Lily Pernoud(She/Her/Hers)

Lily Pernoud works with individuals and couples seeking greater clarity, stability, and connection in their relationships. Many of her clients come to therapy feeling uncertain—about trust, intimacy, or how to move forward when something in the relationship no longer feels steady. Her practice focuses on supporting clients through relational challenges, including betrayal, communication difficulties, and concerns related to emotional and physical intimacy.

Her approach is relational, trauma-informed, and collaborative. Lily provides a structured and steady therapeutic environment where clients can slow down, understand patterns, and begin to make meaningful changes. She integrates attachment-based perspectives, the Gottman Method, and somatic awareness to support both insight and practical movement forward. The work is intentionally paced, balancing emotional safety with thoughtful direction.

Lily is a Licensed Professional Counselor in Missouri and a Certified Sex Therapist (CST). She has over a decade of experience working with individuals and relational systems navigating complex emotional and interpersonal concerns. Her clinical background includes specialized training in intimacy and sexual health, relational therapy, and trauma-informed care.

She offers in-person sessions at Maison Fleur in St. Louis, as well as telehealth appointments throughout Missouri. Her practice is private-pay, allowing for a personalized and depth-oriented approach to care. Lily works with adult individuals and couples who are ready to engage in thoughtful, meaningful therapeutic work.