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Couples therapists in Missoula, MT

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Top couples therapists in Missoula, MT

Missoula couples can access compassionate relationship therapy through Headway's platform of 83 providers specializing in communication, trust-building, and conflict resolution. Our open-minded, solution-oriented therapists offer virtual and in-person sessions covered by insurance, with many clients saving 75% on sessions.

Jenna Christensen

Jenna Christensen

Therapist

Virtual • Billings, MT


“My style is warm, grounded, and relational, with an emphasis on creating a nonjudgmental space where clients can explore difficult emotions, patterns, and experiences openly.”
Relationship issues, Anxiety, Chronic conditions, Depression, Identity issues
Creative, Humorous, Warm
Accepts 6 insurance carriers
Sarah Doemland

Sarah Doemland

Therapist

Virtual • Montana


“My therapeutic perspective is broad, curious and eclectic as to meet you where you are while supporting your unique therapeutic process.”
Relationship issues, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Empowering, Open-minded, Warm
Accepts 3 insurance carriers
Dr. Ann Douglas

Dr. Ann Douglas

Therapist

Virtual • Montana


“I use a client-centered, integrative approach that draws from mindfulness, Internal Family Systems (IFS), somatic work, and ACT (Acceptance and Commitment Therapy).”
Relationship issues, Anger management, Anxiety, Cultural & ethnic issues, Depression
Empowering, Holistic, Solution-oriented
Accepts 8 insurance carriers
Dr. Sierra Slay

Dr. Sierra Slay

Therapist

Virtual • Montana


“My goal is to create a safe space where you feel heard, supported, and empowered to make meaningful changes.”
Relationship issues, Anxiety, Depression, Panic disorders, PTSD
Empowering, Solution-oriented, Warm
Accepts 3 insurance carriers
Andrew Carter

Andrew Carter

Therapist

Virtual & in-person • Helena, MT


“I enjoy working in collaboration with my clients to develop clear and measurable goals that are practical for their lives.”
Relationship issues, Anxiety, Depression, Family issues, Grief or loss
Challenging, Open-minded, Solution-oriented
Accepts 3 insurance carriers
Brandi Pereau

Brandi Pereau

Therapist

Virtual & in-person • Billings, MT


I am a dedicated practitioner focused on providing evidence-based, compassionate care. My professional journey is rooted in a deep commitment to understanding human behavior and fostering meaningful growth.

Relationship issues, Anxiety, Depression, Family issues, Stress management
Affirming, Open-minded, Warm
Accepts 4 insurance carriers
Emily Evans

Emily Evans

Therapist

Virtual • Butte, MT


“I do my best to provide a safe, welcoming space and offer practical tools that are relevant to personal growth.”
Relationship issues, Anxiety, Bipolar disorder, Depression, End of life care
Affirming, Inquisitive, Solution-oriented
Accepts 4 insurance carriers
Kurt Ruffley

Kurt Ruffley

Therapist

Virtual • Montana


“Therapy with me is collaborative, transparent, and grounded in ethical care. I offer a supportive space where real change is possible.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Energetic, Humorous
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Janis Hovi

Janis Hovi

Therapist

Virtual • Montana


I’m a Licensed Clinical Social Worker with experience supporting adolescents, college students, and adults of all ages navigating anxiety, ADHD, trauma, OCD, and life transitions. I use evidence-based therapies including CBT, ACT, DBT, and mindfulness to help clients develop practical tools for emotional regulation and follow-through. My approach is direct, supportive, and focused on long-term growth. I believe meaningful change happens when insight is paired with skill-building and self-respect.

