November of 2021. As a Therapist, I necessarily became conversant in telehealth methodology during the recent COVID-19 pandemic. I approach counseling holistically: I understand individuals as "whole cloth", i.e., as the current product(s) of their total life experiences. I also firmly believe in all-ways maintaining a positively enthusiastic outlook on life and living!
Tracy Wofford
I am licensed in Missouri with over 10 years of professional work experience. I have experience in helping clients with trauma and abuse & coping with life changes. 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!
Lindsey Stewart-Montague
I am licensed in Missouri with 7 years of professional work experience. I have experience in helping clients with stress and anxiety. 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!
Patty Seahlaigh
As a licensed therapist in Missouri, I bring over two decades of compassionate clinical experience supporting individuals through life's complex challenges. My approach is deeply rooted in understanding the nuanced emotional landscapes of human experience, with specialized expertise in addressing depression, anxiety, trauma, and interpersonal dynamics. I am dedicated to creating a supportive, non-judgmental therapeutic environment where clients can explore their inner worlds, develop resilience, and cultivate meaningful personal growth. My practice centers on empowering individuals across diverse backgrounds—from young adults navigating early life transitions to those experiencing midlife challenges. My therapeutic work spans a wide range of focus areas, including relationship difficulties, self-esteem, social anxiety, workplace stress, and healing from past emotional wounds. I am committed to meeting each client exactly where they are, offering personalized guidance that honors their unique journey and inherent strengths. Through evidence-based practices and a trauma-informed lens, I support clients in developing healthier coping strategies, improving communication, and rediscovering their sense of purpose and connection.
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.
Tarrah Oshia
As a licensed therapist in Missouri, I specialize in supporting individuals navigating complex emotional landscapes. My professional approach centers on compassionate, evidence-based care for adults experiencing challenges like depression, anxiety, trauma, and life transitions. I have extensive experience helping clients address communication difficulties, social anxiety, grief, and relationship dynamics. My therapeutic practice focuses on creating a supportive environment where individuals can explore their experiences, develop resilience, and cultivate meaningful personal growth. I work collaboratively with clients across diverse backgrounds, particularly supporting older adults, young professionals, and those managing chronic health conditions. Drawing from comprehensive clinical training, I utilize trauma-informed techniques to help clients build emotional strength, improve interpersonal skills, and develop effective coping strategies. My commitment is to provide empathetic, personalized guidance that honors each individual's unique journey and potential for healing.
Molly Thompson
I'm Molly Thompson, a therapist with extensive experience supporting individuals through life's most challenging moments. Over the years, I've worked with clients navigating stress, anxiety, addiction, and parenting concerns—helping them build resilience and find meaningful pathways forward. My approach is grounded in compassion and collaboration. I specialize in helping clients cultivate self-love, improve communication, and work through feelings of guilt and shame. I believe that healing happens when we create space for honest reflection and growth, and I'm committed to meeting you where you are with respect and understanding. I'm honored to work with clients who value faith-based perspectives in their therapeutic journey, and I integrate that dimension thoughtfully into our work together. I’m equally as honored to work with clients from other faiths or who don’t ascribe to any faith. Whether you're struggling with anxiety, relationship dynamics, parenting challenges, or questions about self-worth, I'm here to support you with genuine care and evidence-based guidance. Taking that first step toward therapy takes courage, and I'm truly grateful you're considering this journey. I look forward to walking alongside you.
*BetterHelp insurance availability, coverage, and cost may vary by state, plan, provider network, therapist availability, and deductible status.
Find a therapist near you in Richland, Missouri
Finding a therapist near you in Richland, 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 Richland.
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 Richland, Missouri
Ready to begin? BetterHelp can match you with a licensed therapist serving Richland and the surrounding MO area. When you are ready to take the next step, get started.