60/100RP Score
Ranked #1 because of its Google rating and proximity: 3.5★ from 8 Google reviews, based in Troy.
Best Child And Teen Therapists in Troy, MO (2026)
10 child and teen therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Troy: Saint Louis Counseling, RP Score 60/100; 3.5★ from 8 Google reviews; open Saturdays until 2 PM.
- 6
Most-reviewed: Sagent Behavioral Health - O'Fallon, 31 Google reviews at 3.1★, the most of 10 ranked; ranked #6.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
10 Troy child and teen therapists are ranked here by RP Score, from eight published factors. 5 open Saturdays and 1 open Sundays, based on posted hours. The median Google rating is 4.7★ across 10 rated practices.
Top 10 child and teen therapists in Troy at a glance
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
| Rank | Business | RP Score | Google rating | Based in | Hours | Best for |
|---|---|---|---|---|---|---|
| 1 | Saint Louis Counseling | 60 | 3.5★ (8) | Troy | Sat · Evenings | Overall |
| 2 | Marble Wellness | 53 | 5.0★ (29) | O'Fallon, 17 mi away | Sat · Evenings | — |
| 3 | Ellie Mental Health | 50 | 4.2★ (15) | Lake Saint Louis, 17 mi away | Sat · Evenings | — |
| 4 | Ellie Mental Health | 50 | 4.7★ (27) | Saint Peters, 24 mi away | Sat · Sun · Evenings | — |
| 5 | Deborah Woods, LPC, NCC | 48 | 4.8★ (29) | O'Fallon, 19 mi away | Evenings | — |
| 6 | Sagent Behavioral Health - O'Fallon | 47 | 3.1★ (31) | O'Fallon, 19 mi away | Sat · Evenings | Most reviews |
| 7 | Liza Kebel, Counselor | 43 | 4.7★ (13) | Saint Peters, 24 mi away | — | — |
| 8 | Antoinette Zvorak, Counselor | 42 | 4.9★ (9) | Saint Peters, 24 mi away | — | — |
| 9 | Mark Hale, Counselor | 42 | 4.6★ (10) | Saint Peters, 24 mi away | — | — |
| 10 | Diane Appal, Counselor | 41 | 5.0★ (4) | Saint Peters, 24 mi away | — | — |
The 10 best child and teen therapists in Troy, ranked
Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
Scores below: based on 7 of 8 factors; recency not yet collected. Hatched segments mark factors we don't have yet.
Based in O'Fallon, 17 mi away
53/100RP ScoreRanked #2 because of its Google rating and specialty focus: 5.0★ from 29 Google reviews, listed on Google as “Mental health service”.
Based in Lake Saint Louis, 17 mi away
50/100RP ScoreRanked #3 because of its Google rating and specialty focus: 4.2★ from 15 Google reviews, listed on Google as “Mental health service”.
Based in Saint Peters, 24 mi away
50/100RP ScoreRanked #4 because of its Google rating and specialty focus: 4.7★ from 27 Google reviews, listed on Google as “Mental health service”.
Based in O'Fallon, 19 mi away
48/100RP ScoreRanked #5 because of its Google rating and specialty focus: 4.8★ from 29 Google reviews, listed on Google as “Counselor”.
Based in O'Fallon, 19 mi away
47/100RP ScoreRanked #6 because of its Google rating and specialty focus: 3.1★ from 31 Google reviews, listed on Google as “Mental health service”.
Based in Saint Peters, 24 mi away
43/100RP ScoreRanked #7 because of its Google rating and specialty focus: 4.7★ from 13 Google reviews, listed on Google as “Psychotherapist”.
Based in Saint Peters, 24 mi away
42/100RP ScoreRanked #8 because of its Google rating and specialty focus: 4.9★ from 9 Google reviews, listed on Google as “Psychotherapist”.
Based in Saint Peters, 24 mi away
42/100RP ScoreRanked #9 because of its Google rating and specialty focus: 4.6★ from 10 Google reviews, listed on Google as “Psychotherapist”.
Based in Saint Peters, 24 mi away
41/100RP ScoreRanked #10 because of its Google rating and specialty focus: 5.0★ from 4 Google reviews, listed on Google as “Psychotherapist”.
Also serving Troy
20 more child and teen therapists within 25 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.
| Business | Google rating | Distance |
|---|---|---|
| Antoinette Zvorak, Counselor | 24 mi | |
| Bockhorst Behavioral Health | In Troy | |
| Cariad Counseling | In Troy | |
| Compass Health Network | 3.8★ (44) | In Troy |
| E3 Counseling Services | 4.7★ (46) | In Troy |
| Empowered Through Counseling | 4.2★ (15) | In Troy |
| Erin Lynch, Counselor | 4.0★ (1) | 24 mi |
| Grace Hawley, Psychologist | 1.0★ (1) | 24 mi |
| Integrative Connections Counseling Wellness Center | 4.6★ (27) | In Troy |
| Jamie M. Raub, LPC | In Troy | |
| Life Restoration Center | 5.0★ (1) | In Troy |
| Megan Helwig, Counselor | 24 mi | |
| Mercy Clinic Psychiatry - 1003 E. Cherry | 1.8★ (16) | In Troy |
| Michelle Young | 5.0★ (1) | In Troy |
| Mind Over Matter Counseling & Consulting | 4.5★ (40) | In Troy |
| Mindy L. Skaggs, LPC | In Troy | |
| Preferred Family Healthcare - Troy | 4.4★ (17) | In Troy |
| Rising Phoenix Counseling and Associates | In Troy | |
| Samantha Graham-Douglas, LPC | 5.0★ (3) | In Troy |
| St Charles West Psychological | 12 mi |
How we ranked Troy child and teen therapists
We scored 10 Troy child and teen therapists on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.
Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.
| Factor | Weight | Computed from | In Troy data |
|---|---|---|---|
| Reputation | 25% | Google star rating, adjusted for how many reviews back it | Measured |
| Review volume | 5% | Number of Google reviews, compared with the most-reviewed practice on the list | Measured |
| Recency | 5% | Share of Google reviews from the last 12 months | Not yet collected |
| Availability | 10% | Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availability | Measured |
| Specialty focus | 25% | How clearly the practice does this specialty (its Google category and name) | Measured |
| Proximity | 15% | Based in the city scores highest, less the farther away it is | Measured |
| Claimed profile | 10% | The practice has claimed its Ranked Psychologists profile (free or paid earn the same) | Measured |
| Partnered | 5% | The practice links to Ranked Psychologists from its own website with our badge, checked periodically | Measured |
How to choose a child and teen therapist
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure child and adolescent therapy is a regular part of their work, and ask what approach they use and why.
- Ask how much of the work is with the child alone and how much includes parents or caregivers.
- For ADHD, learning or autism assessments, ask who does the testing and whether a written report is included.
- Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
- Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
- After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.
Questions to ask a child and teen therapist
- Are you accepting new clients, and how soon could I start?
- Which license do you hold, and in which state or province?
- How much of your work is child and adolescent therapy?
- How do you involve parents, and what do you keep confidential?
- What do you charge per session, and do you take my insurance or provide a superbill?
- Do you offer online sessions?
- What is your cancellation policy?
- What do you keep confidential, and when would you have to share information?
Terms explained
- PhD / PsyD
- Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
- Licensed psychologist
- A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
- Psychological associate
- In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
- LPC / LMHC / LCPC
- US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
- LCSW
- Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
- LMFT
- Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
- RP / RCC
- Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
- PSYPACT
- An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
- Telehealth
- Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
- CBT
- Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
- DBT
- Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
- ERP
- Exposure and response prevention: a form of CBT used for OCD.
Child and teen therapists in Troy: frequently asked questions
Who is the best child and teen therapist in Troy?
By RP Score, the highest-ranked child and teen therapist in Troy, MO is Saint Louis Counseling with an RP Score of 60/100. It has 3.5★ from 8 Google reviews. It is open Saturdays until 2 PM. Marble Wellness (#2) and Ellie Mental Health (#3) follow. We ranked 10 child and teen therapists on eight factors, last updated November 9, 2026.
How many child and teen therapists are there in Troy?
RankedPsychologists ranks 10 child and teen therapists serving Troy, MO. 1 of them is based in Troy; the rest serve it from nearby towns. Another 20 within 25 mi are listed but not ranked yet. Counts are as of November 2026.
What should I do if I need help right now?
In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.
Which child and teen therapists in Troy work on weekends?
5 of 10 ranked child and teen therapists post Saturday hours and 1 post Sunday hours. The highest-ranked open Saturdays are Saint Louis Counseling (#1), Marble Wellness (#2) and Ellie Mental Health (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Troy child and teen therapists have?
The median Google rating among 10 rated child and teen therapists in Troy is 4.7★, with a median of 14 reviews. Sagent Behavioral Health - O'Fallon has the most, 31 reviews, and ranks #6. We adjust ratings for review count, so a few five-star reviews cannot top the list.
How does RankedPsychologists rank child and teen therapists?
Each child and teen therapist gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.
Do child and teen therapists outside Troy count in this ranking?
Yes, if they are within 25 mi of the Troy city center, our service radius for child and teen therapists. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.
Can child and teen therapists pay to rank higher on RankedPsychologists?
No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.
How are child and teen therapists in Troy ranked?
Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on child and adolescent therapy and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.
Can a teenager start therapy without a parent?
It depends on where you live. The age at which a young person can agree to outpatient mental health care on their own differs between states and provinces. Ask the practice how it handles consent and what it shares with parents.
Can I see a child and teen therapist online?
Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.
What if I need help right now?
Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.
Update log for Troy
- November 2026: RP Scores recalculated for 10 child and teen therapists serving Troy.
More child and teen therapists and Troy pages
Child and teen therapists near Troy
- Child and teen therapists in Wentzville, MO34 ranked
- Child and teen therapists in Lake Saint Louis, MO36 ranked
- Child and teen therapists in O'Fallon, MO49 ranked
- Child and teen therapists in Dardenne Prairie, MO49 ranked
- Child and teen therapists in Saint Peters, MO56 ranked
- Child and teen therapists in Washington, MO7 ranked
- Child and teen therapists in Saint Charles, MO57 ranked
- Child and teen therapists in Chesterfield, MO58 ranked
- Child and teen therapists in Wildwood, MO58 ranked
- Child and teen therapists in Bridgeton, MO59 ranked
Other specialties in Troy
- Psychologists in Troy11 ranked
- Therapists and counselors in Troy19 ranked
- Couples therapists in Troy11 ranked
- Family therapists in Troy12 ranked
- Eating disorder therapists in Troy7 ranked
- Psychiatrists in Troy107 ranked
- Clinical social workers in Troy33 ranked
- Addiction counselors in Troy48 ranked
- ABA therapy providers in Troy20 ranked
- All psychologists in Troy