Relationship issues, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Energetic, Inquisitive, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Natalie Reeder

Natalie Reeder

Therapist

Virtual • Montana


“Clients describe me as empathetic, a good communicator, patient, observant, a good listener, and respectful.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Humorous, Warm
Accepts 4 insurance carriers
Heather Rowley

Heather Rowley

Therapist

Virtual • Montana


“I believe therapy should be a positive, empowering experience focused on what works for the individual.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Energetic, Open-minded, Solution-oriented
Accepts 8 insurance carriers
Elizabeth Hector

Elizabeth Hector

Therapist

Virtual • Montana


“I've been through trauma which has given me an interest in trauma and led me to get specialized training in trauma.”
Relationship issues, Anxiety, Bipolar disorder, Chronic conditions, Depression
Affirming, Open-minded, Warm
Accepts 9 insurance carriers

Offers free consultationsView profile and book
Janet Buntrock

Janet Buntrock

Therapist

Virtual • Montana


“I will work with you collaboratively to set steps, goals and strategies all the while encouraging you to own your story and find your way through whatever situation brought you into counseling.”
Cultural & ethnic issues, Family issues, Grief or loss, LGBTQIA+, Men's issues
Affirming, Open-minded, Solution-oriented
Accepts 4 insurance carriers
Dr. Kim Tassinari

Dr. Kim Tassinari

Therapist

Virtual • Montana


“People often tell me I'm warm, steady, and easy to talk to. My goal is simple: to create a space where you feel truly heard, respected, and supported as you work through what matters most to you.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Depression
Creative, Holistic, Warm
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Kent Kelley

Kent Kelley

Therapist

Virtual • Montana


Let's work together and help you find your direction. My counseling style is highly consultative and coaching-like. It is typically non-directive, as I believe each client pilot's their own ship, but when the situation warrants, there is plenty of idea sharing and strategizing as well.


I have been practicing for 21 years and work with clients of all ages and various backgrounds. I believe that with a strong therapeutic alliance, we can mutually come together and help you find a path forward that suits you.

Relationship issues, Anxiety, Depression, Grief or loss, LGBTQIA+
Accepts 3 insurance carriers
Ashton Becraft (Burton)

Ashton Becraft (Burton)

Therapist

Virtual • Montana


“I believe in addressing therapy on an individualized basis and am ready to meet clients where they are.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Empowering, Humorous
Accepts 3 insurance carriers
Zara Hanson

Zara Hanson

Therapist

Virtual • Montana


I’m Zara Hanson, a Licensed Clinical Social Worker with a passion for helping people reconnect with themselves, heal from the inside out, and show up more fully in their relationships.

My interest in mental health started early, rooted in a curiosity about human behavior and a desire to help others feel less alone in their struggles. I earned my undergraduate degree in Psychology and Research Psychology, followed by a Master’s in Clinical Social Work with a focus on both direct therapy and systems-level care. Over the years, I’ve worked across a range of settings—from community mental health to private practice—supporting individuals, couples, and families navigating complex emotional terrain.

My practice focuses on trauma, neurodivergence (including ADHD and Autism Spectrum Disorder), substance use, mood disorders, relationship conflict, and emotional dysregulation. I’m especially drawn to working with clients who want to make sense of their story, process unresolved experiences, and find a more grounded, authentic way of being. I also work with couples to deepen connection, repair trust, and build more effective communication.

Therapy with me is relational, honest, and insight-driven. I aim to meet you exactly where you are, while gently encouraging growth, curiosity, and self-compassion along the way.

Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Challenging, Inquisitive, Warm
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Dr. Jacqueline Sabarese

Dr. Jacqueline Sabarese

Psychologist

Virtual • Montana


“Over the last 25 years, I have developed a diverse set of skills that help people resolve the issues they seek help for.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Participatory, Solution-oriented, Warm
Accepts 1 insurance carrier
Nancy Huus

Nancy Huus

Therapist

Virtual & in-person • Kalispell, MT


“I genuinely believe each person comes with their unique experience and has their own unique solutions.”
Relationship issues, Anger management, Anxiety, Depression, Family issues
Affirming, Solution-oriented, Warm
Accepts 4 insurance carriers
Ashley Burk

Ashley Burk

Therapist

Virtual • Montana


“I provide a nonjudgmental, secure, and supportive environment to encourage clients from age 6 throughout the lifespan to meet the challenges they are facing.”
ADD/ADHD, Anger management, Anxiety, Depression, Family issues
Challenging, Direct, Open-minded
Accepts 6 insurance carriers
Laura Cole

