The office of Step By Step Counseling opened in 2009. It started with a small 133 sqft office, and over the years has slowly expanded. As the practice continued to grow, we moved into the current location in 2013. Our current space allows us to accommodate more therapists and clients. Additionally, we expanded our services to provide in-home counseling to our local community. While our home base is in Saint Charles, MO; our in-home services span across Saint Charles County, Saint Louis County, and starting late fall 2016 into Jefferson County.
Our vision was (and still is) to create a counseling practice that serves the community by offering different specialties to a wide range of clientele. Our mission, is to connect a client with a clinician that will be a good fit for what they are struggling with. August of 2016, Saint Louis Small Business Monthly announced that our office was nominated by members of our community and selected as one of top 50 small businesses in the metro area. What an honor!
We hope that every client has a positive experience within the practice. How can we serve you?
Child & Adolescent Therapists
Jennie Wilson, MA, LPC, NCC, RPT-S
Child and Adolescent Therapist
Jennie’s clinical specialties include childhood/adolescent issues as well as educating new counselors in the field. As a Registered Play Therapist-Supervisor she uses play therapy with children to help them express their feelings, process their difficult situations and develop coping skills. Jennie enjoys working with clients who need help controlling their anxiety or depression or uncomfortable feelings they might be experiencing. Jennie is high energy, and enjoys the work that she does. Jennie also enjoys working with parents, whether that is through parent sessions, parent coaching or parent training. All families are different, Jennie helps parents find what works best in their home.
Jennie has been trained in, and uses:
- Play Therapy – in working with children under the age of 12.
- TFCBT – in working with children/adolescents who have experienced trauma, or abuse. Traumas include natural disasters, abuse, accidents, exposure to violence or other distressing events.
- Theraplay – in working with increasing attachment between children and their caregivers.
- Autplay, a behavioral play-based approach for autism disorders and other developmental disabilities. Jennie is a level II Autplay Therapy Certified Provider.
- Completed 40 hr EMDR basic training, currently working towards being an EMDR therapist.
So whether a minor disruption in their day to day life or a bigger trauma, Jennie is available to help. Jennie works with clients in individual, family or groups. Jennie sees clients, in-office. Jennie offers before school appointments for those clients who are unable to make it into the office in the afternoon after school. She also offers groups on Saturday mornings for those clients who are unable to make it into the office during the week or for those who would benefit from being with their peers. When Jennie is not working with clients, she enjoys providing training (in person and online webinars) to parents, school counselors and other mental health professionals through Pathways to Play or The Counseling Hub. In 2016 Jennie received the Katherine Boone Outstanding Play Therapist Award from Missouri Association for Play Therapy – which is the highest award that can be given from the state association.
Rebecca (Becky) Coulson
Child and Adolescent Therapist - In Home
Becky joined our office July of 2017 as one of our IN HOME child & adolescent therapists. She is a Provisionally Licensed Professional Counselor in the state of Missouri, under the supervision of a clinical supervisor. She comes to our office with experience in offering children and families support in the home, and in the community. Becky’s background includes helping families navigate a variety of resources, offering parenting support, assisting in crisis situations and 10 years of experience in working with children ages 3-18 with developmental disabilities and mental illness. Becky understands the importance of including the whole family in the therapeutic process and encourages thinking outside the box for creative solutions. She enjoys helping families navigate the complexity of co-occuring disorders, specifically mental illness with developmental delays. Additionally, Becky is available to work with children & adolescents with a wide range of diagnosis but has a special interest in trauma & attachment issues as well as various anxiety disorders, bi-polar, and other mood disorders, emotional regulation challenges, self esteem issues, autism spectrum disorder and adjustment issues that relate to family dynamics (divorce/separation, recent moves, etc). Becky understands that each child and their family is unique and there is not a “one size fits all” approach, individualizing each session. Becky accepts clients on a sliding scale as well as accepting straight medicaid to work with children and teenagers who are placed in fostercare or who have been adopted. She is currently accepting new clients in home, in the Saint Charles County region of the Saint Louis Metro area, as well as parts of Saint Louis County.
