Lily Pernoud, Licensed Professional Counselor, National Certified Counselor, Certified Sex Therapist, Certified Sex Addiction Therapist Candidate

I provide therapy for individuals and couples in St. Louis, Missouri, who are navigating relationship issues, intimacy concerns, infidelity, and trust repair. You may feel disconnected from your partner, uncertain about trust, or struggling with intimacy in ways that are difficult to resolve. Many clients I work with are navigating the impact of infidelity, communication breakdowns, or patterns that create distance and disconnection in their relationships. Therapy offers a structured and supportive space to slow things down, gain clarity, and begin moving toward meaningful change. My approach is relational, trauma-informed, and collaborative. I help individuals and couples improve communication, rebuild trust after infidelity, address intimacy and sexual concerns, and develop greater emotional and relational stability. Depending on your needs, our work may include exploring relationship patterns, strengthening boundaries, navigating difficult conversations, and supporting both individual and shared growth. I work with: Couples therapy for communication and connection Infidelity and betrayal trauma recovery Sex therapy and intimacy concerns Individual therapy for relationship patterns My of my clients value privacy, discretion, and a thoughtful, structured approach to care. My work is grounded in relational therapy, trauma-informed care, and structured, evidence-based approaches. I integrate attachment-based perspectives, the Gottman Method, and somatic awareness to support both insight and practical change. Sessions are intentional and paced, creating space for both safety and forward movement. The goal is not only to understand patterns, but to create meaningful and lasting change in how you experience yourself and your relationships. I offer in-person therapy in St. Louis and telehealth throughout Missouri. If you’re considering therapy, I offer a complimentary consultation to help determine fit and next steps.

I work with individuals and couples who want more clarity, stability, and connection in their relationships. Many of my clients come in feeling uncertain—about trust, intimacy, or how to move forward when something in the relationship no longer feels steady. In our work together, I take a thoughtful and structured approach. We slow things down, look at what’s happening beneath the surface, and begin to make sense of patterns that may feel confusing or difficult to change. Whether you’re navigating the impact of infidelity, struggling with communication, or facing challenges related to intimacy or desire, therapy becomes a space to work through these experiences with care and intention. My style is relational, trauma-informed, and collaborative. I focus on creating a grounded and supportive environment where you can explore difficult topics without feeling rushed or overwhelmed. At the same time, I help you move toward meaningful change—strengthening communication, rebuilding trust, and developing a more stable and connected way of relating. I work with many clients who value privacy, discretion, and a thoughtful, structured approach to care. If you’re looking for a space that feels both steady and purposeful, therapy can be a place to begin making sense of what’s happening and consider next steps forward.

I see my role as creating a steady, structured space where you can begin to make sense of what feels confusing, overwhelming, or stuck. I'm not here to take sides or offer quick answers, but to help you slow things down, understand patterns, and move toward meaningful change. I bring both support and direction - balancing emotional safety with thoughtful guidance - so that the work feels grounded, intentional, and productive.

My work is grounded in respect, integrity, and a strong commitment to client autonomy. I prioritize creating a safe and confidential space where clients feel supported in making their own decisions and understanding their experiences. I approach therapy with care, transparency, and accountability, and I am committed to practicing in a way that is thoughtful, ethical, and responsive to each client's unique needs.

It's completely normal to feel uncertain about starting therapy, especially if you're not sure what to expect or how it will feel to talk about personal or relational concerns. You don't need to have everything figured out before you begin. Therapy is a process we move through together, at a pace that feels manageable. My goal is to create a space that feels steady and respectful, where you can explore things openly without feeling overwhelmed.