Ballwin office
In-person counseling at 625 N Meramec Station Rd for clients who prefer a dedicated clinical setting.
Flexible access · Private pay
Private-pay counseling for Wildwood & St. Albans.
Focused counseling without making distance the deciding factor: Missouri telehealth, the Ballwin office, and limited appropriate on-site appointments create more than one way to do serious work.
Three access paths
Choose the setting that protects the work from unnecessary friction.
The only New Pathways office is in Ballwin. This page does not claim a Wildwood or St. Albans location; it explains the legitimate ways residents of these communities may use the practice.
Missouri telehealth
Secure remote sessions from a private setting when travel time would interfere with consistency or scheduling.
Limited on-site
When appropriate, Brian may meet at a suitable public or professional office in the St. Louis area.
Focused cadence
Biweekly or monthly work can fit a defined goal without recreating a conventional weekly therapy schedule.
What flexibility does not mean
The setting can change. The clinical boundary does not.
Telehealth and on-site access are not shortcuts around fit, privacy, or professional standards. On-site appointments are limited, depend on an appropriate setting, and are not automatically available.
New Pathways remains an outpatient counseling practice. It does not provide crisis response, medication management, detoxification, court-mandated evaluation, or a substitute for a higher level of care.
Rates
$275 for office or Missouri telehealth. $375 for a limited on-site session.50 minutes · Private pay · Insurance not billed
Reasons to use the practice
Specialized work, not a location keyword with generic copy.
EMDRA target that still feels active
Focused work on a memory, adverse experience, relational injury, or body-level response.
Discreet concernPornography & compulsive sexual behaviorNon-shaming counseling for repeated behavior, secrecy, relapse, and its relational impact.
Defined personal workA pattern that keeps repeatingAddress conflict avoidance, family-of-origin dynamics, self-defeating choices, or a difficult transition.
Faith and meaningDoubt, shame, anger, or spiritual injuryChristian-informed work that can include theology and spiritual formation without forced conclusions.
Who tends to benefit
Adults who can work independently between focused sessions.
The model often fits physicians, owners, executives, professionals, parents, and leaders, but occupational status is not the qualification. The useful characteristics are stability, motivation, a defined goal, and willingness to engage direct feedback.
For some clients, reducing the travel burden makes it easier to protect the work without putting counseling at the center of the week.
What to discuss first
Name the issue and the access constraint.
During the consultation, explain what you want to change, whether privacy or professional visibility affects the decision, and which setting is realistically sustainable.
The conversation can then determine whether the issue fits New Pathways and whether Ballwin, telehealth, or a limited on-site option is appropriate.
Other service areas
One Ballwin practice across the region.
Compare the pages for Ladue, Frontenac and Town and Country; Clayton; or Chesterfield and West County.
Next step
Make access part of the fit conversation.
Use the 20-minute consultation to compare the issue, the practice structure, and the setting that would make focused work realistic.
Request Consult