"It is a strength and sign of resilience to acknowledge anything that may be interfering with our happiness."
Pearlman & Associates provides confidential, evidence-based therapy for adults, couples, families, and children across the St. Louis metro area. Convenient appointments available.
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At Pearlman & Associates, our counselor work with patients of all ages. We offer individual; couples; family and group therapy for adults, adolescents, and children. Our team of therapists and counselors specializes in stress management, anxiety, depression, family concerns, relationship issues, school stressors, life transitions, anger management, and other mental health-related issues.
It is a strength and sign of resilience to acknowledge anything that may be interfering with our happiness. We all have the capacity to make positive changes that improve the quality of our lives. The process requires an openness to examining habitual patterns of thought, feeling, and behavior that, while once adaptive, may now be limiting growth, hindering relationships, and causing anxiety or depression.
Talking with a St. Louis therapist will allow you to be more present in your own life, to become insightful about your needs, wants, behaviors and emotions.
Located in Creve Coeur, MO, Pearlman & Associates proudly serves individuals and families throughout the St. Louis metro area, including Chesterfield, Maryland Heights, Clayton, and surrounding communities.
A number of benefits are available from participating in psychotherapy. Often it is helpful just to know that someone understands. St louis counseling can provide a fresh perspective on a difficult problem or point you in the direction of a solution. Many people find therapy to be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, and the hassles of daily life.
Our first priority is to create an environment of safety and trust so you can overcome, heal, and grow.
As we work together, we will explore your past and present identifying patterns and their roots while finding new, more adaptive ways of thinking and coping. You will process and experience your feelings in a safe environment so that they do not hold you back any longer.
You will have more understanding of yourself and your emotions. Your confidence, your relationships, and your life will improve.
If you have gone through or are going through a painful break up.
If you are feeling misunderstood.
If you are at a crossroads.
If you have suffered a loss and are grieving.
You have just taken the first step in healing and improving your life.
Posted on Yoanna GarciaTrustindex verifies that the original source of the review is Google. I love this practice! Dr. Bryan is very professional and provides an approach that has helped me make an enormous progress in my journey. Working with him has enabled me to see things from a different and very compassionate view. Extremely happy to have found this practice! They work around my crazy schedule and provide the best customer service in the area!!Posted on AmandaTrustindex verifies that the original source of the review is Google. Dr. Bryan Pearlman is a caring professional. He takes the time to listen and provide tools and resources to guide coach and motivate. He is relatable, personable and easy to talk to. He has helped me navigate challenges in personal relationships with family and friends, overcome anxiety in the workplace and gain confidence to grow professionally. Dr. Bryan also find every opportunity to give back to the St. Louis community. With his positive mindset and ability to coach and motivate, Dr. Bryan is an excellent resource for families, adolescents, adults and schools.Posted on Brendan KearneyTrustindex verifies that the original source of the review is Google. I can’t speak highly enough of Pearlman & Associates! Their quality of care, level of responsiveness, and personal touch have made all the difference. Our family is forever grateful!Posted on Lara VitielloTrustindex verifies that the original source of the review is Google. Dr. Bryan Pearlman has been a wonderful counselor, life coach and mentor to my son throughout his teen years and his transition to adulthood and the 'real world'. He has also helped our family navigate difficult behaviors, tricky family dynamics, school issues and much more. I highly recommend Bryan and the team at Pearlman & Associates.Posted on Carol McCorkleTrustindex verifies that the original source of the review is Google. I highly recommend Pearlman & Associates for therapy services. Their therapists are skilled in dealing with anxiety, school stressors, and life transitions. They offer a safe and supportive environment for teens during what can be a tumultuous life stage.Posted on Callie WeberTrustindex verifies that the original source of the review is Google. Such a wonderful team! I saw Bryan after losing my father and now just visit for check ins or when life hits too hard. Very compassionate beyond just mental health and truly out to give you the tools to successfully handle adversity. Couldn’t recommend him enough!Posted on Ashley HigginbothamTrustindex verifies that the original source of the review is Google. We are incredibly grateful for the support from Dr. Bryan Pearlman. He has been a steady, compassionate presence for our daughter throughout high school, offering consistent encouragement and helping her develop skills to navigate relationships in healthy and effective ways. In addition to his therapeutic work, he has been exceptionally helpful with written documentation for school accommodations, including IEPs and 504s. His thoroughness, clarity, and advocacy made a meaningful difference in ensuring our daughter received the support she needed academically. He brings a thoughtful, respectful approach to both students and families, and it’s clear he genuinely cares about the well-being and growth of the people he works with. We highly recommend him to any family looking for knowledgeable, supportive, and trustworthy care.Posted on A. MartinTrustindex verifies that the original source of the review is Google. Dr. Bryan Pearlman is phenomenal. He has helped me navigate both my mental health and my career in a way that has made a real difference in my life. He is thoughtful, encouraging, and has a great sense of humor that makes hard conversations feel much easier. If you’re looking for therapy, career coaching, or just someone who really listens, Bryan is your guy.Posted on Rachel CoxTrustindex verifies that the original source of the review is Google. I’ve been seeing Bryan Pearlman for almost 10 years, and he’s helped me immensely in so many areas of my life — from family and work to personal goals and self-reflection. Over time, I’ve gained a much better understanding of myself and the situations around me, which has helped me respond more thoughtfully and handle things in a healthier way.Posted on Madeline LuedeckeTrustindex verifies that the original source of the review is Google. The care, advice, information and empathy I have received through Pearlman & Associates has been life changing. Bryan has helped me through a massive, life-altering job change as well as day to day struggles I deal with. He always makes me feel seen, validated and comfortable when the conversations get difficult. I have recommended many people to Pearlman & Associates. They’re always quick to get me on the calendar, and treat me as top priority while I’m there. I’m forever grateful.
Do I need a referral for counseling?
No referral is needed. You can book an appointment directly with us.
How soon can I get an appointment?
Appointments are often available within a few days, depending on availability.
Is counseling confidential?
Yes. All therapy sessions are private and fully confidential.
Do you offer therapy for anxiety and depression?
Yes, we provide professional counseling for anxiety, depression, and related concerns.
Are sessions in-person or online?
We offer both in-person and secure online counseling sessions.
Our St Louis Counseling team is here to help you! Our mental health practice is located at 655 Craig Road, Suite 300 in Creve Coeur, Missouri, 63141 (near the intersection of Olive and 270).





