Our Team
Meet Our Therapists
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Dr. Clay Brigance, PhD, LPC
Clay has become one of St. Louis’s leading practitioners for couple therapy, and is one of the country’s leading experts on the impacts of infertility and reproductive loss.
Clay specializes in working with individual men, folks struggling with infertility and loss, as well as couples struggling with conflict, communication, and emotional connection.
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Blair Mayher, MA, LPC, NCC
Blair is passionate about joining you in your life journey towards wholeness. Blair has a gentle and yet active approach in moving you towards your goals in therapy.
Blair is extensively trained in Gottman therapy, a scientific approach to what helps couples last. Blair is also trained in EMDR. Blair works with teen girls, individual men and women, as well as couples.
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Katie Scott, MAC, PLPC
Life’s challenges can feel overwhelming, but Katie is here to help you navigate whatever you're facing with care and understanding. Her calm and compassionate presence creates a safe, supportive space from the very first session.
Katie specializes in guiding pre-teens, teens, and young women through life’s transitions. She is also trained in Gottman therapy, helping couples resolve conflict and foster a deeper emotional connection with one another.
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Missy Wright, MA, PLPC
Missy is no stranger to helping folks navigate difficult life circumstances. Missy has a diverse skillset for a variety of issues, but with her background in special education and play therapy, Missy is especially equipped in helping parents love their kids well.
Missy specializes in working with individual women and men, as well as parents, kids, and teens.
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Jeff Creamer, MA, LPC, NCC
Jeff is a very experienced counselor with a background in helping folks from various backgrounds struggling with depression and anxiety. Jeff is relational, kind, knowledgeable, and is very active in moving folks forward in their goals.
Jeff is especially equipped to help athletes who struggle with all of the various aspects of the difficulties of sports. Jeff is also really good at counseling teen guys and men.
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Kylie Rapp, MS, PLPC, NCC
Kylie is a former school counselor who is fantastic with pre-teen kids, as well as teens. Kylie utilizes play therapy with pre-teens when appropriate, but also engages in talk therapy to guide her clients towards more self-discovery.
Kylie also has very specific training for infertility and reproductive loss as well, and really wants to see adult clients in that realm.
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Amber Canby, BS, CIT (Clinical Counseling Intern)
Amber comes to Shiloh Counseling as an intern with extensive experience working with kids, preteens, teens, young women, and families at her work in the Mercy Hospital Mental Health Inpatient Program. Amber has a compassionate and goal-oriented style of helping kids and teens navigate perfectionism, depression, mood problems, relationships, anxiety, and stress. She is also no stranger to helping young women navigate their unique life challenges. As an intern here at Shiloh, Amber has a reduced rate of $50 per session.
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Matthew Friesen, MAC, PLPC
Matthew is a skilled therapist dedicated to helping individuals, couples, and families navigate all of the challenges in life that bring sorrow and hope. Matthew brings compassion and a focus on working alongside all that struggle, in areas of spiritual abuse, relational brokenness, depression, anxiety, and complex and difficult marriage and family issues. Matthew provides expert premarital counseling to build strong, lasting marriages.
Drawing from extensive experience in both ministry and secular backgrounds and a passion for holistic, family-centered care, Matthew helps clients move toward healing, restoration, and deeper connection in their relationships.
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Kaitlin Adams
Kaitlin is dedicated to helping individuals and families find connection, balance, and hope through a holistic approach to healing.
She focuses on guiding families to strengthen bonds, supporting young adults navigating transitional phases, and creating safe spaces where adolescents feel seen, heard, and valued.
With experience supporting clients through depression, anxiety, shame, and other emotional challenges, she provides a compassionate and collaborative space where people can explore their stories and discover new possibilities. Her goal is not only to address present struggles, but also to empower clients with tools for resilience, self-compassion, and lasting change.
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Thetis Alcott, LPC
With over 14 years of experience as a Licensed Professional Counselor, Thetis has had the privilege of supporting women through many seasons of life. Thetis focus’ on creating a safe and compassionate environment where adult women can explore challenges, strengthen coping skills, and experience meaningful change. Thetis draws from a range of evidence-based approaches—including Cognitive Behavioral Therapy, Motivational Interviewing, Emotionally Focused Therapy, Acceptance and Commitment Therapy, Internal Family Systems, and Accelerated Resolution Therapy (an EMDR-based method)—to provide care that is both effective and personalized. Thetis’ passion is walking alongside women as they navigate transitions, heal from past experiences, and discover new pathways toward growth and balance.
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Melissa Timmermann, LCSW
Melissa offers a warm, supportive therapy space where clients can feel understood, grounded, and encouraged as they navigate life challenges. Drawing from a holistic therapy approach, she works with teens and individual adults, including men and women navigating depression, anxiety, and the complexities of neurodivergence such as autism and ADHD. Melissa also supports people through life transitions, relationship challenges, and times when life feels uncertain or overwhelming. Her goal is to create a safe, compassionate environment where clients can explore who they are, understand what they need, and move toward a life that feels more aligned and manageable.
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Tiara Butts, Administrative Assistant
Tiara is dedicated to ensuring people connect with the right therapist for their season of life. She is passionate about Shiloh Counseling being a place where people can heal and grow. She uses compassion and discretion in all conversations with clients.
With experience in the classroom and office management, Tiara is detail-oriented while putting people first. -

Rosemary Barnes Pratt, ATR-BC, LPC
Rosemary has worked in private practice setting for over a decade, from being a business owner to providing therapy and supervising post-graduate professionals. Prior to that, Rosemary designed and led art therapy groups in community mental health and domestic violence settings.
Rosemary has helped hundreds of clients build healthier coping skills, honor their health, identify their support team, and reach understanding and acceptance of life's challenges. She believes that art expression can work to promote insight into thoughts, feelings, actions and the intricacies of personal connection. Rosemary’s interests include creating art, understanding sensitivity, healing from trauma, navigating challenging family dynamics, and addressing career and caregiving burnout and fatigue. Rosemary sees individual adults.
