When You Call

You will be asked to briefly describe why you are seeking counseling. If you are not requesting a specific therapist, one will be assigned to you. At that time we will explain our fees and schedule an appointment.  Our clinicians are therapists, not psychiatrists, therefore we do not prescribe any medications or medication management.  However, we work closely with a psychiatrist within our South Grand building who you can contact for medication related services, Dr. Miriam Schroeder, MD.

Coming To Our Office

We have 3 locations, one at 3115 South Grand, Suite 450. Metered parking is available around our building on Grand, Arsenal and Hartford. A free parking lot is also available. To access this lot, go East on Hartford from Grand. The lot will be on your right, directly behind Commerce Bank. To enter the building, find Foundations for Change on the directory and follow the instructions to dial us. We will answer and buzz you in. We are located on the 4th floor, suite 450. Once you enter the office, have a seat in the waiting area. 

The second location is at 1811 Sherman Drive, Suite 3 in St. Charles.  This is located near Highway 94 and Highway 70. Parking is available directly in front of the building. Once you enter the building, our suite will be directly to your right.  Once you enter the office, have a seat in the waiting area. 

The third location is at 13100 Manchester Rd., Suite 155 in Des Peres. This is located near Highway 270 on the east bound side of Manchester. Parking is available directly in front of the building. Once you enter the office, have a seat in the waiting area. 

Your First Session

Your first appointment will be an information gathering session so you and your therapist can get to know one another. You will be asked about why you are seeking counseling, any symptoms you are having and your history. Your history may include things such as education, relationships, your current living situation and career. If you are bringing your child in for services the therapist may meet with you and your child for some time before meeting with your child individually. Sessions are typically 45 to 60 minutes, once a week or once every other week, based on your needs.

Ongoing Sessions

After your therapist has gathered the appropriate information in your first session, goals as well as expected length of treatment will be established by you and your therapist.  The frequency and duration of therapy will depend largely on your needs, treatment goals and progress.   At times your therapist may ask you to complete an assignment outside of the therapy session. It can be beneficial to practice some of the things you are working on in treatment outside of the therapy room in order to achieve the progress you are looking for.

Terminating Sessions

After a period of time, you and your therapist may agree that therapy has been successful in helping you achieve your goals. This is when therapy is no longer needed. You will discuss with your therapist the plan to terminate. Even after sessions have terminated, your therapist may ask you to come back for follow-up visits to check on how you are doing. In the instance that you do not feel your needs are being met with your therapist, you can terminate sessions at any time. We will always offer a referral to another clinician when needed.

To learn more about our services, contact us at 314-577-0444 or


Foundations for Change now has interns providing counseling services at no cost - contact us today for more information.