Laura Cole

Therapist

Virtual • Montana


“My goal in providing therapy is to promote a judgement free, non anxious presence so that you can explore and grow in ways that feel right to you.”
Relationship issues, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Direct, Open-minded, Solution-oriented
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Holly Keller

Holly Keller

Therapist

Virtual • Montana


“I'm a therapist who won't just nod along or offer surface-level comfort. I believe in having honest, direct conversations that go beyond simple validation.”
Anxiety, Depression, Trauma
Challenging, Empowering, Inquisitive
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Emilie Graham

Emilie Graham

Therapist

Virtual • Montana


“I provide a nonjudgmental, confidential, caring, and constructive atmosphere so you feel safe and can begin to heal.”
Relationship issues, Anxiety, Bipolar disorder, Chronic conditions, Depression
Challenging, Direct, Warm
Accepts 3 insurance carriers
Paula Nemiroff-Polutanovich

Paula Nemiroff-Polutanovich

Therapist

Virtual • Montana


“As a fluent sign language user, I am passionate about providing accessible therapy for Deaf and Hearing communities...”
Relationship issues, ADD/ADHD, Anxiety, Depression, Family issues
Challenging, Empowering, Inquisitive
Accepts 6 insurance carriers
Kati Randell

Kati Randell

Therapist

Virtual • Montana


“My focus is centered on helping people with anxiety, developmental transitions, relationship issues, couples therapy, and divorce.”
Relationship issues, Anger management, Anxiety, Depression, Men's issues
Empowering, Open-minded, Warm
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Paula Elkin

Paula Elkin

Therapist

Virtual • Montana


“My goal is to provide a space that is both supportive and practical, where we can work toward meaningful and realistic change.”
Relationship issues, Anger management, Anxiety, Bipolar disorder, Chronic conditions
Affirming, Energetic, Solution-oriented
Accepts 3 insurance carriers
Dana Relyea

Dana Relyea

Therapist

Virtual • Montana


“My approach is down-to-earth, empathetic, nonjudgmental, and tailored to each individual. I believe therapy should feel like a supportive space where you can be yourself.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Humorous, Open-minded, Warm
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Deanna Mcculloch

Deanna Mcculloch

Therapist

Virtual • Montana


“I focus on providing support that is individualized, neurodiversity affirming, attachment focused, and neurobiologically informed.”
Relationship issues, ADD/ADHD, Anxiety, Cultural & ethnic issues, Depression
Affirming, Empowering, Open-minded
Accepts 3 insurance carriers
Rebecka Casto

Rebecka Casto

Therapist

Virtual • Montana


“I am a curious, warm, skilled, and compassionate human who loves being with others in their process.”
Relationship issues, Anxiety, Bipolar disorder, Chronic conditions, Depression
Direct, Empowering, Warm
Accepts 1 insurance carrier
Desiree Hobson

Desiree Hobson

Therapist

Virtual • Montana


You might be feeling overwhelmed, stuck or just plain tired of trying to figure everything out on your own. Maybe anxiety keeps you up at night, or depression makes it hard to find the motivation to get through your day. Perhaps ADHD has you juggling a million things at once, but nothing feels like it's getting done. Maybe you're in the midst of a big change; a new role, shifting family dynamics, or health challenges and you're not sure how to navigate it all. I want you to know that you don't have to do it alone. Life doesn't always go as planned, and sometimes it can feel overwhelming to carry. We can find a way forward together.

Relationship issues, Anxiety, Bipolar disorder, Chronic conditions, Depression
Creative, Open-minded, Warm
Accepts 6 insurance carriers
Rachel Truett

Rachel Truett

Therapist

Virtual • Montana


“My approach is collaborative, practical, and trauma-informed. I draw from evidence-based approaches like cognitive behavioral therapy and solution-focused therapy...”
Relationship issues, Anger management, Anxiety, Cultural & ethnic issues, Depression
Energetic, Open-minded, Warm
Accepts 5 insurance carriers
Elaine Noland-Sepko

Elaine Noland-Sepko

Therapist

Virtual • Montana


Hi, I’m Elaine! I’m a Clinical Mental Health Counselor who works with adults, couples, and military families navigating life’s ups and downs. I have a Bachelors of Science in Psychology, and a Masters of Science in Marriage, Couples and Family Counseling with an addendum of Crisis and Trauma Counseling.