Child and Adolescent Therapist - In Home
Leah joined our office in July of 2017 as one of our IN HOME Child & Adolescent Therapists. She is a Provisionally Licensed Professional Counselor in the state of Missouri, under the supervision of a clinical supervisor, Kathryn Clayton. Leah has experience in offering community-based support to children and adolescents, helping individuals through crisis situations, as well as having gained experience in higher education. Leah is able to utilize knowledge gained in these different areas to meet the unique needs of each of her clients. Leah is available to work with clients with a wide range of diagnoses and issues, and has a special interest in working with teenagers who struggle with depression, anxiety, self-injury, or emerging personality disorder characteristics, children and families affected by trauma and attachment issues, children who experience anxiety, as well as children and adolescents who are diagnosed with
Autism Spectrum Disorder. Leah also enjoys helping teenagers and young adults navigate issues such as career exploration and transition to adulthood.
Leah accepts clients on a sliding scale as well as accepting straight Medicaid in order to work with children and teenagers who are placed in fostercare or who have been adopted. She is currently accepting new clients in the Saint Charles County region of the Saint Louis Metro area, as well as parts of Saint Louis County.
Amy (Segraves) Ilgenfritz
In Home Child and Adolescent Therapist
Amy joined Step By Step Counseling in June of 2016. She is a licensed professional counselor in the state of Missouri. Amy has training and experience in using DBT with her clients who might need it. Prior to coming to our counseling practice, she has worked as a school based therapist at Crider Center, as well as a children’s team case manager with BJC Behavioral Health.
Amy works with clients in home and in office in Saint Charles County. She is available to work with children, adolescents and families. Amy also accepts clients on a sliding scale as well as accepting straight medicaid to work with children and teenagers who are placed in fostercare or who have been adopted, as well as healthlink and anthem blue cross blue shield. She is the process of being added to additional insurance panels as well.
Brook Howell, MA, LPC
In Home Child Therapist
Brook joined Step by Step Counseling in May 2014 as one of our IN HOME child & family therapists. She is obtained her credential of Registered Play Therapist. With more than 20 years of experience as a teacher, school psychological examiner and counselor, Brook prefers working with children who experience problems with impulse control, emotion regulation, and oppositional behavior. Brook uses an eclectic approach to meet the needs of each individual and family including Cognitive Behavioral Therapy (CBT), Trauma Focused CBT (TF-CBT), Child-Centered Play Therapy (CCPT) and Filial (Family)Therapy. Brook enjoys working alongside parents and offers offers parent training both individually and in groups, helping parents tackle their child’s challenging behaviors and increasing the parent-child relationship.
Brook sees clients and their families in our office and in their homes. Brook accepts most insurance plans including Medicaid for children under the care of Children’s Division as well as providing a sliding scale. Brook is NOT currently accepting new clients, please contact our office to inquire about her waiting list.
Child and Adolescent Therapist
Lisa joined Step By Step Counseling in October of 2014. Lisa enjoys working with children and adolescents. She has previously completed the Play Therapy Certificate Program at Mid America Nazarene University, and is a Registered Play Therapist. Lisa has a background of working with children in the special education setting as both a teacher and a school counselor. She also has experience in working with families in crisis. While she is available to work with many situations and diagnosis, she enjoys working with children or teens who’s parents are separated/divorced, in fostercare and children or teens who struggle with special needs.
Lisa is a straight medicaid provider, allowing her to work with children and adolescents placed in the custody of childrens division,accepts some medicaid plans and offers a sliding scale for those families who need it.
* Not currently accepting new clients*
Child and Adolescent Therapist
Kristine Carey joined our office November of 2016, she is currently attending Mid America Nazarene, going through their Play Therapy Certificate Program. She is working towards her credential of Registered Play Therapist. Kristine is a Provisionally Licenced Professional Counselor in the state of missouri, under the supervision of. Linda Litchgi, #2001029776. She is also working as an elementary school counselor. She is able to work with older children and adolescents.
