
Therapy & Counseling in Missoula, MT
Helping adults, teens, couples, and college students in Missoula navigate anxiety, trauma, OCD, ADHD, relationship stress, burnout, and life transitions.



We accept many major insurance plans for individual therapy.
Get Matched with a Therapist
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, OCD, 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 shouldn’t feel overwhelming. That’s why we’ve created a simple, personalized process:
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Tell us what you’re struggling with
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We match you with a therapist who fits your needs
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Start therapy—often within days
No endless searching. No guessing if it’s the right fit.
What We Help With
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OCD
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Trauma & PTSD
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Burnout & Stress
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Disordered Eating
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Emotional Regulation
Explore Our Specialties:
Insurance Accepted
We accept many major insurance plans.
View Insurance Options
Why Clients Choose Us
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Fast therapist matching
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Specialized anxiety/OCD/ADHD care
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Therapy for college students & young adults
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Evidence-based approaches
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In-person therapy in Missoula + online therapy
Frequently Asked Questions
How quickly can I start therapy?
Many clients are able to begin therapy within days, depending on availability and fit.
Do you offer ADHD testing or diagnosis?
We focus on therapy and support for ADHD, including help with focus, structure, and emotional regulation. If you’re unsure whether you have ADHD, we can help guide you toward the right next steps.
Do you offer in-person or online therapy?
We offer both in-person sessions in Missoula and secure telehealth appointments.
How do I know which therapist is right for me?
That’s exactly what we help with—our matching process is designed to connect you with the best-fit therapist based on your needs and preferences.
Do you take insurance?
Yes, we accept select private insurance plans (listed above).
TESTIMONIALS
"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!"