Many of my clients come to me struggling with relationship challenges (like communication struggles, Parenting conflicts and infidelity), trauma, PTSD, anxiety, or depression—feeling stuck, disconnected, or unsure how to move forward. My goal is to help you feel supported, understood, and equipped to create the changes you want in your life

Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Warm
Accepts 3 insurance carriers
Dr. Sue Pollington

Dr. Sue Pollington

Therapist

Virtual • Montana


“My approach to therapy is client centered. You are the head of your treatment team and I am here for you not the other way around.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Direct, Empowering, Warm
Accepts 3 insurance carriers
Elizabeth Loyd

Elizabeth Loyd

Therapist

Virtual & in-person • Thompson Falls, MT


I earned a Masters degree from Northwest Nazarene University in clinical counseling in 2014. I am currently licensed in the state of Idaho and Montana. I have been licensed for many years and participated in many trainings for clinical practice including but not limited to Christian counseling, Rogerian therapy, trauma therapy, grief/loss, addiction (Social media, gambling, sexual, food, etc.), anxiety (general and specific), personality disorders, depression, relationship challenges, neuroscience, adoption and/or attachment, equine therapy, play therapy, family therapy and experiential therapy. I have been a TBRI® Practitioner since 2015 and TBRI® Educator since 2017 working with families with kids from hard places. I am trained in clinical supervision and clinical ethics as well. I am trained in the use of neurofeedback equipment including brain mapping and brain training sessions since 2021, and have been Board Certified through BCIA since 2025. Please visit my personalized website at www.mountainhavenpathways.com

Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Challenging, Empowering, Warm
Accepts 5 insurance carriers
Dr. Joe Ombrello

Dr. Joe Ombrello

Therapist

Virtual • Montana


“I have an open, client-centered approach that helps individuals better understand the source of their challenges, develop skills to overcome those challenges, and empower them to be in control of their lives.”
ADD/ADHD, Anger management, Anxiety, Bipolar disorder, Depression
Direct, Holistic, Inquisitive
Accepts 12 insurance carriers
Patricia Graff

Patricia Graff

Therapist

Virtual • Montana


“I have been in clinical practice for 20 years, specializing in individual therapy, child and family therapy, crisis work and substance use treatment.”
Relationship issues, Anger management, Anxiety, Bipolar disorder, Depression
Humorous, Open-minded, Warm
Accepts 7 insurance carriers
Dr. Rita Billow

Dr. Rita Billow

Psychologist

Virtual • Eureka, MT


“I believe therapy should feel both safe and empowering. I draw from a trauma-informed lens and integrate techniques from Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), Cognitive Processing Therapy (CPT), Trauma-Informed...”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Empowering, Participatory, Solution-oriented
Accepts 6 insurance carriers
Brie Valletto

Brie Valletto

Therapist

Virtual • Montana


“I work with people who are used to carrying a lot and are ready for a deeper understanding of how stress, pressure, and life in general have shaped them.”
Relationship issues, ADD/ADHD, Anxiety, Chronic conditions, Family issues
Holistic, Humorous, Inquisitive
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Tara Ashley

Tara Ashley

Therapist

Virtual • Montana


“Spanning over 28 years as a social worker, Tara has practiced social work in the areas of: play therapy, family therapy, child protection, intra-familial sexual abuse...”
Relationship issues, Anxiety, Cultural & ethnic issues, Depression, Family issues
Creative, Holistic, Open-minded
Accepts 7 insurance carriers
Dr. Katherine Eyegue-Sandy

Dr. Katherine Eyegue-Sandy

Psychiatric Mental Health NP

Virtual • Billings, MT


“I don't see you as a diagnosis or a checklist of symptoms. I see a whole person — with a unique story, real strengths, and an incredible capacity to heal and grow.”
Relationship issues, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Solution-oriented
Accepts 3 insurance carriers

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Find the right couples therapist for you

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1 Cost may vary based on your location, age, and insurance coverage.