Mental Health Services in Clayton, MO
Greenway Therapy — Counseling Services and Behavioral Health Support for the St. Louis Area
Whether you’re dealing with anxiety, depression, trauma, relationship strain, or simply a season of life that feels heavier than you expected, quality mental health care can help. At Greenway Therapy, our clinical team provides individualized counseling services in Clayton, MO, with telehealth services available. We offer a range of evidence-based approaches, and we take the time to match each client with the right therapist for their situation.
- LPCs & PLPCs in Clayton, MO
- Individual, Couples, Family & Specialized Services
- In-Person & Telehealth Sessions Available
- Evidence-Based Mental Health Treatment
A Mental Health Practice Built for Real Life
Greenway Therapy is a group mental health practice based in Clayton, MO, home to a clinical team, licensed counselors, and behavioral health specialists who bring a range of backgrounds and clinical specialties to their work. We are not a large institutional system. We’re a thoughtfully assembled team of professionals who care about the quality of care each client receives.
Our counseling services are grounded in evidence-based practice, methods that have been studied, tested, and shown to produce meaningful outcomes for the people who use them. NIMH’s overview of psychotherapy offers a useful primer on the range of approaches that form the foundation of effective mental health treatment, many of which are part of how we work at Greenway Therapy.
We serve individuals, couples, and families across the St. Louis County area, with particular expertise in anxiety treatment, depression treatment, trauma, relationship issues, and specialized populations, including LGBTQIA+ clients, women navigating postpartum mental health, and adolescents in need of dedicated support. Telehealth services make our care accessible to clients who can’t make it to our Clayton office in person.
Mental Health and Counseling Services We Offer
- Online Therapy & Telehealth Services
- LGBTQIA+ Therapy
- Women's Mental Health Counseling
- Postpartum Therapy
LGBTQIA+ clients deserve mental health care from therapists who understand their experiences without needing to educate them. Our team includes affirming clinicians with genuine experience supporting LGBTQIA+ individuals through identity exploration, relationship challenges, family dynamics, and the specific stressors that come with navigating a world that isn’t always supportive.
Women face a distinct set of mental health challenges, from hormonal shifts and life transitions to the cumulative weight of roles that rarely come with enough support. Our women’s mental health counseling services address anxiety, depression, relationship strain, self-esteem, and more in a space designed to feel genuinely safe and seen.
The postpartum period is one of the most significant and most underserved windows in women’s mental health. Postpartum depression, anxiety, and adjustment challenges are common and treatable, yet many new parents suffer in silence. Our therapists provide compassionate, specialized support for individuals and couples navigating the emotional complexity of early parenthood.
What We Help With
Anxiety Treatment
Anxiety is one of the most prevalent mental health conditions we see and one of the most responsive to treatment. Whether you’re dealing with generalized anxiety, social anxiety, panic, or worry that feels impossible to turn off, cognitive behavioral therapy and other evidence-based approaches provide practical, measurable relief. Anxiety treatment at Greenway Therapy is structured, goal-oriented, and tailored to your specific experience.
Depression Treatment
Depression affects how you think, feel, and function, and it rarely resolves on its own. Our therapists provide depression treatment that goes beyond symptom management to address the underlying patterns, circumstances, and thought processes that sustain it. Treatment typically draws from cognitive behavioral therapy, behavioral activation, and other approaches shown to be effective in clinical psychology research.
Trauma and PTSD
Trauma changes the way the nervous system responds to the world. Effective trauma treatment requires a clinician who understands that dynamic and knows how to work with it safely. Our therapists are trained in trauma-informed approaches and EMDR therapy, and we work at a pace that feels manageable, not one that retraumatizes in the name of progress.
Relationship and Family Concerns
Relationship strain, communication breakdown, family conflict, and the challenges of parenting and partnership are all areas where professional support makes a meaningful difference. Our practice offers couples counseling, family therapy, and individual therapy for people whose mental health is significantly shaped by their closest relationships.
Life Transitions and Identity
Major life changes — career shifts, loss, relocation, becoming a parent, leaving a relationship — can destabilize even people who feel well-resourced. Individual therapy provides space to process what’s shifting, clarify what matters, and find a steadier footing. We also support clients navigating identity questions, including those exploring gender and sexuality in a context that may not always feel affirming.
What Sets Greenway Therapy Apart as a Mental Health Practice
A Team, Not a Solo Practice
Working with a group practice means you have access to a range of specialties under one roof. If your needs shift or if the right match for you isn’t the first therapist you meet, we have the depth to find someone better suited without you having to start over somewhere new. That continuity matters in mental health treatment.
Evidence-Based From the Ground Up
Every clinician on our team is trained in and applies evidence-based methods. Cognitive behavioral therapy, clinical psychology principles, EMDR, the Gottman Method, and emotionally focused therapy are not add-ons here; they’re the foundation of how we work. You won’t be receiving treatment based on intuition alone.
Specialized Care for Underserved Populations
We’ve made a deliberate effort to build a team with expertise in areas that are often underserved by general mental health practices, including LGBTQIA+ affirming care, postpartum mental health, women’s behavioral health, and adolescent therapy. If you’ve struggled to find a therapist who truly understands your experience, we’d like to change that.
Telehealth That Doesn’t Feel Like a Compromise
Our telehealth services are not a fallback; they’re a fully supported part of how we practice. All of our clients receive the same quality of care remotely as they would in our Clayton office. Telehealth sessions are available for most of our services, including individual therapy, couples counseling, and many specialized programs.
Serving Clayton, MO and the St. Louis Area
Common Questions About Our Mental Health Services
Is Greenway Therapy a psychiatry practice?
No. Greenway Therapy is a therapy and counseling practice. We provide talk-based mental health services, not psychiatric care or medication management. If medication is part of your treatment picture, we can provide referral guidance to connect you with appropriate providers in the St. Louis area.
What's the difference between a psychotherapist and a psychiatrist?
A psychotherapist is a licensed mental health professional who provides talk therapy — this includes LCSWs, LPCs and PLPCs. Most hold a master’s degree or doctorate in counseling, social work, or psychology. A psychiatrist is a medical doctor who focuses on diagnosing and treating mental illness, often through medication management.
Do you offer group therapy?
Group therapy availability varies by our current clinical offerings. Please contact us directly to ask about current group therapy programs. We’re happy to share what’s available and whether it might be a good fit for you.
What telehealth services do you offer?
We offer telehealth therapy for individual therapy, couples counseling, and many of our specialized services. Sessions are conducted through a secure, HIPAA-compliant video platform. Telehealth is available to clients and is treated with the same clinical standards as our in-person work.
How do I know which type of therapy is right for me?
You don’t need to know going in; that’s part of what the initial session is for. During your first session, your therapist will ask about your history, current challenges, and goals, and will recommend an approach based on what the evidence suggests works best for your situation. If cognitive behavioral therapy is a strong fit, we’ll explain why. If another approach makes more sense, we’ll discuss that too.
What does therapy cost?
Greenway Therapy is a self-pay practice; we do not bill insurance directly. We recommend contacting your insurance provider to verify your behavioral health benefits. Our team is also happy to help you navigate that process and discuss payment options if needed.
Ready to Find the Right Support?
You don’t have to have it all figured out before you reach out. Contact Greenway Therapy today and let us help you find the right therapist and the right approach for where you are right now. Whether you’re looking for in-person counseling services in Clayton or prefer the flexibility of telehealth, we’re here.




