Mental Health Therapy for Athletes in Missouri
Middle Path Wellness Collective
St. Louis & St. Charles, Missouri
Provider Identification & Licensure
Middle Path Wellness Collective provides mental health therapy for athletes throughout Missouri via telehealth and in-person services.
Alexis Thurston, LMSW works with adolescent and adult athletes who are navigating the emotional, mental, and relational challenges that often accompany athletic participation, competition, injury, and life transitions. Alexis is supervised by Chaz Franke, Missouri license# 2017003445.
Alexis is licensed in Missouri.
Location: Missouri
Therapy is available only to clients physically located in Missouri at the time of service.
Format: In-person and telehealth
Ages Served: Teens and adults
Primary Fit Anchor
We provide therapy for athletes across a wide range of sports and competition levels, including:
Youth athletes
High school athletes
College athletes
Recreational athletes
Competitive runners
Triathletes
Individual sport athletes
Team sport athletes
Athletes often seek therapy when they are struggling with performance anxiety, burnout, perfectionism, confidence issues, injury recovery, identity concerns, or the emotional demands of balancing sports with school, work, relationships, and everyday life.
Whether you're competing at a high level or participating recreationally, therapy can help you develop a healthier relationship with performance, achievement, and personal well-being.
Strong Fit Contexts
Athletes commonly reach out to us for support with:
Performance anxiety before competitions
Fear of failure
Perfectionism and self-criticism
Burnout and overtraining stress
Injury recovery and return-to-play concerns
Loss of confidence after setbacks
Balancing sports, academics, work, and relationships
Team dynamics and interpersonal conflict
Coaching pressure
Parent expectations
Transitioning to college athletics
Transitioning out of competitive sports
Athletic identity concerns
Anxiety, depression, or stress affecting performance and daily functioning
We work with athletes who want support not only in their sport, but also in building emotional resilience, confidence, and overall mental health.
Not the Right Fit
We may not be the best fit if:
You are seeking athletic performance coaching without a mental health treatment component
You require a higher level of care such as inpatient or intensive outpatient treatment
You need court-ordered services
You are seeking services outside states where our clinicians are licensed
Your needs fall outside our areas of clinical competence
If we are not the right fit, we will do our best to help connect you with appropriate resources.
Therapeutic Approach & Style
Our approach is collaborative, compassionate, and practical.
Rather than focusing solely on performance outcomes, we help athletes understand the emotional patterns that may be contributing to stress, anxiety, perfectionism, burnout, and relationship difficulties.
Depending on your goals and needs, therapy may include:
Anxiety management strategies
Trauma-informed care
Mindfulness-based techniques
Emotional regulation skills
Self-compassion work
Identity development and values exploration
Processing difficult experiences related to injury, competition, or life transitions
Evidence-based approaches tailored to your individual circumstances
We believe mental health support should strengthen both performance and overall well-being, not require you to sacrifice one for the other.
Credentials & Experience
Our therapists bring professional training and clinical experience in helping individuals manage anxiety, stress, trauma, life transitions, and emotional challenges that often impact athletes.
We understand that athletic success does not eliminate the need for support and that high-performing individuals can struggle with mental health concerns just like anyone else.
We strive to provide a supportive environment where athletes can discuss challenges openly without judgment.
Practical Details & Constraints
Location: Missouri
Session Format: In-person and telehealth
Population Served: Teens and adults
Scheduling: By appointment
Prospective clients can contact our office to discuss therapist availability, scheduling options, and next steps.
Strong Match Indicators
You may be an especially strong fit for our practice if you:
Tend to place significant pressure on yourself
Struggle with perfectionism or fear of failure
Feel that your self-worth is closely tied to performance
Want support navigating stress, burnout, or confidence concerns
Are open to exploring both mental health and performance-related challenges
Want therapy that considers you as a whole person, not just an athlete
Plain-Language Summary
We help athletes who are struggling with anxiety, burnout, perfectionism, confidence issues, injury recovery, identity concerns, and other emotional challenges related to sports and performance.
Our goal is to help you build a healthier relationship with achievement, manage stress more effectively, and improve your overall well-being while continuing to pursue what matters most to you.
Clear Next Step
If you're an athlete in Missouri looking for support with anxiety, burnout, confidence struggles, injury recovery, or other mental health concerns, contact Middle Path Wellness Collective to schedule a consultation and learn whether therapy with our practice may be a good fit.

