Joanna Hearst, PLPC

I am a trauma focused Clinical Mental Health Counselor dedicated to helping adults navigate trauma, PTSD, stress, anxiety, depression and mood disorders.

I'm Joanna Hearst, a trauma-focused Clinical Mental Health Counselor based in the St. Louis area. I work with adults navigating trauma, PTSD, anxiety, depression, and mood disorders. The heavy things that don't just go away because you're tired of carrying them.

My approach is direct and real. I show up honestly and I want to build a space where honesty can surface naturally. We go at your pace. Some people are ready to dive in on day one, some aren't, and either way is fine. I tailor every treatment plan to you as an individual. No two people heal the same way. I use a mix of modalities including ACT, CBT, and EMDR-informed therapies, to name a few. I'm continuously deepening my training to work with high-acuity trauma clients.

If you've been told your story is too complex, felt like no one truly understands you, or have been afraid to speak up, you're in the right place. My goal is to create a safe, nonjudgmental space where you feel seen and comfortable to explore and the best ways to navigate challenges. Self-discovery is important in the healing journey. However tough it may be, I am the here to share and hold that weight with you. You are not alone.

I believe therapy should be transparent. You'll always know what we're doing and why. No mystery, no guesswork. You're the expert on your life. I'm here to help you get the most out of it. The relationship between us matters. It's where the real work happens, and it should feel like something you can trust.

Staying multicultural is incredibly important to me. I work with people from all walks of life, including LGBTQ+ individuals, and I'm committed to showing up with respect for wherever you come from and whoever you are.

Outside the therapy room, I'm laid back and easygoing. I love being outdoors and I'm usually up for anything that gets me outside. You'll also meet Milo, my service dog, who will be in sessions with us. He's pretty great company and honestly kind of the best part of the office some days.

I see clients in person at Gateway Wellness in Richmond Heights and via video. Sessions are self-pay, which means your records stay private and your care stays between us. No insurance company deciding how many sessions you get. Clients may contact their insurance directly to explore out-of-network reimbursement options. I'm currently accepting clients for January 2027. I'd love to hear from you.