Addiction & Substance Use Therapy in Missoula, MT

There is no single path to recovery.

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You may be:

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• Questioning whether your substance use has become a problem

• Trying to reduce or stop using alcohol or drugs

• Beginning recovery after treatment

• Maintaining sobriety for months or years

• Experiencing cravings or triggers

• Trying to prevent relapse

• Rebuilding relationships affected by addiction

• Learning how to manage life without relying on substances

• Coping with anxiety, depression, trauma, stress, or other mental health concerns

• Navigating a major transition in recovery

• Looking for long-term support after completing a higher level of care

 

Therapy can meet you wherever you are in that process.

 

The focus is not simply on substance use. It is also on understanding the emotional, behavioral, relational, and life circumstances that affect your recovery.

Addiction therapy is individual counseling that helps people understand and change patterns related to substance use while developing healthier ways of coping with emotions, stress, relationships, and life challenges.

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Substance use counseling may address:

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• Alcohol use

• Drug use

• Substance use patterns

• Cravings and triggers

• Relapse prevention

• Recovery maintenance

• Emotional regulation

• Anxiety and depression

• Trauma-related concerns

• Relationship difficulties

• Stress and life transitions

• Self-esteem and identity

• Developing a sustainable life in recovery

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You do not have to identify as an "addict" or have reached a particular level of substance use to seek counseling.

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If your relationship with alcohol or drugs is causing concern—or you simply want support making changes—therapy can be a place to start.

Long-term recovery is a particular area of interest for Circe Vogel, LCPC, LAC.

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Recovery does not necessarily end when someone completes treatment or stops using a substance.

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Life after treatment can bring new challenges:

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• Returning to work or school

• Rebuilding relationships

• Managing stress without substances

• Establishing new routines

• Handling triggers

• Navigating cravings

• Developing a new sense of identity

• Maintaining healthy boundaries

• Managing difficult emotions

• Responding to unexpected setbacks

• Creating a meaningful life in recovery

 

Therapy can provide ongoing support as you build a life that supports your recovery over the long term.

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Relapse Prevention

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If you've experienced a relapse, therapy can help you look at what happened without reducing the experience to failure.

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Together, you can explore:

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• What circumstances contributed to the relapse

• Emotional and environmental triggers

• Patterns that developed before returning to use

• Warning signs

• Coping strategies

• Support systems

• Ways to respond differently in the future

 

Recovery is a process, and additional support can be part of that process.

Circe works with adults who are navigating concerns related to alcohol and other substances.

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Alcohol Use

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Therapy can help you explore your relationship with alcohol, identify patterns and triggers, develop healthier coping strategies, and work toward the recovery goals that matter to you.

 

Drug & Substance Use

 

Whether you're concerned about current substance use, working toward sobriety, or maintaining recovery, counseling provides a nonjudgmental place to explore what is happening and what you want to change.

 

Recovery After Treatment

 

Completing residential treatment, intensive outpatient treatment, or another level of care can be an important milestone—but returning to everyday life can bring its own challenges.

 

Individual therapy can provide continued emotional and behavioral support as you transition into ongoing recovery.

ubstance use and mental health concerns can occur together.

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Circe works with adults experiencing substance use alongside concerns such as:

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• Anxiety

• Depression

• Trauma-related concerns

• Emotional overwhelm

• Stress and burnout

• Relationship difficulties

• Emotional regulation

• Major life transitions

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When multiple concerns are affecting your life, therapy can provide space to understand how they interact rather than treating each concern in isolation.

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At the same time, not everyone who struggles with substance use has trauma or another mental health condition. Circe takes the time to understand each person's individual experience rather than making assumptions about why they use substances.

For some people, substances have become a way of coping with painful experiences, overwhelming emotions, trauma, anxiety, depression, or chronic stress.

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For others, substance use developed through different circumstances.

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Therapy does not assume that trauma caused your substance use.

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Instead, Circe works collaboratively to understand your individual history and the role that substances have played in your life.

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When trauma is part of the picture, therapy may include:

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• Identifying triggers

• Developing emotional regulation skills

• Building healthier coping strategies

• Processing difficult experiences

• Strengthening relationships

• Increasing self-awareness

• Developing recovery goals

• Building a sustainable life in recovery

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Learn more about Trauma & PTSD Therapy in Missoula

A Therapist Focused on Addiction Recovery & Mental Health

 

Circe Vogel, LCPC, LAC, provides individual therapy for adults in Missoula and online throughout Montana.

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Circe has professional experience working with adults experiencing substance use, addiction recovery, mental health concerns, trauma, and major life transitions.

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Before joining Peaks & Valleys Therapy, Circe worked as a Lead Clinician at New England Recovery Center, where she supported clients receiving drug and alcohol treatment and worked as part of a multidisciplinary clinical team.

