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Health at Every Size® Healthcare Provider Listing

Stephanie Lessmeier, LPC, NCC

(she/her)

Mental Health Counselor

Vibrance Counseling
St. Charles,
Missouri,
United States

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Make an Appointment: 

Special Instructions: I am happy to book appointments via phone, email, or text message.
Takes Insurance
Additional information about where I can practice: A counseling compact will be put in place in 2025 that will allow me to practice in other states in the U.S. Feel free to check in with me to see if I am able to practice in other states outside Missouri.
In-Network Insurance Companies:
- Cigna
- Aetna
- United Healthcare/Optum
Specialties & Areas of Focus:
- Weight Stigma
- Trauma
- PTSD
- Weight-related trauma
- Anxiety
- Internalized Fatphobia
Modalities & Theoretical Lenses:
- EMDR (Eye Movement Desensitization and Reprocessing)
Age Groups Served:
- Adults (18 years old and up)
Additional Populations Served & Allied Groups:
- LGBTQIA+
- Transgender
- Nonbinary
- Trauma
- Perfectionist and People Pleasers
- Abandonment Issues
- Internalized Fatphobia
Languages Services Offered In:
- English

My Philosophy of Care

Honestly, it’s painful for people with low self-esteem due to internalized fatphobia to work on themselves. I help people learn skills to help manage that pain, then begin examining where we learned those hateful messages, what rules we follow to avoid exacerbating our self-esteem issues, how our actions maintain our sense of unworthiness, and small steps that we can take to accept and love ourselves. Mindsets can shift, and learning to love our fat selves is no different.

You might have internalized fatphobia if you diet or restrict food to change your body size/shape, believe that you will be more worthy when your body is smaller, avoid sex that focuses on you because it brings up body shame, or try to hide in the back of group photos. I am an anti-diet practitioner - weight is not an indicator for health and fat folx accumulate trauma from moving through a society that demonizes fatness. Through EMDR I help clients unlearn harmful messages and build a more confident sense of self. No more cringing at photos of yourself or trying to make your body take up less space. I help clients advocate for themselves with family, their doctor, and out in the world in general. This can look like setting boundaries, refusing to be weighed at the doctor's office, and requesting comfortable seating when you go out to eat. It’s hard to start doing this out of the blue. I provide trauma healing techniques, coping skills, support, and guidance through the process.

About Me & My Practice

As a fat, neurodivergent, queer woman I’ve also been pummeled by fatphobia, which has drawn me to HAES® and helping others who struggle with weight stigma. I’ve done my own work to recover and I have learned how to fucking thrive as a fat woman, and I get to share that knowledge. I am a certified trauma therapist and have been practicing therapy through a HAES® lens for three years. I have training in DBT (Dialectical Behavioral Therapy) and am trained and certified in EMDR (Eye Movement Desensitization and Reprocessing) trauma therapy, and use the HAES® framework as a backbone for all therapies.

I’m a homebody and introvert who loves talking to people one-on-one. I love finding comfort and joy in my body (cuddling is the best), compassionately allowing myself to learn new things on my own timeline, I get fixated on things in true ADHD fashion, and I am currently all about the video game Fae Farm.

Accessibility Considerations

My office building is one floor with no stairs entering the building. Our waiting room has seats without arms and a loveseat. The chairs in my office can support 400 pounds. Our office is technically wheelchair accessible, however, I believe that the front door would be a bit of a squeeze to get into. I am gender-affirming and neurodiversity-affirming.

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