Exploring open relationships often brings unique questions about communication, trust, and support.
Many people in St. Louis look for professional guidance that respects diverse relationship structures and offers practical tools for navigating them.
Finding a therapist who understands ethical non-monogamy can make conversations about boundaries and connection more productive.
This article introduces several licensed professionals in St. Louis who focus on open relationship counseling.
It highlights their approaches, from trauma-informed care to culturally responsive methods, giving insight into how different therapists support individuals and couples building healthy non-monogamous relationships.
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1) Katie Killeen, LPC – specializes in ethical non-monogamy and trauma-informed relational therapy
Katie Killeen, LPC, offers counseling that supports individuals and couples exploring ethical non-monogamy.
She provides a safe and affirming space for clients in diverse relationship structures.
Her approach is trauma-informed and attachment-based, focusing on building secure connections and improving communication.
She works with both individuals and partners to address challenges and strengthen relationships.
Learn more about her practice at Relational Therapy, TherapyDen, and Psychology Today.
2) Angela Skurtu, M.Ed – Missouri Licensed Marriage and Family Therapist with a focus on open communication
Angela Skurtu is a Licensed Marriage and Family Therapist in Missouri and a nationally certified Sex Therapist.
She works with couples who want to improve trust, communication, and intimacy.
She offers counseling for those exploring open relationships and helps partners set clear, respectful boundaries.
Her approach emphasizes honest dialogue and practical strategies.
Learn more about her practice on Open Bedroom Doors, Therapist in St. Louis, and Moore to Consider.
Ad, keeps our community free. The perspectives presented on this website are genuinely our own and we do not accept money for reviews.
4.5 (7,802+) FROM TRUSTPILOT
Try BetterHelp
Fill out a brief questionnaire and get matched with an experienced therapist online in as little as 24 hours.
✓ Over 35K licensed professionals
✓ Subscriptions as low as $65/week, billed every four weeks
✓ Financial aid available
✓ Cancel plan or change therapist anytime
✓ 20% off your first month through Therapy Helpers
3) Monica Mills Counseling – offers individual and couple therapy supporting diverse relationship structures
Monica Mills is a Licensed Professional Counselor based in St. Louis with over 25 years of experience.
She provides therapy for individuals, couples, and families facing relationship challenges.
Her approach draws on acceptance and commitment therapy, mindfulness, and attachment-based models.
She supports clients exploring open relationships and other diverse structures with a focus on communication and growth.
Learn more at Monica Mills Counseling, Psychology Today profile, and Alma.
4) Healing Exchange – trauma-informed and sex-positive therapy for non-monogamous relationships
Healing Exchange provides therapy that centers on trauma-informed care and sex-positive values.
The practice supports individuals, couples, and families exploring non-monogamous relationships.
Therapists emphasize consent, communication, and client-centered approaches.
They also integrate education and coaching alongside psychotherapy.
Services include support for relationship dynamics, sexuality, and healing from trauma.
The team affirms diverse relationship structures and identities.
Learn more at Healing Exchange and Healing Exchange on Psychology Today.
Therapists in St. Louis who specialize in polyamory provide support for individuals and partners exploring consensual non-monogamy.
They focus on communication, trust, and boundaries.
Some practices offer affordable counseling with no waiting lists, such as Change, Inc..
Others highlight polyamory-affirming care, including TherapyDen’s directory and Psychology Today listings.
Additional options include Zencare therapists and the Polyamory-Friendly Professionals Directory.
6) Couples Therapy St. Louis – therapists trained in open relationship counseling
Some therapists in St. Louis provide support for couples exploring non-monogamy.
They focus on communication, boundaries, and trust while respecting each partner’s values.
Clients can find licensed professionals who understand the unique needs of open relationships.
These therapists work with couples to strengthen connection and reduce conflict.
Options include Open Relationships Non-Monogamy Therapists in Saint Louis, The Relationship Center of St. Louis, and Shiloh Counseling.
7) Licensed therapists with LGBTQ+ affirming practices experienced in ethical non-monogamy
Some licensed therapists in St. Louis provide affirming care for LGBTQ+ clients while also supporting those in open or polyamorous relationships.
They recognize the importance of safe, nonjudgmental spaces.
These therapists often help clients navigate identity, relationship agreements, and communication challenges.
Their training includes understanding both sexual orientation and the dynamics of ethical non-monogamy.
Find affirming providers through Psychology Today, Inclusive Therapists, Cannon Institute, TherapyDen, Talkspace, BrightChoice, Empowered Therapy, Expansive Therapy, and Queer Therapy Boston.
8) Therapists offering culturally responsive and attachment-based approaches to open relationships
Some therapists in St. Louis use culturally responsive methods to respect each client’s background and identity.
This approach helps partners in open relationships feel understood within the context of their culture and values.
Others draw from attachment-based therapy, which focuses on how early bonds shape adult relationships.
This can guide couples or individuals in recognizing patterns that affect trust and connection.
Learn more about culturally responsive therapy and attachment-based therapy.
Frequently Asked Questions
Therapists who work with non-monogamous clients often bring specialized training, clear communication skills, and an understanding of diverse relationship structures.
Many also use approaches that focus on emotional safety, boundary setting, and conflict resolution.
What qualifications should I look for in a therapist specializing in non-monogamous relationships?
Clients should look for licensed professionals with experience in couples or relationship therapy.
Training in ethical non-monogamy, trauma-informed care, or sex-positive counseling can also be important.
For example, Katie Killeen, LPC specializes in ethical non-monogamy and trauma-informed relational therapy.
How can I find a culturally competent therapist for open relationships in the St. Louis area?
Directories such as TherapyDen’s list of polyamory-friendly therapists highlight professionals who understand diverse identities and relationship structures.
These listings help clients identify providers who respect cultural, gender, and sexual diversity.
What are common approaches therapists use to address issues in open relationships?
Therapists often use communication-focused methods, such as Emotionally Focused Therapy or Cognitive Behavioral Therapy.
Some practices, like Healing Exchange, emphasize trauma-informed and sex-positive approaches to help clients navigate boundaries, jealousy, and trust.
Can individual therapy be beneficial for someone in a non-monogamous relationship, or should it always be couples therapy?
Individual therapy can help clients explore personal values, attachment patterns, and emotional needs.
Couples therapy may be more effective when partners want to improve communication or manage agreements.
Both formats can support growth depending on the situation.
What should I expect in the first therapy session regarding open relationship counseling?
The first session usually includes a discussion of goals, relationship history, and current challenges.
Therapists often ask about agreements, boundaries, and expectations to better understand the relationship structure.
This sets the foundation for future sessions.
How do I know if a therapist is truly experienced in dealing with open relationships, and not just claiming to be?
Clients can ask direct questions about a therapist’s training and experience with non-monogamous clients.
Checking professional directories for St. Louis polyamory-friendly therapists can also confirm whether a provider has relevant expertise.
