Michael Perkins, LCSW

Michael Perkins is a licensed clinical social worker with two decades of counseling experience in Missouri. He combines clear, practical techniques with a down-to-earth style so people can tackle problems without feeling overwhelmed.

He focuses on relationship concerns, family and parenting challenges, and issues that affect self-esteem. He also helps people manage anxiety, stress, trauma and abuse, anger, and challenges linked to career or life changes. His work includes attention to ADHD, bipolar concerns, compassion fatigue, and intimacy-related issues.

Michael uses Cognitive Behavioral Therapy, client-centered methods, and mindfulness practices. Sessions often include simple skills to change unhelpful thinking and small behavioral experiments to test new ways of coping. He may suggest short activities or reading to try between sessions.

He also brings long experience teaching social work and human services to his practice. That background informs how he explains ideas and helps people build on what is already going well in their lives. He describes clients as the experts on their own story and uses strengths as the foundation for change.

Michael is licensed in Missouri as an LCSW, and he cannot work with people who live in another state. Sessions are offered in English and delivered through online formats to fit different schedules.

How therapy approaches translate to online care

Michael combines Cognitive Behavioral Therapy and mindfulness in an online setting to help people change unhelpful thoughts and build manageable new habits. CBT focuses on identifying thought patterns and testing small behavioral changes to see what works, which is useful for anxiety, stress, and relationship worries. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and increase calm, often helping with trauma, anger, and overwhelming emotions.

Choosing the right approach is collaborative. The therapist will talk with the client about goals, try techniques, and adjust plans based on what feels useful. That way people can see which tools fit their life and make steady progress together.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to suit different needs. Video lets people work face-to-face from wherever they are, phone can be easier when bandwidth is limited, live chat works for quick check-ins, and text messaging supports short, ongoing reflections between sessions. These options make scheduling and follow-up more flexible for busy lives.