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She also worked in a behavioral healthcare hospital setting, supporting clients with psychiatric stabilization, dual-diagnosis concerns, and other behavioral health needs.

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These experiences shaped Circe's approach to therapy as person-centered, practical, compassionate, and nonjudgmental.

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She is particularly interested in supporting adults working toward long-term recovery and helping clients build a life that feels sustainable beyond simply stopping substance use.

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Circe believes therapy works best when clients feel genuinely heard rather than judged. She brings curiosity, humility, and respect for each client's individual experience to the therapeutic process.

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Meet Circe Vogel

Circe draws from several therapeutic approaches and tailors treatment to each client's goals and circumstances.

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Motivational Interviewing

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Motivational Interviewing can help you explore your own reasons for change without pressure or judgment.

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Rather than telling you what you should do, therapy provides space to consider what you want and what may be getting in the way.

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Cognitive Behavioral Therapy (CBT)

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CBT can help identify connections between thoughts, emotions, behaviors, and substance-use patterns.

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Therapy can then focus on developing healthier ways of responding to difficult situations.

 

Dialectical Behavior Therapy (DBT)

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DBT-informed skills can support emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness.

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These skills may be particularly helpful when intense emotions or difficult situations contribute to unhealthy coping patterns.

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Mindfulness

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Mindfulness practices can help you become more aware of thoughts, emotions, cravings, and physical sensations without automatically reacting to them.

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Trauma-Informed Therapy

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When trauma or difficult past experiences are part of your story, therapy can incorporate a trauma-informed approach that emphasizes safety, trust, collaboration, and pacing.

 

EMDR

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Circe has completed EMDR training and may incorporate EMDR when appropriate for clients whose treatment goals include trauma-related concerns.

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EMDR is a specialized approach, and its appropriateness depends on the individual client's needs and treatment goals.

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Learn more about EMDR Therapy in Missoula

Addiction and substance use counseling may be a good fit if you:

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• Are questioning your relationship with alcohol or drugs

• Want to make changes but aren't sure where to begin

• Are working toward sobriety

• Are maintaining long-term recovery

• Are experiencing cravings or triggers

• Have experienced a relapse and want support moving forward

• Want to strengthen relapse-prevention skills

• Are rebuilding relationships affected by substance use

• Are learning how to manage stress without relying on substances

• Are experiencing anxiety, depression, trauma, or emotional overwhelm alongside substance use

• Are navigating a major life transition in recovery

• Want continued support after completing addiction treatment

• Want a therapist who will meet you without judgment

 

You do not have to wait until substance use reaches a crisis point before seeking support.

Addiction and substance use counseling may be a good fit if you:

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• Are questioning your relationship with alcohol or drugs

• Want to make changes but aren't sure where to begin

• Are working toward sobriety

• Are maintaining long-term recovery

• Are experiencing cravings or triggers

• Have experienced a relapse and want support moving forward

• Want to strengthen relapse-prevention skills

• Are rebuilding relationships affected by substance use

• Are learning how to manage stress without relying on substances

• Are experiencing anxiety, depression, trauma, or emotional overwhelm alongside substance use

• Are navigating a major life transition in recovery

• Want continued support after completing addiction treatment

• Want a therapist who will meet you without judgment

 

You do not have to wait until substance use reaches a crisis point before seeking support.

Circe provides addiction and substance use counseling for adults:

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• In person in Missoula

• Online throughout Montana

Online therapy can be particularly useful for adults who:

• Live outside Missoula

• Live in rural Montana communities

• Have demanding work schedules

• Have transportation challenges

• Prefer the privacy of their home

• Want greater flexibility

• Need continuity of therapy while traveling within Montana

 

Learn more about Online Therapy in Montana

Peaks & Valleys Therapy provides outpatient individual therapy.

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We do not provide:

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• Medically supervised detox

• Residential addiction treatment

• Inpatient treatment

• Medication management

• Emergency substance-use services

 

If you need a higher level of addiction care, medically supervised detox, or another specialized service, we can help you identify appropriate resources.

 

If you are experiencing a medical or psychiatric emergency, seek immediate emergency assistance.

Finding a therapist who understands both substance use and the realities of long-term recovery can be important.

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At Peaks & Valleys Therapy, addiction counseling offers:

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• Circe Vogel, LCPC, LAC, a clinician with professional experience in addiction treatment

• A particular focus on long-term recovery and relapse prevention

• Individual substance use counseling for adults

• Support for co-occurring mental health concerns

• Trauma-informed care

• Motivational Interviewing, CBT, DBT-informed skills, and mindfulness

• EMDR-informed trauma work when appropriate

• In-person therapy in Missoula

• Online therapy throughout Montana

• A compassionate, nonjudgmental approach

• Personalized therapist matching through our Get Matched process

 

The goal is not simply to stop using a substance.

