About Maison Fleur

Maison Fleur was created for adults who value depth, intention, and meaningful care — and for the belief that therapy works best when it feels personal, unhurried, and genuinely safe.

I’m Lily Pernoud, a Licensed Professional Counselor and Certified Sex Therapist providing therapy for intimacy and relational connection in Missouri.

Lily Pernoud, therapist and founder of Maison Fleur Integrative Relational Therapy

My work centers on intimacy, attachment, and the patterns that shape how we connect — with others and with ourselves. Much of this work sits at the intersection of relational trust, intimacy, sexuality, and the body’s role in intimacy and connection.

Intimacy and relational healing are not peripheral concerns — they are central to how people experience their lives. That is why this work matters to me, and why I approach it with the care I do.

Philosophy & Approach

Healing happens most sustainably within safe, attuned relationships — including the therapeutic one. Therapy at Maison Fleur is collaborative and client-centered, with attention to emotional patterns, relational dynamics, and bodily awareness. Rather than positioning myself as the expert on you, we work together to understand what shapes your experience, build emotional safety, and strengthen your capacity for intimacy and connection.

Care at Maison Fleur is unhurried, respectful, and tailored to the individual or couple in front of me. The work is guided by consent, curiosity, and a shared commitment to meaningful change.

I am drawn to this work because I believe that being truly known, and truly safe, changes people. That conviction shapes everything about how I practice.

My training spans relational and attachment-focused therapy, sexuality and intimacy, betrayal recovery, eating disorders, and co-parenting. This breadth allows me to attend to the ways emotional, relational, embodied, and family system concerns often overlap, rather than treating each concern in isolation.

Credentials

License
Licensed Professional Counselor, Missouri

Certifications
National Certified Counselor
Certified Sex Therapist
Certified Eating Disorder Specialist
Co-Parenting Specialist
Prepare/Enrich Facilitator

In Progress
Certified Sex Addiction Therapist Candidate
Gottman Method Couples Therapy (completed Level 1)
Discernment Counseling Certification

Education
PhD in Counseling & Psychological Studies (in progress)
Regent University

M.Ed. in Dual Clinical Mental Health & K-12 School Counseling
University of Missouri–St. Louis

Maison Fleur Integrative Relational Therapy offering in-person sessions in St. Louis, Missouri

Maison Fleur was created to offer a quieter, more intentional approach to therapy—one that allows care to remain personal, attuned, and depth-oriented.

Eucalyptus branch with round, green, silvery leaves.

Learn More About the Work

If you’d like to explore how this approach may support you or your relationship, you’re invited to learn more about the work at Maison Fleur.