MP Portrait of Michael Perkins

Michael Perkins, LCSW

Practical, skills-based therapy for anxiety and life stress

20 years in practice · based in Missouri · sessions in English · online sessions

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About Michael

Michael Perkins is a licensed clinical social worker with two decades of hands-on clinical experience. He works with people facing anxiety, stress, relationship and parenting concerns and helps them find clear, practical ways forward. He keeps sessions focused on what you want to change and what is already working in your life.

That starting point helps build realistic goals you can use between meetings. Michael often suggests short activities or reading to try at home so progress continues between sessions.

Book with Michael Now Review online therapy options and next steps.

Background and approach

Michael uses Cognitive Behavioral Therapy to help people notice patterns of thought and behavior that keep problems going. He also draws on mindfulness practices to help with stress and emotional regulation. His client-centered stance means he listens first and adapts tools to each person’s needs.

Across 20 years of clinical work and more than 25 years teaching social work and human services, he has worked with people dealing with trauma, mood concerns, career stress, and the challenges of caregiving. He pays attention to both immediate problems and longer term life purpose and meaning. Sessions are practical and collaborative.

Michael treats people as the expert on their story while offering skills, strategies, and perspective. His Missouri LCSW credential is listed as LCSW and he meets with people in English.

Therapeutic approaches and online support

Client-Centered Therapy focuses on listening and understanding the person's experience first, then shaping the work around their goals and strengths. It helps when you want a therapist who respects your voice and builds on what is already going well.

Cognitive Behavioral Therapy helps people spot unhelpful thoughts and habits and try different responses. It is often useful for anxiety, stress, and mood concerns because it offers clear exercises people can practice between sessions.

Mindfulness Therapy brings simple attention practices into daily life to reduce reactivity and improve emotional balance. These skills pair well with CBT work when managing stress or trauma symptoms.

Finding the right approach is part of the process. The therapist will work collaboratively to decide which methods fit your needs, goals, and personal preferences. That may mean trying a skill, reflecting on how it lands, and adjusting the plan over time.

Online sessions make it easier to fit therapy into a busy life. Video calls allow face-to-face conversation when a fuller interaction helps, phone sessions are useful when bandwidth is limited, and live chat or text-based messaging work well for quick check-ins or short coaching-style exchanges. These options give flexibility for appointments and let people use the format that best suits their schedule and comfort.
Book with Michael Now Review online therapy options and next steps.

Questions people ask

What kinds of concerns does Michael help with?
He helps people manage anxiety, stress, relationship and parenting issues, trauma and mood concerns such as bipolar symptoms. He also supports people facing career strain, caregiving stress, and questions about life purpose.
What is his general therapeutic style?
He uses a client-centered, collaborative style that emphasizes listening first and then introducing tools. Treatment mixes Cognitive Behavioral Therapy and mindfulness practices tailored to each person.
How much clinical experience does he have?
He brings 20 years of clinical and counseling experience plus over 25 years teaching social work and human services.
Where is he licensed and based?
He is licensed as an LCSW in Missouri and works with people located in that state.
Which languages are supported?
Sessions are offered in English.
Can people outside the U.S. work with him?
He does not accept international clients and works with people located in Missouri.
What formats are available for sessions?
He offers video calls, phone sessions, live chat, and text-based messaging as ways to meet and work together.
How do fees and scheduling work?
Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete the short matching questionnaire, and schedule according to availability.

What this therapist works with

Most often

  • Relationship issues
  • Family conflicts
  • Parenting issues
Experience
20 years
Licensed
Missouri
Languages
English

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