About Us

Welcome to Carnelian

Carnelian will help you tap into your creativity and passion. Inspired by our namesake stone, we create a warm and vibrant space to explore and discover challenges that are impacting your well-being. Through a therapeutic approach that includes artistic expression, yoga, traditional talk therapy, and sex therapy, Carnelian offers pathways to heal personal, sexual, and relationship challenges.

We offer a variety of services including:

  • Psychotherapy
  • Sex Therapy
  • Expressive Arts Therapy
  • Individual and Relationship Coaching
  • Creative Coaching
  • Clinical Supervision
  • Professional Consultation
  • Education and Training
  • Yoga and Meditation 

All services are currently offered online due to the on-going Covid19 Pandemic

Nicole Landwehr

Licensed Clinical Social Worker, Registered Expressive Arts Therapist, AASECT Certified Sex Therapist, and Registered Yoga Teacher

Nicole Landwehr (she/they), PhD, LCSW, REAT, CST, RYT-200 is the founder of Carnelian. They founded Carnelian in 2021 with the desire to expand beyond the insurance-driven healthcare model.

Nicole has over 10 years of experience in the social work field. Prior to founding Carnelian, Nicole worked in long-term care and residential settings, home health and hospice, non-profit agencies, higher education, insurance-based private practice, and hospitals. Nicole’s experience with different approaches, clients, and environments informs their unique approach to healing.

Today, Nicole’s primary work is with individuals, couples, and multi-partner relationships. Nicole’s clinical interests include sex, sexuality, eroticism, intimacy, gender, pleasure, mindfulness, creative-expression, and spirituality. Nicole is a LGBTQIA+ affirming, sex positive, kink aware, Sex Worker-Affirmative, and polyamorous / CNM inclusive therapist.

Education and Training

PhD in Clinical Sexology

AASECT Certified Sex Therapist (CST)

Registered Yoga Teacher (RYT-200)

Master Degree in Social Work (MSW)

Licensed Clinical Social Worker in Missouri and Arkansas (LCSW)

Registered Expressive Arts Therapist (REAT)

Bachelor Degree in Social Work (BSW)

Book a Free Consultation

To book a free 15-minute consultation, contact Nicole by phone, email, or by using the online form here:

With a big team health issues and life challenges we’re fortunate to be able to help individuals and couples with a wide range of mental health issues and life challenges. We can meet face to face or via telehealth.

New Patient Special Offer Complimentary Consultation.

Practice Philosophy







Inclusive Policy

Nicole is an advocate for social justice and human rights. They embrace diversity and create a safe space where differences are acknowledged, respected and appreciated. Clients from all walks of life are welcome!


Individual, couples, and relationship therapy services for those in Missouri and Arkansas.
Including traditional talk therapy, sex therapy, and expressive arts therapy.

Professional Consultation and Training

Training and Education for other service providers, agencies, and organizations. & Consultation for other licensed clinicians.

Clinical Supervision ​

Supervision for LMSWs in the state of Missouri pursing LCSW licensure. ​


Sex and Relationship Coaching & Creative Coaching