Mental Health

Counseling

In counseling, you engage in talk therapy with a mental health professional who can help you treat mental health symptoms and improve how you manage stress.

Our counseling staff is trained to assist with a range of areas including:

  • Depression
  • Anxiety
  • Traumatic experiences
  • Family dynamics
  • Gender identity
  • Sexual orientation
  • Social and romantic relationships
  • Grief and loss

We offer freecounseling to youth and young adults ages 13-19 who live in St. Louis County and ages 13-24 who live in the City of St. Louis, regardless of their income or insurance status.

Counseling services are by appointment only. Counseling is currently being offered by phone, virtual telehealth (video), and in-person appointments. Appointments are available Monday – Friday daytime hours, typically 9 a.m. – 5 p.m. The SPOT does not offer evening or weekend appointments.

Our waitlist to start counseling services is typically 3-6 months long. If you or someone you know is currently experiencing a mental health crisis, please call or text 9-8-8. Refer to the Youth Connection Helpline resource below for more details about crisis support.

Psychiatry

In psychiatry, you work with a medical professional who can diagnose and prescribe medication to treat mental health disorders.

We offer free psychiatry to youth and young adults ages 13-19 who live in St. Louis County and ages 13-24 who live in the City of St. Louis, and who have Medicaid or no insurance coverage.

Psychiatry services are by appointment only. Psychiatry is currently being offered by virtual telehealth (video) and in-person appointments. Appointments are available Tuesdays and Thursdays between 9 a.m. and 4 p.m.

If you are an existing psychiatry client and need medication refills or have medication questions, call 314-859-0039.

Request mental health services

To request information about the current waitlist:

  • Complete the Services Request From at the link below.
  • Alternatively, you can call 314-297-6930 and leave a voicemail with your name, number, and which service you’re interested in:
    • Counseling: talk therapy
    • Psychiatry: medication management

We will follow up about the current waitlist or offer external referrals.

Services Request Form

External resources

If you are not eligible for mental health services at The SPOT or you are seeking evening or weekend appointments, please refer to these resources.

Resource list

Youth connection helpline

Contact Behavioral Health Response for free 24/7 crisis support and other mental health assistance.

Help is available 24/7

Call

Toll-free: 9-8-8
Local: 314-819-8802

Chat

Get help now.
Chat online at bhrstl.com

Text

Text* 9-8-8 or
BHEARD to 31658
* Message and data rates may apply.

Go

Go to your
local Safe Place site.