Peaks and Valleys Therapy • Missoula, MT Counseling Practice
Therapy & Counseling in Missoula, MT
Compassionate, personalized therapy for adults, couples, young adults, and college students navigating anxiety, trauma, ADHD, relationship challenges, and life transitions.
We accept many major insurance plans for individual therapy, depending on the therapist and your specific plan.
In-person therapy in Missoula and secure online therapy across Montana.
If you’re feeling overwhelmed, stuck, anxious, disconnected, or struggling in your relationships, you don’t have to figure it out alone.
At Peaks and Valleys Therapy, our team helps college students, young adults, adults, and couples navigate anxiety, addiction, ADHD, trauma, burnout, and relationship challenges with therapy tailored to their goals and needs.
Tell us what’s been going on, and we’ll help match you with the right therapist so you can start therapy sooner.
Therapy That Fits You (Not the Other Way Around)
Finding a therapist can feel overwhelming. At Peaks and Valleys Therapy, we make getting started simpler.
We take the time to understand what you're looking for and help connect you with a therapist whose experience, approach, availability, and insurance options fit your needs.
Tell us what's going on. We'll help you find the right place to start.
1. Tell us what you need
Share what's bringing you to therapy and what you're looking for.
2. Get matched
We'll help connect you with a therapist who fits your needs and preferences.
3. Start therapy
Begin building a therapeutic relationship that supports meaningful change.
Therapy for Where You Are in Life
Life doesn't always fit neatly into categories. You may be struggling with anxiety while navigating college, feeling disconnected in your relationship, dealing with burnout at work, or trying to understand patterns that keep repeating.
Our therapists provide individualized counseling for:
Adults
Therapy for anxiety, depression, trauma, life transitions, self-esteem, stress, and relationship challenges.
Couples
Support for couples experiencing conflict, disconnection, communication difficulties, or major relationship transitions.
Young Adults & College Students
A supportive space to navigate identity, relationships, academic stress, anxiety, and the transition into adulthood.
Teens & Adolescents
Age-appropriate therapy for teens navigating anxiety, emotional regulation, relationships, school stress, and life changes.
What Can Therapy Help With?
You don't need to have everything figured out before reaching out.
Our Missoula therapists work with clients experiencing:
Couples & Relationship Therapy
Stress & Burnout
Life Transitions
Emotional Regulation
Self-Esteem & Identity
Therapy That Looks at the Whole Person
At Peaks and Valleys Therapy, we believe effective therapy starts with a strong therapeutic relationship.
Our therapists draw from evidence-based approaches while tailoring therapy to each person's goals, experiences, and needs. Depending on your therapist and goals, therapy may incorporate:
Emotionally Focused Therapy (EFT)
Especially helpful for couples and relationship concerns, EFT focuses on emotional connection, attachment, and the patterns that shape relationships.
Learn About Couples Counseling →
Trauma-Informed Therapy
A trauma-informed approach recognizes how past experiences can affect the way we understand ourselves, our emotions, and our relationships.
Cognitive & Behavioral Approaches
Evidence-based strategies can help clients understand patterns of thinking and behavior and develop practical tools for managing anxiety, stress, and emotional challenges.
Couples Counseling in Missoula, MT
Relationships go through peaks and valleys.
Our couples therapists help partners navigate conflict, emotional disconnection, communication difficulties, trust concerns, and major life transitions.
We use relationship-focused approaches, including Emotionally Focused Therapy (EFT), to help couples understand the patterns they get stuck in and build a stronger emotional connection.
Whether you're dating, engaged, married, or navigating a difficult season together, couples counseling can provide a supportive place to slow down, understand one another, and reconnect.
Preparing for Marriage?
Premarital counseling can help you build a strong foundation before marriage—not because something is wrong, but because your relationship is worth investing in.
Peaks and Valleys Therapy offers Prepare/Enrich-based premarital counseling for couples in Missoula and online across Montana.
Explore important conversations about communication, finances, family, intimacy, expectations, conflict, and your future together.
Therapy That Works With Your Insurance
We accept several major insurance plans for individual therapy, depending on the therapist and your specific plan.
Insurance coverage varies by therapist, plan, and service. Our matching process can help you understand which therapists may be available through your insurance.
