Online Therapy & Telehealth Services in Clayton, MO
Professional Mental Health Counseling — From Wherever You Are Located
Quality mental health care shouldn’t require you to rearrange your day. Our online therapy and telehealth services give you access to the same evidence-based counseling we provide in our Clayton, MO office through a secure video platform, on a schedule that works for you. Whether you’re a busy professional, a parent managing a full household, or someone who simply feels more comfortable opening up from home, virtual therapy is a fully supported and clinically effective way to get the support you need.
• HIPAA-Compliant, Encrypted Video Platform
• Licensed Mental Health Counselors
• Available In-Person and Online
• Individual, Couples & Family Therapy Available Virtually
What Online Therapy and Telehealth Actually Mean
Online therapy and telehealth therapy describe the same thing: professional mental health counseling delivered through a secure video connection rather than in a physical office. You may also see the terms teletherapy or virtual therapy used interchangeably. The format varies in name depending on the context: online therapy tends to be the consumer-facing term, while telehealth is the language used by insurance providers, licensing boards, and healthcare systems.
What doesn’t vary is the quality of care. A substantial and growing body of research, including the APA’s guidelines on telepsychology, demonstrates that virtual therapy produces outcomes comparable to in-person sessions for a wide range of mental health conditions. Our therapists deliver the same evidence-based methods, clinical rigor, and therapeutic relationship quality remotely as they do in the office.
In practice, a telehealth session looks like this: at your scheduled time, you click a secure link from your computer, tablet, or smartphone, and your therapist is there. The conversation, the clinical process, and the therapeutic relationship are the same as they would be in person. The only thing missing is the commute.
Who Online Therapy Is a Good Fit For
Busy Professionals and Parents
If your schedule doesn’t leave room for a midday office visit, online therapy fits into pockets of your day that in-person sessions can’t. A lunch break or a gap between meetings, virtual sessions work around your life rather than against it.
People Who Feel More at Ease at Home
For many clients, the simple fact of being in their own space makes it easier to open up. There’s no waiting room, no unfamiliar building, and no transition time before or after the session. Many people find they engage more openly in telehealth sessions for exactly this reason.
Those Facing Practical Barriers to In-Person Care
Transportation challenges, mobility limitations, childcare demands, and social anxiety about visiting a therapist’s office; online therapy removes many of the practical obstacles that prevent people from seeking mental health services in the first place. If any of those barriers have been holding you back, virtual sessions are worth considering.
Clients Outside the Clayton Area
Our telehealth services extend Greenway Therapy’s reach well beyond our Clayton, MO office. Wherever you’re located, you can work with our team without geographic limitations. Our therapists are licensed to provide teletherapy to clients throughout the state.
How Our Online Therapy Process Works
Getting Started
Contact us by phone or through our website, and our team will ask a few questions about what you’re looking for. Based on your situation, whether that involves anxiety and depression, relationship strain, trauma, family conflict, or something else, we’ll match you with the therapist on our team whose background and approach are the right fit. Most new clients are able to schedule their first session within the same week they reach out.
Your First Virtual Session
Your first telehealth session follows the same structure as an in-person intake. Your therapist will ask about your history, current challenges, and goals for therapy. You’ll have space to ask questions and get a feel for whether the relationship feels right. By the end, you’ll have a clearer sense of how the work will unfold and what a personalized treatment plan might look like for you.
Ongoing Sessions and the Therapeutic Process
After your intake, most clients meet with their therapist weekly or biweekly for 50-minute sessions. The therapeutic process is collaborative; your feedback shapes the direction, and your treatment plan evolves as you make progress. Whether your therapist is drawing on cognitive behavioral therapy, trauma-informed approaches, the Gottman Method, or another evidence-based framework, the work is driven by your goals and adapted to how you’re actually doing.
Switching Between In-Person and Online
You’re not locked into one format. Many of our clients move fluidly between in-person and online sessions depending on their schedule, circumstances, or preference. If you start virtually and later want to come into the Clayton office, or vice versa, we’ll accommodate that without disruption to your care.
Mental Health Services Available Through Telehealth
Individual Therapy
One-on-one online counseling for anxiety and depression, trauma, grief, life transitions, stress, self-esteem, addiction, and more. Individual therapy via telehealth follows the same evidence-based approach as in-person sessions, with the same LPCs and PLPCs you’d work with in the office.
