Cara Peroutka, M.A., PLPC

Therapist in St. Louis, MO


Clinical Specialties:

  • Couples Counseling
  • Maternal Mental Health
    (Pregnancy, Postpartum, and Birth Trauma)
  • Anxiety & Depression
  • Grief and Loss

Hi, I’m Cara! I’m a Master’s level therapist at Marble Wellness.

My Education and Professional Background

I earned a Bachelor’s in Psychology from University of Missouri-St. Louis, followed by an M.A. in Counseling-Human Development from St. Louis University.

I have spent over 20 years working with children, moms, and families, and enjoying every minute of it! I have worked with children of all ages in a variety of different settings, including school and residential treatment settings. I have worked in the community health field and have experience in both individual and group therapy. In my time providing direct therapy services, my passion has blossomed in working with moms and with couples.

I am currently a provisionally licensed professional therapist (PLPC) under the supervision of Kristi Machica, LPC, RPT-S. (License No: 2010031659-LPC; S2821-RPT)

How I Like to Work in Therapy

Life is full of journeys and adventures. While these can enrich our lives, the situations we encounter can also be exhausting and challenging. Crisis, trauma, or just everyday challenges can cause isolation and silent suffering for individuals. To be carrying something so heavy and yet no one else knows….you don’t have to continue to do that alone. We all deserve having unconditional support to face things in life, and being that support person is my passion. My approach is to meet you right where you are and walk with you through life’s ride, which can sometimes feel like a roller coaster.

I love the start of a new positive connection, the exploration of learning about someone else and their interactions in the world, and then helping my clients find resolution and closure.

I think there is something so beautiful about genuineness and authenticity, just being real and in the here and now with others so they know they are not alone.

Advanced or Relevant Training

Fun Fact

I absolutely love to paddle, either a kayak or paddleboard. Being on the water is good for my soul!

Cara is under the supervision of Kristi Machica, LPC, RPT-S, License No: 2010031659 (LPC), S2821 (RPT)

Learn more about Cara Peroutka

Check out my “getting to know you” video to learn more about me and my approach.

Begin Counseling with STL Therapist, Cara Peroutka

Now you know Cara! We are so excited for you to get started with her in our Ballwin, MO counseling clinic, which can be the place you can begin to find progress. She can also chat via telehealth for online therapy in Missouri. Truly, anywhere in the state! Taking this first step is a big deal, so you are already making great progress! Just follow these simple steps and we will get started.

Icon message, representing step one: "Reach out to Marble Wellness".

1. Reach out to Marble Wellness

Our Client & Project Coordinator will be your first point of contact. She’ll get you set up with a good match for you on our team, and talk first appointment details.

Icon two people meeting, representing step two: "Meet with one of our therapists".

2. Meet with STL Therapist, Cara Peroutka

Cara is part of our Maternal Mental Health team and has training and experience in therapy for moms. She also uses play therapy approaches in counseling with kids and also loves teen therapy.

Icon heart, representing step three: "Start to live happy and calm again".

3. Start to live happy and calm again

Whether it’s in-person, online, or park therapy, you and your STL therapist, Cara, will work together to help you start to live the life you’ve been longing for.

Have Questions About Starting Therapy?

Taking this step is a big deal, so you are already making great progress! We are here to help answer your questions and move forward.