Pivotal Counseling, led by Thetis Alcott, is dedicated to providing compassionate counseling and therapy services. Our evidence-based therapies cater to individuals, couples, and families seeking to navigate their emotional journeys. Located in St. Louis, MO, we prioritize holistic wellbeing and empowerment.
Relationship Therapy
Whether you’re navigating conflict, communication struggles, or disconnection, counseling can help you understand relational patterns and build stronger, more fulfilling connections.
Relationship Therapy ServicesAnxiety Counseling
Find peace when worry and overthinking take over. Anxiety therapy can help calm your mind and regain control. We’ll work on practical strategies to quiet anxious thoughts and strengthen your sense of balance.
Anxiety Counseling Services
Depression Counseling
You can find hope and clarity in the midst of heaviness. In depression therapy, we explore underlying patterns, rebuild motivation, and help you reconnect with a sense of purpose.
Depression Counseling ServicesTrauma Counseling
Healing from trauma takes time and care. Using evidence-based approaches, we’ll work to process painful experiences safely so that you can return to your life.
Trauma Counseling Services
Life Coaching
Find focus with life coaching. For those seeking clarity, confidence, or direction, life coaching focuses on personal growth, boundaries, and goal-setting to help you move forward with intention and self-trust.
Life Coaching ServicesBenefits of Our Counseling Services
Our tailored counseling services provide an array of benefits, promoting emotional wellness and equipping clients with practical skills for lasting change.
Enhanced Coping Skills
Our therapy sessions equip clients with effective tools and strategies to manage their emotional and psychological challenges more effectively.
Improved Relationships
Through therapy, individuals and families learn to communicate better and resolve conflicts, leading to healthier and more fulfilling relationships.
Increased Resilience
Our approaches build emotional resilience, helping clients bounce back from adversity and navigate life’s challenges with greater ease and confidence.
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
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