Couples Counseling
Online couples counseling is available using the Gottman Method and Emotionally Focused Therapy, both of which translate effectively to a virtual format. Partners can join from the same location or from separate devices, whichever works best for your situation.
Family Therapy
Family therapy sessions via telehealth make it easier for all members to participate, even when schedules or locations make in-person attendance difficult. Virtual family sessions follow the same clinical approach as our in-office work and are available to families anywhere.
Specialized Services
Many of our specialized services, including trauma therapy, LGBTQIA+ affirming therapy, women’s mental health counseling, and postpartum therapy, are available through our telehealth platform. If you’re unsure whether a specific service is available virtually, contact us and we’ll confirm.
Privacy, Security, and What You Need
Our HIPAA-Compliant Platform
All telehealth sessions at Greenway Therapy are conducted through a fully HIPAA-compliant, encrypted video platform. Your session content, personal information, and clinical records are protected with the same confidentiality standards as in-person therapy. You’ll receive a secure link before each session, no app downloads required.
What You Need for a Session
A device with a camera and microphone, a laptop, tablet, or smartphone, and a reliable internet connection are all you need. We recommend finding a quiet, private space where you won’t be interrupted. If you have technical questions before your first session, our team is happy to walk you through the setup.
Session Rates and Payment
Greenway Therapy is a self-pay practice; we do not bill insurance directly. Telehealth session rates are consistent with our in-person rates. Please contact us to discuss pricing before your first session.
Where We Serve
Our practice is based in Clayton, MO, and we see clients in person from throughout St. Louis, including Ladue, University City, Richmond Heights, Brentwood, Maplewood, Webster Groves, Creve Coeur, and beyond. Through our telehealth platform, we serve clients anywhere. If you’re looking for a trusted online therapist, we’d welcome the chance to connect.
Frequently Asked Questions About Online Therapy & Telehealth
Is online therapy as effective as in-person therapy?
Yes. Research consistently shows that telehealth therapy produces outcomes comparable to in-person sessions for a wide range of mental health concerns, including anxiety and depression, trauma, and relationship difficulties. The therapeutic relationship, which is the strongest predictor of positive outcomes, translates well to a virtual format.
What's the difference between online therapy, telehealth, and teletherapy?
These terms all describe the same thing — professional therapy delivered through a secure video platform rather than in a physical office. Online therapy and virtual therapy are the terms most people use when searching for care. Telehealth and teletherapy are the terms more commonly used by insurance providers and healthcare systems. At Greenway Therapy, we use them interchangeably.
Can couples and families do virtual sessions together?
Yes. Couples counseling and family therapy are both available through our telehealth platform. Participants can join from the same location on one device, or from separate locations on separate devices, whatever works best for your situation.
Is my privacy protected during telehealth sessions?
Yes. All sessions are conducted through a HIPAA-compliant, encrypted platform. Your personal information and session content are protected with the same confidentiality protocols as in-office therapy. We’ll never conduct sessions over an unsecured channel.
What do I need to participate in a virtual session?
A device with a camera and microphone, a laptop, tablet, or smartphone, and a stable internet connection. No software downloads are required. We’ll send you a secure session link before your appointment.
What does online therapy cost?
Greenway Therapy is a self-pay practice; we do not bill insurance directly. Please contact us directly to discuss current session rates before your first appointment.
Can I switch between online and in-person sessions?
Yes. Many of our clients move between virtual and in-person sessions depending on their schedule or preference. There’s no requirement to commit to one format, and switching won’t disrupt your care or your therapeutic relationship.
Where We Serve
Our practice is based in Clayton, MO, and we see clients in person from throughout St. Louis, including Ladue, University City, Richmond Heights, Brentwood, Maplewood, Webster Groves, Creve Coeur, and beyond. Through our telehealth platform, we serve clients anywhere. If you’re looking for a trusted online therapist, we’d welcome the chance to connect.
Ready to Get Started?
Contact Us About Family Therapy & Counseling
Customer Reviews
I have known Ashley Rickert for multiple years as she was one of my classmates in grad school. Having known Ashley for as long as I have, I've had the pleasure of seeing her therapy skills in a variety of scenarios (through practicum and internship, as well as her post graduate work).
She is immensely knowledgeable and professional. Lately, she has been described as "quiet, but mighty!" Most of all, she is respectful of our clients and genuinely cares for them.
Honored to share the space with her!
No doubt this is the BEST place to get the BEST counseling service in ALL of St. Louis area.
