I Offer Treatment for Anxiety, Depression, & Adjustment Issues

Some of the problems I work with include:

  • Panic attacks and Panic Disorder

  • Social anxiety and Social Anxiety Disorder

  • Problem Shyness

  • Obsessive-Compulsive Disorder

  • Generalized Anxiety Disorder (excessive worry)

  • Depression, Grief and Loss

  • Adjustment and Phase of Life Issues

  • Disordered Eating Patterns

  • Health Anxiety

  • Chronic Pain

  • Introversion and High Sensitivity

  • General Self-Exploration and Growth

My Treatment Philosophy: Stuck, Not Broken

My treatment philosophy is that everyone gets stuck in life, because, let’s face it, life is hard for everyone at some point. That’s just part of being human. But being stuck doesn’t mean you’re broken. Of course, you want to do everything you can to feel better, and that’s where I come in. I’ll help you figure out what’s not working in your life, and together, we’ll develop a plan to help you reach your goals.

My Experience & Credentials

I received my doctorate degree in clinical psychology from the University of Missouri-St. Louis.

I completed a postdoctoral fellowship at what is now called The Behavioral Medicine Institute in St. Louis, MO. I trained with C. Alec Pollard, Ph.D., who is an internationally recognized expert in the treatment of OCD and other complex anxiety disorders. I also spent part of my fellowship working in the eating disorders program and in the intensive Behavioral Treatment Unit.


I am the co-author, along with Dr. Pollard, Dr. Flynn, and Dr. Carmin of Dying of Embarrassment: Help for Social Anxiety & Phobia, the first self-help book for people with social anxiety disorder, then called social phobia. The book is still one of the most recommended books on the subject and it was named one of the most scientifically valid self-help books in a study published in the scientific journal Professional Psychology, Research and Practice.

I’ve written two other books on social anxiety disorder and my recent book is on self-confidence. See the Books section for more information.

I’ve spent twenty plus years counseling people of all ages—children, adolescents, and adults—with a range of issues.

I’ve presented at national conferences on anxiety disorders and am frequently asked to be an expert source by the media.

Treatment Approaches:

I utilize a combination of evidence-based approaches, such as Cognitive Behavior Therapy (CBT), Acceptance and Commitment Therapy (ACT) and a range of mindfulness and self-compassion techniques. In all cases, I collaborate with you to make sure we’re meeting your needs and working toward your goals. People find me warm and compassionate, yet also direct and practical.


My fee is $160 for a 50 minute session. I don’t accept insurance; however, I’m happy to work with you to provide itemized receipts for your insurance company for partial or full reimbursement for your out-of-network therapy benefits if you choose. Here is a helpful guide that offers tips for affording therapy and lists reasons why some people choose to work with an out-of-network provider.

Confidential and Convenient Treatment in St. Louis, MO

Centrally located office at 140 Prospect Ave, Suite E, St. Louis, Missouri 63122. Close to major highways with easy parking.

Centrally located office at 140 Prospect Ave, Suite E, St. Louis, Missouri 63122. Close to major highways with easy parking.

  • I offer a range of appointment times to fit your needs, including late afternoon, early evening, and Saturday appointments.

  • I keep openings in my schedule so that I can usually see new clients within 48 hours. There’s nothing worse than finally deciding to seek treatment and then being told you have to wait a month to see a healthcare provider.

  • My office is centrally located in the St. Louis suburb of Kirkwood, MO and is easy to find.

  • HIPAA compliant video/Skype sessions offered for people living in Missouri, if appropriate.

The scariest moment is always just before you start.
— Stephen King

Call or text me at 314-756-5155, or email me at barb@barbaramarkway.com for an initial appointment.

I’m looking forward to the opportunity to work with you.