* Not currently accepting new clients*
Adolescent & Adult Therapists
Lori Browning, MSW, LCSW
Adult Therapist, Clinical Supervisor
Lori joined Step by Step Counseling in March of 2015 and has 19 years of experience working with geriatrics, adults, couples, families and older adolescents. She works with clients who are struggling with depression, anxiety, anger, transitions in their careers, grief and loss, family relations, self-esteem, infertility, LGBT issues and chronic mental illness. Lori also has 11 years of experience in direct care of clients who have been hospitalized on inpatient psychiatric units. This experience has allowed her to understand the unique needs of working with individuals and families who struggle with chronic mental illness. She is currently available to see clients on Monday’s, Wednesday’s, Thursday’s and Friday’s and accepts clients on a sliding scale fee or clients with some insurance plans.
Lori is also an NASW approved supervisor for Missouri social work licensure candidates. She enjoys the one on one experience of supervising and teaching each candidate as they develop their clinical skills. She also supervises all master’s level students at Step by Step Counseling who are completing their practicum/internships within the Stepping Stones Program.
Leah joined Step By Step Counseling in March of 2016. Leah works with clients both in home (eastern Saint Charles County as well as Saint Louis County) and in office. Leah specializes in chronic medical issues. Do you struggle with a complex medical condition or medical diagnosis? It’s not uncommon for clients to seek support when they are going through this adjustment period of a new condition or diagnosis. Leah walks this path with her clients, however long they would need. She specializes in working with clients who struggle with anxiety, depression, or feeling overwhelmed due to their medical conditions. Prior to becoming a counselor, she worked as a registered nurse, which has allowed her to have additional insight into what her clients and their families are struggling with. Having a loved one who is chronically ill-or has a new medical diagnosis-is challenging and exhausting. She also works with families who are caretakers or are struggling with their role in their loved one’s condition. Leah also has experience in working with adult clients who have experienced grief and loss.
Currently, Leah is in the process of going through a play therapy certificate program, so that she can be educated in working with children and adolescents. Many families of children with special needs have found that her background has been very helpful in treatment.
She is available to see clients in home or in office on Tuesdays and Wednesdays. She is a provisionally licensed professional counselor in the state of Missouri and is under the supervision of Rhonda Bethman #2008024134. Leah accepts clients on a sliding scale, as well as accepting straight medicaid to work with children and teenagers who are placed in fostercare or who have been adopted. Leah is accepting new clients during the daytime hours.
Adult, Couples and Family Therapist
Kate joined Step By Step Counseling in January of 2016. She is a licensed professional counselor in the state of Missouri. She has also been EMDR trained. She enjoys working with adolescents, adults, couples and families. Kate has clinical experience and a passion for providing counseling to individuals and families impacted by addictions, in particular substance use disorders. At times, it’s not possible for the loved one to come in for help, Kate understands that and works with the families and support system to create appropriate boundaries and process what they are experiencing. Kate also enjoys working with couples and families. She has excellent clinical skills and provides a a calm atmosphere for those who need it. Another interest of Kate’s is womens issues.
Kate works with clients in our office full time, seeing clients Monday-Saturday. While some clients see her in office, she also has “in home” availability in North Saint Louis County. Kate accepts clients on a sliding scale, as well as accepting some insurance plans. She is currently accepting new clients.
Adolescent and Adult Therapist
Anna Kisting joined our office in February of 2017. Anna is a Provisionally Licensed Professional Counselor in the state of Missouri, under the supervision of Jan Munro, #002817. She has been working in the mental health field since 2003. Anna works with adolescents and adults who are seeking support for a wide range of issues. She specializes in three main areas: eating disorders and body image concerns, relationship issues and couples counseling, and lastly clients and their families who are experiencing LGBTQ-specific concerns. Anna is an EMDR-trained therapist who works closely with those who have experienced trauma over the course of their
lifetime. She provides a safe place to talk, with the understanding that there may be unique issues that require additional support.
