Therapy Services at Maison Fleur
Maison Fleur provides therapy services for adults and couples throughout Missouri. Couples and relationship-focused services are offered on a private-pay basis. Some individual therapy services may be eligible for insurance billing depending on plan participation, clinical diagnosis, and the requirements of the client’s insurance policy.
Services Offered
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Couples therapy offers a structured, collaborative space for partners seeking repair, reconnection, and deeper understanding.
This work may support couples navigating:
Communication breakdowns or recurring conflict
Emotional or physical disconnection
Infidelity, betrayal, or trust repair
Fertility challenges, pregnancy, postpartum, or major life transitions
Differences in desire, intimacy, or relational needs
Partners do not enter relationships as blank slates. Each person brings attachment experiences, family patterns, longings, fears, and protective strategies that shape how closeness and conflict are experienced. Therapy attends both to the cycle happening between you now and to the deeper histories that help sustain it.
Therapy is active, engaged, and focused on patterns rather than fault—helping partners move from recurring conflict toward clearer communication and steadier connection.
As your therapist, I do not decide whether a relationship should continue or end. My role is to help you understand what is happening, clarify what matters, and build the capacity to move forward with greater honesty and intention.
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Betrayal can disrupt far more than trust in a partner. It may affect a person’s sense of reality, emotional and physical safety, identity, sexuality, faith in the relationship, and understanding of the shared past.
Therapy may support individuals or couples navigating infidelity, compulsive sexual behavior, secrecy, staggered disclosure, or other significant relational ruptures. Depending on the circumstances and readiness of those involved, the work may include stabilization after discovery, support for betrayal-related trauma, preparation for a structured therapeutic disclosure, impact and restitution work, accountability, and longer-term relational repair.
This process is carefully paced and does not assume that reconciliation is the necessary outcome. The immediate priorities are truth, emotional safety, informed choice, and meaningful support for each person affected.
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Intimacy and sexuality are central components of relational health, addressed here with care, depth, and clinical expertise.
Therapy may include work around desire differences, sexual pain, trauma or abuse, shame, boundaries, embodiment, and the relational impact of sexual concerns. Sexual concerns are never treated as isolated problems — they are understood within the full emotional and relational context of your life.
When appropriate and with written consent, care may also be coordinated with physicians, pelvic-health physical therapists, dietitians, or other treating professionals to support thoughtful, integrated care.
Conversations about intimacy can feel vulnerable or difficult to begin. Sessions are guided at a pace that honors emotional safety while allowing for thoughtful and meaningful exploration.
Care is informed by advanced training and certification in sex therapy (CST) and approached with professionalism, sensitivity, and respect.
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Individual therapy supports adults seeking deeper self-understanding, steadier emotional regulation, and greater connection within themselves and their relationships.
Focus areas may include:
Anxiety, depression, and emotional overwhelm
Trauma, attachment wounds, and recurring relational patterns
Identity exploration, self-worth, and boundaries
Relationship and intimacy concerns
Life transitions and relational stressors
The pace and focus of individual therapy are shaped by you — what you bring, what feels most pressing, and what you’re ready to explore.
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Premarital counseling is offered for couples entering marriage thoughtfully, including couples fulfilling preparation requirements of their faith tradition or officiant.
Lily is a Certified Prepare/Enrich Facilitator and integrates this structured assessment when it meaningfully supports a couple’s shared values, commitments, and long-term vision for marriage.
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Discernment counseling is a short-term, structured process for couples experiencing significant uncertainty about whether to continue their relationship. Unlike couples therapy, discernment counseling does not focus on repair — it focuses on clarity.
This work offers a steady and emotionally attuned space for each partner to reflect with personal responsibility, thoughtfully considering whether to pursue repair or move toward separation.
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Maison Fleur provides discreet, thoughtful support for individuals and parents navigating separation, divorce, and post-divorce transitions.
This work supports emotional stability, communication, and thoughtful co-parenting during periods of change. Therapy is distinct from legal proceedings and is not a substitute for custody evaluations, forensic assessments, or legal recommendations.
In some cases, therapy may occur alongside mediation, collaborative divorce, or court involvement. When appropriate, coordination with attorneys or guardians ad litem can occur with written consent, while maintaining clear therapeutic boundaries.
To support this process, Lily is certified as a Co-Parenting Specialist.
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Clients may also seek therapy for overlapping or co-occurring concerns that impact emotional and relational wellbeing, including:
Eating disorders, disordered eating, and body image
Obsessive-compulsive patterns and anxiety-related concerns
Panic and mood-related concerns
Depression
Faith or spirituality as it relates to identity and relationships
Personality-related patterns impacting relationships
As a Certified Eating Disorder Specialist (CEDS), Lily brings advanced training in the assessment and treatment of eating disorders within a relational, trauma-informed framework.
Trauma-Informed Care
All care at Maison Fleur is trauma-informed, prioritizing emotional safety, intentional pacing, and a nuanced understanding of how past experiences shape present relationships and patterns.
Fees & Practice Policies
Therapy at Maison Fleur is structured around consistency and care—practically as well as clinically.
Couples and relationship-focused therapy is offered on a private-pay basis at $225 per 55-minute session. Individual therapy is offered at $185 per 55-minute session, and insurance coverage may be available depending on plan participation, clinical eligibility, and benefits.
Payment is processed through the secure client portal at the time of service. A minimum of 48 business hours’ notice is required to cancel or reschedule an appointment.
Complete financial, insurance, cancellation, and practice information is available on the Fees & Practice Policies page.
Questions are always welcome before or during the intake process.