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Best Therapists And Counselors in Affton, MO (2026)

406 therapists and counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Affton: Ease Your Mind Counseling, RP Score 75/100; 5.0★ from 8 Google reviews.

  2. 13

    Most-reviewed: PALM Health, 202 Google reviews at 4.7★, the most of 406 ranked; ranked #13.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

406 Affton therapists and counselors are ranked here by RP Score, from eight published factors. 113 open Saturdays and 55 open Sundays, based on posted hours. The median Google rating is 4.6★ across 406 rated practices.

Top 10 therapists and counselors in Affton 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.

Top 10 therapists and counselors in Affton at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Ease Your Mind Counseling755.0★ (8)Affton—Overall
2Wise Mind Therapy745.0★ (19)AfftonSat · Evenings—
3Golden Door745.0★ (87)St. Louis, 4 mi awaySat · Sun—
4Revision Christian Counseling734.6★ (10)St. Louis, 2 mi awaySat · Sun · Evenings—
5Waves of Change: Virtual Therapy for Women in Missouri735.0★ (17)St. Louis, 3 mi awaySat · Sun—
6Midwest Behavioral Health and Wellness725.0★ (8)St. Louis, 3 mi awaySat · Sun—
7Thriveworks Counseling & Therapy St Louis724.7★ (66)St. Louis, 5 mi awaySat · Sun · Evenings—
8Congruent Psychotherapy725.0★ (9)St. Louis, 3 mi awaySat · Sun · Evenings—
9St. Louis Wellness Center724.7★ (23)St. Louis, 4 mi awaySat · Sun · Evenings—
10EMPOWERED Spaces725.0★ (11)St. Louis, 3 mi awaySat · Sun · Evenings—

The 406 best therapists and counselors in Affton, 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.

  1. Ranked #1 in Affton

    Based in Affton

    75/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 8 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 8 Google reviews
    Address
    50 Crestwood Executive #207, Sappington, MO 63126
  2. Based in Affton

    74/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 19 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 19 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 10 AM–6 PM · Sun closed
    Address
    8816 W Pendleton Ave, Brentwood, MO 63144
  3. Based in St. Louis, 4 mi away

    74/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 87 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 87 Google reviews
    Hours
    Mon–Fri 10 AM–6 PM · Sat 10 AM–3 PM · Sun 9 AM–5 PM
    Address
    8920 Manchester Rd, St. Louis, MO 63144
  4. Based in St. Louis, 2 mi away

    73/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.6★ from 10 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.6★ from 10 Google reviews
    Hours
    Mon–Sat 7 AM–8 PM · Sun 10 AM–5 PM
    Address
    5757 S Lindbergh Blvd Ste 200, St. Louis, MO 63123
  5. Based in St. Louis, 3 mi away

    72/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 9 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 9 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–5 PM · Sun 9 AM–8 PM
    Address
    4193 Crescent Dr Ste E, St. Louis, MO 63129
  6. Based in St. Louis, 4 mi away

    72/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.7★ from 23 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 23 Google reviews
    Hours
    Mon–Sun 7 AM–9 PM
    Address
    425 Marshall Ave, St. Louis, MO 63119
  7. Based in St. Louis, 3 mi away

    72/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 5.0★ from 11 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 11 Google reviews
    Hours
    Mon–Sun 8 AM–9 PM
    Address
    7602 Big Bend Blvd, St. Louis, MO 63119
  8. Based in St. Louis, 5 mi away

    72/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.2★ from 5 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.2★ from 5 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    5500 S Broadway St, St. Louis, MO 63111
  9. Based in St. Louis, 2 mi away

    72/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.5★ from 8 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.5★ from 8 Google reviews
    Address
    11166 Tesson Ferry Rd, St. Louis, MO 63123
  10. Based in St. Louis, 7 mi away

    71/100RP Score

    Ranked #13 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.7★ from 202 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 202 Google reviews
    Hours
    Mon–Fri 5:30 AM–7 PM · Sat 7:30 AM–6 PM · Sun 8:30 AM–5 PM
    Address
    9160 Clayton Rd, St. Louis, MO 63124
  11. Based in St. Louis, 2 mi away

    71/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.6★ from 10 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.6★ from 10 Google reviews
    Address
    6220 S Lindbergh Blvd, St. Louis, MO 63123
  12. Based in Kirkwood, 6 mi away

    71/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.7★ from 49 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 49 Google reviews
    Hours
    Mon 7 AM–9 PM · Tue–Thu 7 AM–9:30 PM · Fri–Sat 7 AM–9 PM · Sun 10 AM–7:30 PM
    Address
    11042 Manchester Rd, Kirkwood, MO 63122
  13. Based in Clayton, 4 mi away

    71/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.2★ from 43 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.2★ from 43 Google reviews
    Hours
    Mon–Sun 8 AM–10 PM
    Address
    8949 Manchester Rd, Brentwood, MO 63144
  14. Based in St. Louis, 4 mi away

