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.
Barbara Fotsch
Hello. My name is Barb. I moved to southern California to be near my son, after living in St. Louis Missouri all of my life. I have always enjoyed my work with people and strongly believe we move forward when ready. My approach is mostly cognitive, psycho-educational, and supportive. I am rather casual & like to use humor when appropriate, as a tool, to help make the sessions comfortable. I believe no "one size fits all" in the therapeutic relationship; if something isn't working, we can back it up and try something different. I try to pay attention to a client's energy and offer techniques best suited; for example, some clients want more guidance, others more autonomy. My job is to "listen" and identify helpful movement toward understanding, growth, and healing. I check my emails 2x a day and will respond w/in 24 hours.
Justin Mann
As a licensed clinical therapist, my focus on developing and nurturing relationships with my clients, to help them reach their goals. My approach is to treat the whole person, which includes a holistic approach with the understanding that oftentimes mental health difficulties co-occur simultaneously and impact one another. I specialize in helping people overcome their struggles with depression, anxiety, couples counseling, family therapy, substance use and trauma. My training and approach include Evidence-Based Practices designed to help people change the way they think, which can effectively change the world around them. These techniques combined with a strong sense of empathy and a strengths-based approach have allowed me to help my clients realize their full potential. I have a Master’s degree in Social work from Saint Louis University, where I graduated as part of the Phi Alpha Honor Society. I am fully licensed as a Clinical Social Worker, and possess Co-Occurring Disorders and Medication Assisted Recovery certifications. I enjoy playing music and spending my time with my wife and two sons.
Lexie Avery
I am licensed in Missouri with 20 years of professional work experience. I have experience in helping clients with stress, anxiety, coping with addictions, motivation, self esteem, confidence, & bipolar disorder. I also have experience working with 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.
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.
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.
Jessica Erickson
I am a mental health counselor licensed in the state of Missouri with five years of experience working as a counselor. I have experience working with concerns such as anxiety, depression, PTSD, ADHD, personality disorders, and trauma history. I have worked with a range of ages, from as young as 4 to individuals in their 70’s. When working with a client, I am warm and understanding and also enjoy using humor when appropriate. I believe everyone deserves to be seen as the expert in their own story. My approach to therapy is a combination of cognitive behavioral, dialectical behavioral, and person-centered therapy. Therapy sessions and treatment plans will be individualized to meet your specific needs. I look forward to meeting you and supporting your journey in an understanding, empathetic way.
Lori Justice
I am licensed in Kansas with 12 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, 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. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
Michael Perkins
Over two decades psychotherapy experience. Licensed Clinical Social Worker. Primarily Cognitive Behavior Therapy and Mindfulness Based Stress Reduction. Both strongly evidenced based. Addressing anxiety, depression, complex life transitions, and relationship challenges. I have experience with adults of all ages, teens, and Veterans (former Army Medic and Navy Corpsman) professionals, and individuals with transitions.
Santresda Johnson
I am licensed in Missouri with 4 years of professional work experience. I have experience in helping clients with stress, anxiety, relationship issues, trauma, abuse, motivation, self esteem, & confidence. I also have experience working with depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. 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.
Christopher "Chris" Noll
As a licensed therapist in Missouri, I specialize in supporting individuals navigating complex emotional landscapes. My practice centers on helping clients address challenges like self-esteem, grief, career transitions, and life changes. I offer compassionate guidance for those experiencing social anxiety, isolation, guilt, and shame, with a deep commitment to supporting personal growth and self-discovery. My therapeutic approach is grounded in understanding each person's unique journey. I work collaboratively to help clients develop resilience, explore life purpose, and cultivate meaningful strategies for emotional well-being. Whether you're struggling with midlife transitions, caregiver stress, or seasonal emotional shifts, I'm dedicated to creating a supportive, non-judgmental space for healing and transformation.
Tiffany Jackson
I am a Licensed Clinical Social Worker in Missouri with 19 years of professional experience helping individuals navigate life's challenges and transitions. Whether you are dealing with stress, relationship concerns, family dynamics, workplace issues, or significant life changes, I provide a supportive and nonjudgmental space where you can explore your thoughts, feelings, and goals. Life can present unexpected challenges, and seeking support is a sign of strength, not weakness. Taking the first step toward therapy often requires courage, and I commend you for considering.
Sara Gooding
Reaching out for therapy is a courageous first step, and I'm glad you're here. Whether you're feeling overwhelmed by anxiety, navigating a difficult life transition, struggling with depression, or simply feeling stuck, you don't have to face it alone. As a Licensed Clinical Social Worker (LCSW) with over 10 years of experience, I've had the privilege of helping children, adolescents, adults, and families through some of life's most challenging moments. My background includes crisis intervention, school-based mental health, and case management, giving me experience supporting people with a wide range of emotional and behavioral concerns. I believe therapy is most effective when you feel comfortable, respected, and truly heard. My approach is compassionate, collaborative, and nonjudgmental. I strive to create a safe space where you can openly share your experiences, gain insight into patterns that may be holding you back, and develop practical tools to help you move forward. I work with clients experiencing: Anxiety and excessive worry Depression and low mood Stress and burnout Life transitions and adjustment challenges Self-esteem and confidence concerns Relationship and family issues Emotional regulation Grief and loss Trauma and difficult life experiences Every person has a unique story, and there is no one-size-fits-all approach to healing. Together, we'll develop a treatment plan that fits your goals, builds on your strengths, and helps you create lasting, meaningful change. My goal is for you to leave each session feeling supported, understood, and equipped with tools you can use in everyday life. If you're ready to begin your journey toward healing and growth, I would be honored to work with 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 Strafford, Missouri
Finding a therapist near you in Strafford, 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 Strafford.
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 Strafford, Missouri
Ready to begin? BetterHelp can match you with a licensed therapist serving Strafford and the surrounding MO area. When you are ready to take the next step, get started.