Megan MacKenzie, LCSW, CST
Trans AffirmingDescription
I’m Megan MacKenzie. I’m a Licensed Clinical Social Worker and AASECT-certified Sex Therapist, and I specialize in working with queer folks, couples, and people in nontraditional relationships—including poly and nonmonogamous partnerships. I also support clients exploring sexuality, gender identity, and all the messy, meaningful, sometimes confusing parts of being human.
I draw from attachment theory, neurobiology, differentiation, somatic approaches, modern psychodynamic theory, and intersectional queer theory. That means I care about your lived experience and the larger systems shaping it. We will pay attention to your emotions, your body, your relationships, your history, and your context—and make sense of it together in a way that actually feels useful.
Services: Queer therapy, sex therapy, relationship therapy, Gender-Affirming care (experiences of gender dysphoria, marginalization, or trauma),
Therapy Methods: Drawing primarily from Internal Family Systems (IFS), Emotionally Focused Therapy (EFT), modern psychodynamic theory, and intersectional queer theory, Megan provides a validating and non-judgmental space for people to explore how past experiences have shaped current beliefs and patterns.
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Detailed Resource Information
Populations Prioritized
Restrictions/Eligibility Criteria Present
- Restrictions/Eligibility Criteria Present
Restrictions/Eligibility Criteria
- All Adults 18+
Age
- Youth (13-18)
- Adults (19-64)
- Seniors (65+)
- Young Adults (18-25)
- Adults (26-64)
Gender
- Transgender Women
- Transgender Men
- Non-Binary
- Agender
- Cisgender Men
- Cisgender Women
- Gender Non-Conforming
- Genderfluid
- Genderqueer
- Queer
- Questioning
- Two-Spirit
Sexuality
- Asexual Spectrum
- Aromantic Spectrum
- Bisexual
- Pansexual
- Gay
- Heterosexual / Straight
- Lesbian
- Queer
- Questioning
- Two-Spirit
- Non-Monogamous / Polyamorous
Locations Served
Geographically Bound
- Yes
Location(s) Served Notes
- In-person STL location/Virtual option available for all MO and CO residents
State
- Missouri
County
- Crawford County (MO)
- Franklin County (MO)
- Jefferson County (MO)
- Lincoln County (MO)
- St. Charles County (MO)
- St. Louis City (MO)
- St. Louis County (MO)
- Warren County (MO)
Zip Code
- 63116
School District
Identity Affirming Vetting Policies
Vetted or Listed As Trans-Affirming
- Yes: Vetted by Trans Community Members on Facebook in 2022-24
Vetted or Listed As Fat-Safe?
- Yes: Vetted by Community Members on Facebook in 2022-24
Queer-Owned/-Led
- Yes: Queer-Owned/-Led
Trans-Owned/-Led
- Yes: Trans-Owned/-Led
Sexual Orientation-Affirming Policies
- Curriculum or Content Includes LGBTQIA+ Perspectives
- Service & Outreach Policies Promote Sexuality Diversity Among Clientele
- Staff is Trained in LGBTQIA+ Issues
Gender Identity-Affirming Policies
- Staff is Trained in Trans Issues
- Curriculum or Content Includes Trans Perspectives
- Service & Outreach Policies Promote Gender Diversity Among Clientele
- Asks For & Respects People's Pronouns
Other Accessibility Factors
Ways to Access Resource
- Transportation to Physical Location Not Required
- Virtual Option(s) Available
Ways to Access Resource: Notes
- In-person therapy in Saint Louis, and online therapy for clients throughout Missouri and Colorado.
Cost
- Sliding Scale (fee based on income and other factors)
Cost: Notes
- $180 per 55-minute individual session, $200 per 55-minute couples/relationship session. They hold a number of spots at reduced rates based spot between rates $100-$180. Please contact or check website for more info.
Payment or Insurance Accepted
- Cash or self-payment
- No insurance or other funding accepted
Payment or Insurance Accepted Notes
- They are also able to provide a Superbill if your insurance reimburses for out-of-network services. Superbills do require a diagnosis to go on your mental health record.. Please contact or check website for more info.
Accessible to Wheelchairs & Mobility Devices
- Accessible Parking available
Accessible to Wheelchairs & Mobility Devices Notes
- The building is ADA accessible, however their office is on the second floor and only accessible via stairs. Let them know in advance and they can reserve the 1st floor, ADA-accessible conference room for your appointment.. Please contact for more info.
Bathrooms Available
- Bathrooms available for free
Vaping Permitted
- Vaping not permitted
Cigarette Smoking Permitted
- Cigarette smoking not permitted
Alcohol Permitted
- Alcohol not permitted