Anna also works extensively with clients who struggle with anxiety, low self-esteem, career indecision, and depression. Anna strives to provide a safe and encouraging environment with every client so they feel empowered to explore their emotions, thoughts, and experiences while receiving the support they need to flourish. Anna sees clients both in-home and in-office, Monday – Saturday. Anna accepts clients on a sliding scale, as well as accepts straight Medicaid to work with teenagers placed in foster care or who have been adopted. Anna is accepting new clients during the daytime hours and does not offer late evening appointments.
Jefferson County Therapists
In Home Child and Adolescent Therapist (Jefferson County)
Marian joined Step By Step Counseling in March of 2016. She is available to work with children, adolescents and families. Prior to coming to our counseling practice, she has worked as a school based therapist, and as well as residential therapist. Her clients describe her as dependable, a team player, and always willing to work with their families to find creative solutions for difficult issues. She enjoys working with clients who struggle with anger issues helping discover what’s under the anger. She also enjoys working with clients who struggle with the diagnosis of ADD/ADHD.
She is a licensed professional counselor in the state of Missouri. Marian works with clients in home in Jefferson County as well as South Saint Louis County. Marian accepts clients on a sliding scale as well as accepting straight medicaid to work with children and teenagers who are placed in fostercare or who have been adopted. She is currently accepting new clients in the South County / Jefferson County regions of the Saint Louis Metro area.
In Home Child and Adolescent Therapist (Jefferson County)
Jodi joined our office July of 2017 as one of our IN HOME family therapists. She is a Provisionally Licensed Professional Counselor in the state of Missouri, under the supervision of a clinical supervisor, Katie Clayton. Jodi enjoys working with families and children. She is available to work with families who have experienced disruptions, such as separation & divorce, foster families, etc. Jodi also has experience in working with couples of divorce, multiple marriages and separation. Blended families are a special interest of hers. She enjoys working creatively to find solutions and working toward learning the root cause of issues and assisting with those. Jodi also has experience with children and adult ADD/ADHD.
Jodi accepts clients on a sliding scale as well as accepting straight medicaid to work with children and teenagers who are placed in fostercare or who have been adopted. She is currently accepting new clients in the Jefferson County region of the Saint Louis Metro area.
Stepping Stones Therapists
Stepping Stones Therapist
James joined our office Summer of 2017 as a graduate counseling intern. He is currently a student at Lindenwood where is is studying to earn is masters degree in counseling. James is interested in working with a variety of populations and is interested in helping those with many issues, which include, but are not limited to, adjustment disorders, anxiety, depression, grief, low self-esteem, crisis intervention, identity issues, and chronic mental illness. He will also be helping with our counseling groups on Saturdays.
Graduate School Counseling Intern
Kaycee will be with Step By Step Counseling from May-June. She is a school counseling practicum student from Missouri Baptist University. Kaycee will be with us 2-3 days a week and will be helping with many areas around the office. Outside of her coursework, and our office, she works full time as a 7th grade science teacher and a cheer-leading coach. In her free time, she enjoys camping, fishing, and being outside. She also loves to travel!
Graduate: Our office has graduate counseling opportunities available. We typically interview months in advance and have 2-3 interns on site depending on if the intern is part time or full time. Our counseling practice has a site administrator (Jennie) and a site supervisor / Clinical Supervisor (Lori). Contact our office for more details about an graduate counseling or social work internship. Our graduate counseling interns are available to work with adolescents and adults.
Undergraduate: Our counseling practice has undergraduate psychology, social work or behavioral health opportunities available. These can be both part time and full time depending on university requirements. Typically, with these positions, each one of these opportunities are tailored to the student’s interests and strengths. Contact our office for more details about an undergraduate psychology or social work internship.
Graduate Counseling Intern
Stacy will be with Step By Step Counseling from September-October. She is a counseling practicum student from Missouri Baptist University. Stacy will be with us 1-2 days a week and will be helping with many areas around the office. Outside of her coursework, and our office, she works full time as a Children division caseworker.
If you are interested in working with our office and please contact us. Below are therapists that will be joining our office in the near future.
Karen joined Step By Step Counseling in 2015. Karen is our Client Liaison. She is the friendly voice you might hear when a phone call is returned or while discussing insurance or billing. Her role is to ensure that clients have a positive experience with our office.