Meet Astonish Fann

Licensed Master Social Worker, Missouri License #: 2026022503

Supervisor: Rafaella Smith-Fiallo, LCSW, Missouri License #: 2018000981

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Astonish Fann, BA (they/she)

You may feel like you're constantly trying to fit into spaces that were never designed for you. Maybe you're exploring your gender identity, sexuality, relationships, or sense of self. Maybe you're carrying shame, struggling with body image, navigating anxiety, or feeling disconnected from who you truly are.

Whatever brought you here, you don't have to figure it out alone.

I offer an affirming space where you can show up as your full self—without having to explain, justify, or minimize your experiences. Together, we'll explore the questions, challenges, and patterns that may be keeping you stuck while building greater self-understanding, confidence, and connection.

I especially enjoy working with LGBTQIA+ individuals, neurodivergent adults, and those navigating identity exploration, sexual shame, body image concerns, relationship challenges, life transitions, and self-esteem. My goal is to help you move beyond survival and toward a life that feels more authentic, fulfilling, and aligned with your values.

Before becoming a therapist, I worked in comprehensive sex education and reproductive healthcare. Those experiences deepened my passion for helping people challenge harmful messages about identity, sexuality, and self-worth while creating space for curiosity, growth, and healing.

My approach is collaborative, trauma-informed, and grounded in a feminist, intersectional lens. I recognize that our identities, relationships, and social environments shape how we experience ourselves and the world around us. In therapy, we'll move at your pace, honoring your experiences while creating meaningful steps toward the life you want to build.

You deserve a space where you feel safe, seen, and supported. I would be honored to walk alongside you in that process.

Areas of Interest​

• Comprehensive sexuality education 

• Identity exploration without shame and stigma

• Impact of childhood experiences on identity and behavior

• Communication with the self and within relationships 

• Impact of trauma on the self

Education

• Washington University in St. Louis, Master of Social Work

  
  

Schedule Free Consultation

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FAQs

What is your availability?

• Weekdays (excluding Wednesday): 530p - 8p CST

• Saturdays: 12pm - 2pm CST

Where are sessions held?

I currently provide in-person and virtual therapy. Being that I am licensed in Missouri, I am only able to provide therapy to those who are physically located in Missouri during the time of service.

Our address is: 462 N Taylor Ave, St. Louis, MO 63108

What are your rates?

• Individual Therapy: $200

• Couples Therapy: $225

• Learn more about service rates and reduced rates here.

Do you accept insurance?

I am not on any insurance panels and cannot bill insurance or provide superbills. You will be given a Good Faith Estimate at the start of work together so that you would know an estimate for the costs involved.

Cancellation policy

A $75 fee applies to no-shows and cancellations made less than 24 hours before your appointment.