Our Staff

Karen MacCausland

Karen MacCausland

M.S.W. Licensed Clinical Social Worker | Bachelor of Science in English, Central Connecticut State University |

M.SW. George Warren Brown School of Social Work

Founder of Families in Focus

Karen has 35 years of experience in family, individual, and couple therapy. She received her Bachelor of Science degree in English at Central Connecticut State University and completed her Master’s degree in social work from Washington University’s George Warren Brown School of Social Work. She earned certification in marriage and family therapy from the Menninger Clinic. She is also a Gottman Seven Principles Program Educator.

Karen is a humorous and dynamic speaker. She has presented seminars and conducted workshops on a variety of subjects and has lectured at several universities and regional conferences. Also, she has published articles in local newspapers, appeared on local television, and authored children’s programs in self-esteem and abuse prevention while working in local agencies. Previous work includes directing a 24-bed psychiatric unit for adults at a local hospital, drug/alcohol counseling for a school-based hospital program, serving as a clinician and clinical supervisor at a non-profit local mental health agency, and teaching high school English for six years. Karen and her husband, Norm, have been married for 39 years and have two grown sons.

Appointments daily; first at 8:00 a.m. and last at 5:00 p.m. Monday, Tuesday, and Friday, and 7:00 p.m. Wednesday and Thursday.

Linda Luecke

Linda Luecke

M.A. Licensed Professional Counselor, Lindenwood University | B.A. Washington University

Linda graduated from Lindenwood University in 1995 with a Master of Arts in Professional Counseling. She also holds a Bachelor of Science in Business Administration from Washington University. Linda has been counseling individuals, couples, and families at Families in Focus since September 2006. Her previous counseling experience includes working in private practice in South St. Louis City, for the State of Missouri as an employment counselor, and for Catholic Family Services working with children and their families.

Her theoretical orientation is a combination of cognitive-behavioral, existential, and spiritual (biblical perspective) approaches in treating a variety of issues. Issues she has experience working with include generalized anxiety, depression, bereavement, workplace issues, anger and stress management, and communication challenges within couples and families.

Her accomplishments include serving as a secretary of Chi Sigma Iota (honorary society for counseling graduates), receiving an outstanding achievement award and director’s recognition in the St. Louis County Probation and Parole Job Placement Program, spending two months in Kenya working with business owners and social service employees and volunteering with her son for four months during the early stages of the pandemic at the St. Louis Area Foodbank.

When Linda is not seeing clients, she enjoys reading, swimming, hiking, lunch with girlfriends, and summer vacations with her husband and teenage son.

Appointment availability on Thursdays, Fridays, and Saturdays.

Margaret Cook

Margaret Cook

M.Ed., Licensed Professional Counselor, University of Missouri – Columbia | B.S. Psychology, Lindenwood University

Margaret has been helping individuals, couples, and families adjust to changes and reach their potential for over twenty-five years. Margaret uses a variety of approaches in therapy to empower clients for healing and growth. Parents often seek consultation and independent evaluation regarding educational needs for students and Margaret is able to assess and interpret a wide variety of standard assessments. Margaret provides inter-generational counseling or coaching with sensitivity to the elderly, caregivers, and children. She sees the contemporary pressing issues for many families as invitations for families to learn together.

In addition to providing counseling, she consults with organizations to foster healthy relationships and adapt processes to achieve outcomes. She has written several books that are available through Amazon.com.

Almost anyone can benefit from life coaching with Margaret. Life coaching focuses on reaching optimal achievement or client goals. Career coaching offers people at any stage of their career the opportunity to focus on effective planning and goal attainment when the market is competitive and the economic landscape is challenging. Margaret organizes some career services into group teleconferences. Families in Focus offers employers contracts for service for employees when there are significant organizational changes and when employees are transitioning out of the organization. Organizations that are developing retention programs may also benefit from proper analysis and proposals to reduce turnover. Margaret has experience in spouse relocation and career assessment for teens through older adults. Employers may contract for one employee or for groups.

Margaret provides seminars, classes and group experiences. She welcomes opportunities to help established organizations navigate the interpersonal difficulties that times of change and stress often magnify. Margaret has experience in corporate, not-for-profit and educational settings professionally helping people become more effective.

Appointments available evenings and Saturday afternoons.


Lauren Hughes

We all struggle from time to time. Children in particular are learning every day how to pick up and carry on after they’ve faced something that really challenged them. But sometimes they get stuck and don’t know what to do. Divorce, bullying, changing families, and so many other things that are out of our control can have a drastic impact. These events can lead children to withdraw socially, fall behind in school, act out at home, or they may even go so far as to take drastic action that impacts the entire family to its very core. If you or your child have reached this point, I believe that sessions with me can help figure out where you are stuck and how to move forward.

My first experience with therapy was at 11 years old when the stress of my parent’s divorce caused me to pick up some unhealthy habits in order to cope. I became determined to become a counselor when I grew up because I knew what it was like to grow up with divorced parents. I also knew what it felt like to be in counseling when you weren’t sure why you were there in the first place. I’ve returned to therapy over the years to practice what I preach, so I also know what it’s like to want to be in therapy but also not want anything to be wrong.
I graduated in the spring of 2016 with a Master of Science in Clinical Counseling Psychology from Brenau University. I spent three years in Tennessee working in Community Mental Health until moving out to Missouri in 2019. I have experience helping children, teens, & adults in hospital/residential facilities, out-patient offices, schools, community centers, and homes. I’m trained in: Dialectic-Behavioral Therapy, Trauma-Focused Cognitive-Behavioral Therapy, Child-Centered Play Therapy, Theraplay, Parent-Child Interactive Therapy, Schema Therapy, & Child-Parent Psychotherapy.
When I’m not working, I can be found at home taking care of my many plants that I “rescued” from the clearance section of Lowes or Home Depot, lounging on the couch with my cats while watching an anime series, or enjoying the company of friends while we play board games.