Couples and relationship counseling is private pay and is not billed to insurance.
If you prefer to pay privately, private-pay options are also available for individual therapy.
In-Person Therapy in Missoula & Online Across Montana
Missoula Therapy
We offer in-person therapy at several convenient Missoula locations. Availability varies by therapist, so we'll help you identify which location and therapist may work best for you.
2423 Mullan Rd
Missoula, MT 59808
126 E. Broadway, Suite 9
Missoula, MT 59802
1008 South Ave W
Missoula, MT 59801
Online Therapy
Prefer therapy from home? We offer secure online therapy for clients located throughout Montana.
Meet Our Missoula Therapy Team
Finding the right therapist matters.
Our team brings different backgrounds, specialties, personalities, and therapeutic approaches—so you don't have to force yourself into a one-size-fits-all model.
Tiana Wilson, LCSW
Individuals • Couples • Premarital Counseling
Sydney Lea, PCLC
Adults • Young Adults • Trauma & Relational Therapy
Molly Wilson, PCLC
Individuals • Teens • College & Career Readiness
Ken Bumke, LCSW
Individuals • Couples • Men's Therapy
Circe Vogel, LCPC, LAC
Individuals • Addiction • EMDR Therapy
Why Choose Peaks and Valleys Therapy?
Personalized Therapist Matching
You don't have to figure out which therapist is right for you on your own. Tell us what you're looking for, and we'll help identify someone on our team who may be a good fit.
A Team With Different Specialties
Our therapists bring different clinical backgrounds, areas of expertise, and therapeutic approaches, giving you options within one practice.
Relationship-Focused Care
We believe the therapeutic relationship matters. You deserve to work with someone you feel comfortable with and who takes the time to understand you.
Insurance & Private-Pay Options
We accept several major insurance plans for eligible individual therapy services, while private-pay options are also available.
In-Person or Online
Choose in-person therapy at one of our Missoula offices or secure online therapy from the comfort of home anywhere in Montana.
Frequently Asked Questions
How do I find the right therapist?
You don't have to figure that out on your own. Our matching process helps us learn about what you're looking for so we can connect you with a therapist who fits your needs, preferences, and availability.
Do I have to know which therapist I want?
No. That's one of the reasons we offer therapist matching. You can tell us what brings you to therapy, what you're looking for in a therapist, and any preferences you have. We'll help you identify where to start.
How quickly can I start therapy?
Many clients are able to begin within days, depending on therapist availability and fit.
Do you offer in-person therapy in Missoula?
Yes. We offer in-person therapy at our Missoula locations, as well as secure online therapy.
Do you offer online therapy?
Yes. We offer secure telehealth therapy for clients located throughout Montana.
Learn More About Online Therapy →
Do you accept insurance?
We accept select insurance plans for individual therapy. Coverage varies by therapist and plan.
How much does therapy cost?
Therapy rates vary depending on the therapist and service. Several major insurance plans are accepted for eligible individual therapy, and private-pay options are also available.
You can learn more about insurance coverage, private-pay rates, and Good Faith Estimates on our Insurance & Rates page.
Do you offer couples counseling?
Yes. We provide couples and relationship counseling in Missoula, with a focus on helping partners improve communication, emotional connection, and relationship patterns.
Do you offer premarital counseling?
Yes. We offer specialized premarital counseling using the Prepare/Enrich program.
You Don't Have to Navigate This Alone
Whether you're feeling anxious, burned out, disconnected, overwhelmed, or simply ready for something to change, therapy can give you a place to slow down and figure out what's next.
We're here to help you navigate life's peaks and valleys.
Get Matched with a Therapist
What Our Clients Say
"I would HIGHLY recommend Tiana and her practice to anyone in search of a caring, competent and qualified therapist."
"In a place where I felt I needed someone- Tiana was my go to. She was my rock when my world felt so unstable."
"Excellent professionalism and experience for those in our community seeking out for a great mental health provider!"
"Very professional and friendly! I always feel comfortable interacting with Tiana and look forward to working with her again!"
We’d love to hear your feedback. If you’d like to share your experience with Peaks & Valleys Therapy, you can leave a Google review below. Your input is completely voluntary and appreciated.
