Comprehensive behavioral health services

Psychiatric care at Gateway Health begins with a comprehensive diagnostic evaluation that examines presenting symptoms in the context of medical history, prior psychiatric treatment, and functional impairment. Medication management, when indicated, is conducted with regular scheduled follow-up appointments of substantive length rather than brief check-ins, allowing clinicians to monitor response, tolerability, and evolving diagnostic understanding with appropriate clinical attention.

Our psychiatric care is delivered by physicians who completed an MD or DO, a four-year residency in psychiatry, and who hold board certification from the American Board of Psychiatry and Neurology. Visits are scheduled at the frequency your care requires.

• Diagnostic psychiatric evaluation
• Ongoing psychiatric medication management
• Coordination with primary care & specialty providers
• Care for mood disorders, anxiety disorders, OCD, trauma, perinatal mental health, and major life transitions
• Telehealth or in-person at your preference

Gateway Health's specialty programming addresses conditions and populations that benefit from a focused, protocol-informed clinical approach. Rather than offering generalized support, specialty services are built around specific evidence-based frameworks, with clinicians who maintain particular depth in the conditions those programs address. Specialty care at Gateway Health is designed to complement, not replace, the integrated psychiatric and therapeutic foundation that characterizes the practice overall.

Some conditions benefit from a clinician with focused training. Our specialty programs are organized around the diagnostic categories that present most often in adult outpatient behavioral health, staffed by clinicians with additional training in each area.

• Anxiety disorders
• Mood disorders
• OCD
• Trauma and PTSD
• Workplace burnout
• Life transitions
• Chronic medical conditions co-occurring with mental health

Secure video-based care at Gateway Health is available for both psychiatric and psychotherapy services, delivered through a HIPAA-compliant platform that maintains the clinical standards of in-person appointments. Telehealth is not a reduced version of care; assessment thoroughness, session length, and documentation practices are identical to those used in the office setting, making it a genuine option for adults across Missouri who prefer or require remote access.

Where clinically appropriate, both psychiatric care and psychotherapy are available through HIPAA-compliant telehealth. The same clinicians, the same care — delivered to wherever you can find a quiet, private space within your state of residence.

• Telepsychiatry medication management
• Teletherapy for psychotherapy and couples care
• Secure, HIPAA-compliant platform
• Equal-fee, in-network billing where your plan permits

Relational and family work at Gateway Health proceeds from a clinical rather than purely conversational orientation, with therapists trained in structured approaches to communication, systemic patterns, and the ways individual psychopathology intersects with relational dynamics. Sessions are grounded in clear therapeutic goals and periodic reassessment, ensuring that the work has direction and that progress can be measured against an identifiable baseline.

Relationships are part of behavioral health. Our couples and family clinicians are trained in evidence-based systemic and relational modalities, and care is delivered with the same evidence base as our individual treatment.

• Couples therapy (Emotionally Focused Therapy, Gottman Method-informed)
• Family therapy for adults and adult-child family units
• Parent guidance for adults navigating parenting under stress

Individual psychotherapy at Gateway Health is structured around modalities with an established evidence base, including cognitive-behavioral approaches, acceptance-based frameworks, and psychodynamic therapy where clinically indicated. Therapists work within the practice's integrated model, meaning their clinical observations are part of a shared care picture rather than an isolated process, and treatment planning reflects both therapeutic and, when relevant, psychiatric considerations.

Our therapists are independently licensed (LCSW, LMFT, LMHC, LPC, PsyD, or PhD) and matched to your care based on your goals and the modalities best suited to them. Sessions are typically scheduled weekly or biweekly to start.

• Cognitive behavioral therapy (CBT)
• Acceptance and commitment therapy (ACT)
• Dialectical behavior therapy (DBT) skills
• Psychodynamic and supportive psychotherapy
• Trauma-focused care
• Perinatal and postpartum-specific therapy