    71/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 10 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 10 Google reviews
    Address
    3232 Ivanhoe Ave, St. Louis, MO 63139
  15. Based in St. Louis, 3 mi away

    71/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.8★ from 5 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 4.8★ from 5 Google reviews
    Address
    10000 Watson Rd, St. Louis, MO 63126
  16. Based in St. Louis, 5 mi away

    71/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.9★ from 9 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 9 Google reviews
    Hours
    Mon–Thu 10 AM–7 PM · Fri 9 AM–7 PM · Sat 9 AM–5 PM · Sun 9 AM–7 PM
    Address
    1 Campbell Plaza Floor 1B, St. Louis, MO 63139
  17. Based in Webster Groves, 3 mi away

    71/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 3 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 3 Google reviews
    Address
    16 N Gore Ave Ste 202, Webster Groves, MO 63119
  18. Based in St. Louis, 4 mi away

    70/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.9★ from 54 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 54 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–12 PM · Sun closed
    Address
    12818 Tesson Ferry Rd Ste 103, St. Louis, MO 63128
  19. Based in Clayton, 7 mi away

    70/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.9★ from 54 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 54 Google reviews
    Hours
    Mon–Sun 9 AM–5 PM
    Address
    230 S Bemiston Ave Ste 920, Clayton, MO 63105

Therapists and counselors ranked #26 to #50

#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 406 ranked therapists and counselors here; the rest are on their profiles.

Also serving Affton

20 more therapists and counselors within 15 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.

Unranked therapists and counselors serving Affton
BusinessGoogle ratingDistance
Ace TherapyIn Affton
Child Life To GoIn Affton
Creating Your Journey5.0★ (1)In Affton
Denise Dodson, Community Counseling Ministry LLC5.0★ (2)In Affton
Elite Integrative Psychiatric ServicesIn Affton
Glenn R. Mcgowan, MA3.0★ (2)2 mi
Good Body Nutrition, LLCIn Affton
Hopkins Counseling5.0★ (2)4 mi
Insightful Life Therapy Services5.0★ (2)3 mi
Jessica L. Trahan, BCBAIn Affton
Katie Thompson LPC, CEDS4.5★ (2)3 mi
Mc Intyre M Kay PhDIn Affton
Melanie Smith, LPC5.0★ (2)1 mi
Michael B Stotler, MD3.9★ (16)In Affton
Morgan Counseling Services LLC5.0★ (2)2 mi
Morning Star Behavioral Associates- ABA5.0★ (2)4 mi
Sana Lake Recovery - St. Louis Addiction Treatment5.0★ (1)In Affton
Speak Now Counseling5.0★ (1)In Affton
St. Louis Counselor5.0★ (2)2 mi
The Clements Counseling Group3.0★ (2)3 mi

How we ranked Affton therapists and counselors

We scored 406 Affton therapists and counselors 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.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Affton data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose a therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure they regularly work with clients who have your concern, and ask what approach they use and why.
  3. Check which license they hold (for example LPC, LCSW, LMFT or RP) and look it up with the board or college that issued it.
  4. 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.
  5. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  6. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask a therapist

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How often do you work with concerns like mine?
  • Which license do you hold, and in which state or province?
  • 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.

Therapists and counselors in Affton: frequently asked questions

Who is the best therapist in Affton?

By RP Score, the highest-ranked therapist in Affton, MO is Ease Your Mind Counseling with an RP Score of 75/100. It has 5.0★ from 8 Google reviews. Wise Mind Therapy (#2) and Golden Door (#3) follow. We ranked 406 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in Affton?

RankedPsychologists ranks 406 therapists and counselors serving Affton, MO. 4 of them are based in Affton; the rest serve it from nearby towns. Another 20 within 15 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 therapists and counselors in Affton work on weekends?

113 of 406 ranked therapists and counselors post Saturday hours and 55 post Sunday hours. The highest-ranked open Saturdays are Wise Mind Therapy (#2), Golden Door (#3) and Revision Christian Counseling (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Affton therapists and counselors have?

The median Google rating among 406 rated therapists and counselors in Affton is 4.6★, with a median of 8 reviews. PALM Health has the most, 202 reviews, and ranks #13. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank therapists and counselors?

Each 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 therapists and counselors outside Affton count in this ranking?

Yes, if they are within 15 mi of the Affton city center, our service radius for therapists and counselors. 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 therapists and counselors 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 therapists and counselors in Affton ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on therapy and counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

Is a licensed counselor the same as a psychologist?

No. Licensed professional counselors, clinical social workers, marriage and family therapists and, in Ontario, registered psychotherapists hold their own licenses and answer to their own boards or colleges. They provide talk therapy for many of the same concerns; formal psychological testing is usually done by a psychologist.

Can I see a 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 Affton

  1. November 2026: RP Scores recalculated for 406 therapists and counselors serving Affton.