About Lillian Pernoud
Focus areas
Couples Therapy
Marriage Counseling
Sex Therapy
Divorce Counseling
Relationship Counseling
Sexual Dysfunction
Infidelity Counseling
Sex Addiction
Clientele seen
Young adults (18-24)
Individuals
Adults (25-64)
Couples
Seniors (65+)
Treatment approaches
Attachment-based
Emotionally Focused
Christian Counseling
Family Systems
Dialectical (DBT)
Gottman Method
Identity
Gender
FemaleEthnicity
White
Languages spoken
English
Getting to know Lillian Pernoud
I help adults and couples navigate relationship concerns, intimacy and sexuality, betrayal and infidelity, attachment wounds, anxiety, trauma, eating concerns, body image, sexual shame, and major life or family transitions.
My work is warm, relational, trauma-informed, and clinically grounded. As a Certified Sex Therapist and Certified Eating Disorder Specialist, I often support clients in exploring the tender places where body image, safety, desire, shame, identity, and connection intersect.
For couples, I support partners navigating conflict, disconnection, intimacy concerns, betrayal repair, discernment, and difficult decisions about the future of the relationship. I also work with individuals navigating relational trauma, sexuality concerns, anxiety, body-based shame, eating disorder recovery, and rebuilding trust with themselves.
Reaching out for therapy can feel vulnerable, especially when the concerns are personal, embodied, or relational. My hope is to meet clients with compassion, clarity, and steadiness as we work toward greater understanding, healing, and meaningful change.
What should a new client know about working with you?
Clients often describe my style as warm, steady, thoughtful, and direct when needed. I aim to create a therapy space that feels emotionally safe without avoiding the deeper work. I listen closely, ask meaningful questions, and help clients notice patterns that may be shaping their relationships, self-understanding, boundaries, intimacy, body image, and emotional responses.
My approach is collaborative rather than one-size-fits-all. Some sessions may focus on insight and emotional processing, while others may include practical tools, communication support, grounding strategies, or help making sense of a specific relational or life stressor. I value honesty, compassion, and pacing the work in a way that feels both supportive and clinically useful.
What is your typical process for working with clients?
In the beginning, I focus on understanding what brings you to therapy, what feels most important right now, and what patterns or concerns may be contributing to distress. We will talk about your history, current relationships, symptoms, strengths, goals, and what you hope will feel different through our work together.
Ongoing sessions vary depending on your needs. We may explore relational patterns, emotional triggers, attachment wounds, shame, anxiety, trauma responses, intimacy concerns, body image, eating concerns, or major decisions you are facing. I often help clients connect insight with practical next steps so therapy feels both meaningful and applicable to daily life.
For couples, I typically begin by understanding each partner’s concerns, the relationship history, current patterns of conflict or disconnection, and the goals or questions bringing you to therapy.
Lillian Pernoud, LPC, CSAT, NCC, CEDS is not in-network with any insurances
It’s common for mental health providers to be out-of-network. Many insurance plans offer out-of-network coverage, so you may get partially reimbursed. Learn more
Out-of-pocket fees and assistance
Ongoing session: $185-225 for 55 minutes
More information on payments and coverage
Maison Fleur is primarily a private-pay practice. Payment is due at the time of service, and clients are encouraged to review fees before scheduling so there are no surprises.
Couples therapy, discernment counseling, and relationship-focused services are private pay and are not billed through insurance. For clients using out-of-network benefits, I can provide superbills upon request.
Limited insurance availability may be offered for individual therapy only and is not available for couples or relationship-focused services.
Office location
Education and background
Practice names
Education and training
- University of Missouri-St. Louis, Master's in Clinical Mental Health Counseling
- Sexual Wholeness, Certified Sex Therapist
- International Association of Eating Disorders Professionals, Certified Eating Disorder Specialist
- IITAP, Certified Sex Addiction Therapist Candidate
NPI number
1154930600
How soon can I make an appointment with Lillian Pernoud?
Generally, Lillian Pernoud has appointments available on Zocdoc within 1 week. You can see Lillian Pernoud's earliest availability on Zocdoc and make an appointment online.
Is Lillian Pernoud accepting new patients?
Lillian Pernoud generally accepts new patients on Zocdoc. You can see Lillian Pernoud's earliest availability on Zocdoc and schedule an appointment online.
Does Lillian Pernoud accept my insurance?
Choose your insurance plan to verify if Lillian Pernoud is in-network.
Can I make an appointment with Lillian Pernoud online?
Yes, you can make an appointment online with Lillian Pernoud using Zocdoc. It’s simple, secure, and free.
What practice does Lillian Pernoud work with?
Lillian Pernoud works with L Pernoud LLC dba Maison Fleur.
Where is Lillian Pernoud's office located?
Lillian Pernoud's office is located at 1714 Deer Tracks Trail, St. Louis, MO 63131.
What are common reasons for patients to see Lillian Pernoud?
Lillian Pernoud frequently sees patients for Depression, New Patient Visit, Psychotherapy, Psychotherapy Intake / Initial Visit, and Therapy. You can see other visit reasons for Lillian Pernoud on their profile.
What languages does Lillian Pernoud speak?
Lillian Pernoud speaks English.