About Peaks and Valleys Therapy in Missoula, MT
A Missoula therapy practice built around the right fit
Expert Therapy in
Missoula & Online
Peaks and Valleys Therapy is a counseling and therapy practice in Missoula, Montana, founded by Tiana Wilson, LCSW. Our team provides individual therapy, couples counseling, premarital counseling, and relationship therapy for adults, teens, and young adults. We also offer secure online therapy for clients throughout Montana.
We know that finding the right therapist matters. Different therapists bring different areas of experience, personalities, approaches, schedules, and perspectives to their work. Rather than asking you to figure out which therapist is right for you on your own, we offer a Get Matched with a Therapist process designed to help connect you with the clinician who best fits your needs.
Our goal is simple: to provide thoughtful, personalized mental health care in a setting where you feel respected, understood, and supported.
Therapy in Missoula for the challenges that matter most
People come to Peaks and Valleys Therapy for many different reasons. You may be struggling with anxiety, depression, trauma, ADHD, burnout, relationship difficulties, grief, addiction and recovery, or a major life transition. You may simply know that something needs to change and want support figuring out what comes next.
Our therapists work with a range of concerns, including:
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Anxiety, worry, and panic
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Depression and low mood
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ADHD and executive functioning
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Trauma and PTSD
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Stress, burnout, and overwhelm
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Relationship concerns and communication difficulties
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Couples and premarital counseling
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Addiction, substance use, and recovery
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Grief and loss
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Self-esteem, identity, and life transitions
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Teen and young adult concerns
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College, academic, and career-related stress
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LGBTQ+ and gender identity concerns
Because each therapist has different areas of focus, we use our matching process to help connect you with the person whose experience and approach are most appropriate for what you're looking for.
Meet the therapists at Peaks and Valleys Therapy
Tiana Wilson, LCSW
Founder and Clinical Therapist
Tiana Wilson is the founder of Peaks and Valleys Therapy and provides individual therapy and couples counseling in Missoula. Her work is informed by attachment theory and Emotionally Focused Therapy, with a particular focus on anxiety, trauma, relationships, and life transitions. She also provides premarital counseling using Prepare/Enrich and attachment-based approaches.
Sydney Lea, MA, PCLC
Sydney works with adults and young adults and has a particular interest in attachment, relationships, anxiety, trauma, self-worth, and relational wounds. Her approach is informed by Emotionally Focused Individual Therapy and attachment-based counseling.
Molly Wilson, PCLC
Molly works with individuals, teens, and college students. She has particular interests in anxiety, ADHD, school and academic concerns, and the transitions that come with adolescence, college, and early adulthood.
Ken Bumke, LCSW
Ken works with adults, teens, and couples, including clients navigating anxiety, depression, burnout, stress, relationships, life transitions, and questions of identity, purpose, and meaning. He also provides premarital counseling and offers evening and Saturday appointments.
Circe Vogel, LCPC, LAC
Circe works with adults and older adults and brings specialized experience in substance use, addiction, recovery, and co-occurring mental health concerns. She also works with clients navigating trauma, anxiety, life transitions, and other mental health concerns and offers evening and Saturday availability.
A personalized approach to therapy
We believe effective therapy begins with a strong therapeutic relationship. You should feel comfortable being honest with your therapist, understood in the context of your experiences, and involved in deciding what you want from therapy.
Our therapists draw from evidence-based and trauma-informed approaches based on their individual training and clinical focus. Depending on your therapist and goals, therapy may incorporate approaches such as:
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Cognitive Behavioral Therapy (CBT)
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Emotionally Focused Therapy (EFT)
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Attachment-based therapy
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Trauma-informed therapy
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Skills-based approaches for emotional regulation and coping
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Other individualized therapeutic approaches based on your needs
Therapy isn't one-size-fits-all. Your therapist will work with you to understand what's bringing you in, identify meaningful goals, and develop an approach that fits your circumstances.
In-person therapy in Missoula and online therapy throughout Montana
Peaks and Valleys Therapy offers in-person counseling at three Missoula locations as well as secure online therapy for clients throughout Montana.
Missoula therapy offices
Our Missoula offices are located on Mullan Road, in Downtown Missoula, and on South Avenue.
2423 Mullan Rd
Missoula, MT 59808
126 E. Broadway, Suite 9
Missoula, MT 59802
1008 South Ave W
Missoula, MT 59801
Therapist availability varies by location. When you use our Get Matched process, we'll consider your preferred location along with your clinical needs, insurance, therapist preferences, and schedule.
Online therapy across Montana
If you live outside Missoula or prefer the flexibility of meeting from home, we offer online therapy throughout Montana when clinically appropriate.
Online counseling can be a convenient option for college students, working professionals, people living in rural communities, and anyone who prefers not to travel to an office.
Why Choose Peaks and Valleys Therapy in Missoula?
A small practice with personalized matching
Instead of sending you a list of therapists and asking you to figure it out yourself, our Get Matched process helps identify the therapist who may be the best fit for your needs.
Different therapists, different strengths
Our therapists have different areas of clinical interest, experience, schedules, and therapeutic approaches. That allows us to consider more than just whether someone has an opening—we can look at the overall fit.
Therapy for different stages of life
Our practice works with teens, college students, young adults, adults, and older adults. We also offer individual therapy, couples counseling, and premarital counseling.
Missoula and statewide access
You can meet with a therapist in one of our Missoula offices or, when appropriate, through secure online therapy anywhere in Montana.
Insurance options for individual therapy
We accept many major insurance plans for individual therapy, although insurance participation varies by therapist and plan. Couples and premarital counseling are private-pay services and are not billed to insurance.
How our Get Matched process works
Finding a therapist doesn't have to mean searching through dozens of profiles and trying to determine who is right for you.
When you submit our Get Matched form, you'll tell us a little about what you're looking for, including the type of therapy you're seeking, your concerns, preferences, insurance, location, and scheduling needs.
Our care coordinator reviews the information and identifies the therapist who appears to be the best fit based on the information you've provided and current therapist availability.
Once a match is identified, the therapist reaches out to you directly to discuss getting started.
If we don't currently have a therapist who is the right fit or has availability, we'll let you know and, when possible, provide waitlist or referral options.
Our goal is to help you find the right fit
Starting therapy can feel like a big step. You don't have to have everything figured out before reaching out.
Whether you're looking for therapy for anxiety, trauma, ADHD, depression, relationship concerns, addiction and recovery, a life transition, or something you can't quite put into words yet, we're here to help you find the right place to begin.
Peaks and Valleys Therapy provides therapy and counseling in Missoula, Montana, with online therapy available throughout the state.