"It is a strength and sign of resilience to acknowledge anything that may be interfering with our happiness."

Pearlman & Associates

655 Craig Road
St. Louis, MO 63141

Monday – Saturday
Sunday CLOSED

Trusted Counseling Services in St. Louis, MO

Pearlman & Associates provides confidential, evidence-based therapy for adults, couples, families, and children across the St. Louis metro area. As a trusted mental health clinic in St. Louis, we offer compassionate counseling services built around your unique needs. Convenient appointments are available to fit your schedule.

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Let's Talk About Mental Health | Pearlman & Associates
Let’s Talk About Mental Health

A Safe Space for Emotional Healing & Growth

At Pearlman & Associates, our licensed counselors work with clients of all ages. We offer individual, couples, family, and group therapy for adults, adolescents, and children. As a client-centered counseling practice, our team specializes in helping people navigate anxiety, depression, relationship concerns, school stressors, life transitions, anger management, trauma, and other emotional wellness challenges.
It is a strength and a sign of resilience to acknowledge anything that may be interfering with your well-being. We believe everyone has the capacity to make positive changes that improve the quality of their lives. Our holistic therapy approach in St. Louis focuses on the whole person, exploring thoughts, feelings, and behaviors in a compassionate, non-judgmental environment.
Talking with a St. Louis therapist through our emotional wellness counseling programme will allow you to become more present in your own life, gain deeper self-awareness, and feel more in control of your emotions and decisions.
“It is a strength and sign of resilience to acknowledge anything that may be interfering with our happiness. You have the capacity to make positive changes, we’re here to walk alongside you.”
— Dr. Bryan Pearlman, EdD, LMSW
Our Location

Serving Creve Coeur & the St. Louis Metro Area

Located in Creve Coeur, MO, Pearlman & Associates proudly serves individuals and families throughout the St. Louis metro area, including Chesterfield, Maryland Heights, Clayton, Ballwin, Wildwood, Ladue, and surrounding communities.
Can’t come to our office? Our secure online therapy sessions bring the same quality of behavioral health services St Louis directly to you, wherever you are in Missouri. Telehealth appointments are available Monday through Saturday.
Therapy That Meets You Where You Are

Our Counseling Services at a Leading mental wellness center St Louis

Whether you’re facing anxiety, navigating a relationship challenge, or supporting a child through a difficult time, our compassionate counseling services in St. Louis cover a wide range of needs.
Individual Counseling

Individual Counseling

One-on-one sessions to work through anxiety, depression, stress, life transitions, and personal growth at your own pace.
Couples therapy for relationship support in Creve Coeur, MO | Pearlman & Associates

Couples Counseling

Rebuild communication, trust, and connection. We work with couples at all stages, from newly together to long-term partnerships.
family counseling

Family Counseling

Navigate conflict, parenting challenges, and family dynamics with a neutral, supportive therapist in your corner.
Child Therapy

Child Counseling

Age-appropriate, play-based therapy that helps children process emotions, behaviour challenges, and school-related stress.
Teen counseling in st. louis

Teen & Adolescent Counseling

Teenagers face real pressure. We create a safe space counseling St Louis environment for teens to work through social anxiety, identity, and academic stress.
When Anxiety Starts Controlling Your Life? | Pearlman & Associates

Anxiety & Depression Counseling

Evidence-based techniques including CBT, mindfulness, and more to help you manage anxiety and depression and reclaim your life.
Who Can Benefit from Depression Counseling | Pearlman & Associates

Grief Counseling

Losing someone you love changes everything. Our grief counselors provide compassionate support as you find your way forward.

Trauma & PTSD Counseling

Specialized trauma-informed care using EMDR and other proven approaches to help you process past experiences safely.
Why Choose Pearlman & Associates?

What Makes Our Trusted Mental Health Clinic in St. Louis Different

There are many therapy options in St. Louis. Here’s why families have trusted our mental wellness center St Louis since 2005 and continue to recommend us to their loved ones.

20+

Years Serving St. Louis

5.0 ★

Google Rating

1,000+

Clients Helped

4

Licensed Therapists
Why Choose STL Mental Health
Meet Our Therapists

Licensed Experts You Can Trust

Every therapist on our team holds an active Missouri license and brings years of real-world clinical experience. We don’t just talk about trust, we earn it every session.
Dr. Lena Pearlman, LCSW, St. Louis Mental Health

Dr. Lena Pearlman

LCSW · Licensed Clinical Social Worker
Specializes in trauma, family systems, and adult mental health therapy.
Bryan Pearlman, St. Louis Therapist

Dr. Bryan Pearlman

EdD, LMSW · Licensed Master Social Worker
Expert in teen therapy, anxiety, depression, and career/life coaching.
Rebecca Dougherty, LCSW, C-MHIMP

Rebecca Dougherty,

LCSW, C-MHIMP – Licensed Clinical Social Worker
Specialization in trauma, crisis care, and chronic illness support
Samantha Pearlman, LCSW

Samantha Pearlman

LCSW · Licensed Clinical Social Worker
Specializes in child counseling, adolescent counseling, and school-related stress.
All therapists at Pearlman & Associates are licensed by the State of Missouri and are active members of the National Association of Social Workers (NASW). Our practice has been proudly serving the St. Louis metro area, including Creve Coeur, Chesterfield, Clayton, and Maryland Heights, since 2005.
Trusted by Our Patients

What St. Louis Families Are Saying

5.0 ★

Average Google Rating

47+

Verified Google Reviews

20+

Years Serving St. Louis
Who We Help

You Don't Have to Face This Alone

Our compassionate counseling services in St. Louis are here for you, wherever you are in your journey.
If you have gone through or are going through a painful breakup or divorce.
If you are feeling misunderstood, unheard, or disconnected from the people around you.
If you are at a crossroads in life and need support finding your path forward.
If you have suffered a loss and are navigating grief, bereavement, or a significant life change.
You have just taken your first step toward healing, and we’re here to walk alongside you.

Don’t see your situation listed? Reach out we’re likely able to help.

FAQs

Common Questions, Honest Answers

Starting therapy can feel like a big step. We want to make it as easy as possible, here are the questions we hear most often from new patients.
Do I need a referral for counseling?
No referral is needed. You can book an appointment directly with us.
Appointments are often available within a few days, depending on availability.
Yes. All therapy sessions are private and fully confidential.
Yes, we provide professional counseling for anxiety, depression, and related concerns.
We offer both in-person and secure online counseling sessions.

Ready to Take the First Step?

You don’t have to figure everything out before reaching out. That’s what we’re here for. Book a free consultation today, no pressure, no commitment.
📞 Call 314-942-1147 | Request an Appointment
📞 Call for an Appointment