Therapy Services
at Maison Fleur

Maison Fleur offers private-pay therapy services for adults and couples in Missouri. Sessions are available in person in St. Louis and via telehealth throughout Missouri. Care is attachment-informed, trauma-aware, and thoughtfully tailored to intimacy and relational concerns.

Services Offered

  • 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

    Therapy is active, engaged, and focused on patterns rather than fault — helping partners move from recurring conflict toward clearer communication and steadier connection.

    It’s common for one partner to feel more ready than the other — this dynamic itself often becomes part of the work.

  • 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.

    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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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 built around consistency and care — practically as well as clinically.

Couples therapy and relationship-focused sessions are offered at $225 per 55-minute session on a private-pay basis. Individual therapy is offered at $185 per 55-minute session. Coverage for individual therapy varies depending on plan participation, clinical diagnosis, and coverage requirements.

Payment is processed at the time of service through the secure client portal. To support consistency in care, a minimum of 48 business hours’ notice is required to cancel or reschedule appointments.

Full financial and practice policies are reviewed as part of the intake process prior to your first appointment — so that the work itself can remain thoughtful and uninterrupted over time. Questions about fees or policies are always welcome before or during the intake process.

We can begin with a conversation.

Whenever you feel ready.

BEGIN THE CONVERSATION