Pivotal Counseling, LLC

14323 South Outer 40,

Suite 512s
Town and Country, MO

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Freeing yourself from the past and living in the present is the key to your best future.

Are you struggling with issues related to trauma, grief, depression, family conflict, relationships, anxiety, or major life changes? There comes a time when help is needed from a professional to cope with many of life’s challenges. I’m a licensed Mental Health Service Provider in the St. Louis area, and I’m here to support you on your journey toward healing and self-discovery.

Foggy Pier

"A little Secret about your Therapist...

Your therapist doesn't just hold you in mind for the hour that you sit with them.  They research topics related to your case outside of session, spend hours doing notes and treatment planning for you.  they hold you in mind between sessions.  When something they see reminds of them of you, they think about you.  They talk to colleagues about you to ensure they are providing you the best treatment. 

It's more than one hour."



"You made me feel appreciated and loved, yet made me think about how to improve my situation."

-former client

As a mother and a professional, I understand the isolation, the pressure and the doubt we all feel throughout our adult lives.  Whether you’re an individual, a couple or a family looking for help - my therapy sessions are designed to strengthen your confidence, and assist you in the healing process. My passion is empowering women to accept themselves despite their perceived shortcomings.  I am relatable and nonjudgmental and treat all of my clients with respect.  Take a look at the services I offer, and get in touch with me today.  My training and modalities include family systems, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Mindfulness.  I am passionate about the field of mental health and particularly family dynamics, conflict, and communication.  

Two Dried Leaves


I guide my clients every step of the way and implement various methods to help them develop new attitudes towards all of life’s most complex matters. Schedule an appointment today and see what I can do for you.

"You are an amazing outlet to people who need to talk and just feel safe." 

-former client


In my therapy sessions, we’ll work to solve current problems and improve positive thinking and behavior. I will help you “re-frame” your reactions and provide you with valuable tools to cope with life’s obstacles. I’m confident you’ll find my personalized Individual Therapy beneficial and inspirational. Get in touch to book an appointment.



"It's a marathon not a sprint"

Once a solid rapport is established, I implement effective psychotherapy methods to instill self-understanding among patients.  I am happy to encourage them to adopt new attitudes and feelings towards life situations. It is essential to keep in mind that therapy is not a magic pill or a quick fix: therapy is a healing process that necessitates participation and investment from the patient and caretaker alike. If we look at counseling as a marathon, it is important to understand that in counseling the finish line can move.  What you begin counseling for can shift and change and still be exactly what you needed.  My clients feel safe and understood during this process.  But in the end, making small changes to self-defeating behavior and coping with feelings of sadness, fear, and pain can bring life-altering results.

"Thetis made a tremendous difference in the lives of my two teenage daughters.  Having an insightful, compassionate person to speak with and bounce ideas off of was a tremendous help as they faced some very difficult life situations.  Creating a safe and trusting environment for them to talk was critical as they did not always want to speak with their parent.  My daughters and I highly recommend."

-former client parent


Thetis Alcott, Mac, MAC, LPC