Transform Your Mental Wellness

I am a Licensed Professional Counselor in the state of Missouri. I help women in all ages and all phases of life. In our telehealth and in person sessions, we focus on relationship challenges, anxiety, depression, life transitions, and emotional well-being. I draw from evidence-based approaches, and help women strengthen self-awareness, build healthier connections, and create meaningful, lasting change.

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Tailored Counseling Services

We provide a range of evidence-based counseling services designed to empower individuals and families, addressing specific challenges and fostering personal growth.

Professional Counseling Services for Women

Professional Counseling Services for Women

There is something powerful about providing a safe space just for women. Women carry the emotional weight of their families, careers and relationships. They manage, care, and give until exhausted. In therapy I encourage women to slow down, explore their needs, and to rediscover the unique parts of them time and stress have quieted. Working exclusively with women allows me to focus on the unique challenges they face, from perfectionism and people pleasing to self-doubt, caregiving, anxiety and burnout with the empathy and understanding that comes with shared experience.

Our Journey Towards Healing

Founded by St. Louis native, Thetis Alcott, Pivotal Counseling focuses on the emotional well-being of individuals. Collaboration is a key component of her effective counseling services. She is highly compassionate and integrates her wide ranging training effectively for each client.

COUNSELING AND THERAPY SERVICES
Counseling Services

Take a Step Towards Change

Empower Yourself with Professional Guidance

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OR Call Us At:

314-252-8468

About Your Therapist

Thetis Alcott, LPC

Licensed Professional Counselor | Founder, Pivotal Counseling

With more than a decade of experience, I specialize in helping adult women navigate relationship stress, anxiety, and life transitions with clarity and compassion. My approach combines evidence-based methods with genuine understanding — empowering you to feel grounded, confident, and capable in your relationships and within yourself.

More About Professional Counselor Thetis Alcott
St. Louis Therapist Thetis Alcott
Pivotal Counseling Therapy Session Details

What happens in therapy sessions?

Our initial meeting, both telehealth and in person, is a casual conversation where you begin to share your unique goals for therapy. Sometimes people aren’t exactly sure why they are seeking help and this is OK too! This is your time to be seen and heard, to feel genuinely listened to and understood without judgment. In our next sessions I gather information about your history and background so that I have a full picture of the person you are. We set a plan for our path and so the growth process can begin!

Counseling Session Information:

  • Session Length: 50 minutes
  • Format: In-person and telehealth options available
  • Frequency: Weekly or bi-weekly, depending on your goals
  • Payment: Private pay

Ready to Start Your Journey?

SCHEDULE A SESSION

OR Call Us At:

314-252-8468

You’re Not Alone, Here’s How We’ve Helped Others

Pivotal Counseling changed my life! The support and guidance I received were truly transformative. I feel empowered and ready to face my challenges.

Sara J.

Thetis has an incredible ability to understand and guide. My sessions improved my anxiety management significantly. I am grateful for her care!

Emily D.

Thanks to Thetis, I can now talk about my past without feeling overwhelmed. Her methods genuinely work. I highly recommend Pivotal Counseling.

Michael B.

I felt truly heard at Pivotal Counseling. The support I received helped me navigate family issues and improve my communication skills. Thank you!

Lisa S.

Pivotal Counseling changed my life! The support and guidance I received were truly transformative. I feel empowered and ready to face my challenges.

Sara J.

Thetis has an incredible ability to understand and guide. My sessions improved my anxiety management significantly. I am grateful for her care!


Emily D.

Thanks to Thetis, I can now talk about my past without feeling overwhelmed. Her methods genuinely work. I highly recommend Pivotal Counseling.

Michael B.

I felt truly heard at Pivotal Counseling. The support I received helped me navigate family issues and improve my communication skills. Thank you!

Lisa S.