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It is to understand your patterns, strengthen your recovery, and build a life that you can sustain.

Insurance participation varies by therapist, plan, and service.

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Because addiction counseling at Peaks & Valleys Therapy is primarily provided by Circe, your insurance and eligibility can be considered as part of the Get Matched process.

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View Insurance & Rates

Do you provide addiction therapy in Missoula?

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Yes. Peaks & Valleys Therapy provides outpatient individual addiction therapy and substance use counseling for adults in Missoula. Circe Vogel, LCPC, LAC, has professional experience working in addiction treatment and behavioral healthcare settings.

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Who provides addiction counseling at Peaks & Valleys Therapy?

 

Circe Vogel, LCPC, LAC is the primary therapist providing addiction and substance use counseling at Peaks & Valleys Therapy. She has a particular interest in long-term recovery and brings professional experience from addiction treatment and behavioral healthcare settings.

 

Do you treat alcohol addiction?

 

Yes. Circe works with adults who are concerned about their alcohol use, working toward sobriety, or maintaining recovery. Therapy can address triggers, coping strategies, motivation for change, relapse prevention, and long-term recovery goals.

 

Do you provide drug addiction counseling?

 

Yes. Circe provides individual counseling for adults experiencing concerns related to drug and other substance use, addiction recovery, cravings, relapse prevention, and long-term recovery.

 

Can therapy help with relapse?

 

Yes. Therapy can help you understand factors that contributed to a relapse, identify triggers and warning signs, strengthen coping strategies, and develop a plan for moving forward.

A relapse does not mean that therapy or recovery has failed. It can provide information about where additional support may be needed.

 

Do I have to be sober to start addiction therapy?

 

No. You do not have to have everything figured out before reaching out.

Therapy can provide a place to explore your relationship with substances, consider whether you want to make changes, and identify what kind of support you need.

 

Can addiction therapy help with long-term recovery?

 

Yes. Long-term recovery is a particular area of interest for Circe. Therapy can support the ongoing work of maintaining recovery, managing triggers, strengthening relationships, developing healthy coping strategies, and creating a sustainable life after addiction treatment.

 

Do you treat co-occurring mental health and substance use concerns?

 

Yes. Circe works with adults experiencing substance use alongside concerns such as anxiety, depression, trauma-related concerns, emotional regulation difficulties, stress, and relationship challenges.

 

Do you provide trauma therapy for people in recovery?

 

Trauma-related concerns can be addressed when they are relevant to a client's treatment goals. Circe uses trauma-informed approaches and has completed EMDR training. Treatment is individualized and does not assume that trauma is the cause of substance use.

 

Do you provide detox or residential addiction treatment?

 

No. Peaks & Valleys Therapy provides outpatient individual therapy. We do not provide medically supervised detox, residential treatment, or inpatient addiction treatment.

If a higher level of care is needed, we can help identify appropriate resources.

 

Is addiction therapy confidential?

 

Therapy is confidential within the limits of applicable law and professional requirements. Your therapist can explain confidentiality and its limits during the intake process.

 

Do you offer online addiction therapy in Montana?

 

Yes. Circe offers individual addiction and substance use counseling online for eligible clients throughout Montana.

 

How do I know whether addiction therapy is right for me?

 

If your relationship with alcohol or drugs is causing concern, affecting relationships or daily life, or you want support maintaining recovery, therapy may be worth considering. You do not have to wait until your substance use becomes a crisis to reach out.

You don't have to figure out recovery by yourself.

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Whether you're questioning your relationship with alcohol or drugs, maintaining long-term recovery, experiencing cravings, working through a relapse, or rebuilding your life after addiction treatment, therapy can provide a place to work through what's next.

 

Circe Vogel, LCPC, LAC, provides addiction and substance use counseling for adults in Missoula, MT, and online throughout Montana.

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Get Matched

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Complete our online form and let us know that you're looking for addiction recovery or substance use counseling. Our care coordinator will help connect you with the appropriate therapist based on your needs, preferences, insurance, and availability.

Trauma & PTSD Therapy

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Trauma-related concerns can sometimes overlap with substance use and recovery. Explore our Trauma & PTSD Therapy in Missoula page to learn more about trauma-informed individual therapy.

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Anxiety Therapy

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Anxiety and substance use can sometimes occur together. Our Anxiety Therapy in Missoula page provides more information about individual counseling for anxiety and related concerns.

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Depression Therapy

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Depression can affect motivation, coping, relationships, and recovery. Learn more about Depression Therapy in Missoula.

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EMDR Therapy

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For clients interested in EMDR for trauma-related concerns, learn more about EMDR Therapy in Missoula.

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Online Therapy

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Prefer therapy from home or live outside Missoula? Learn more about Online Therapy throughout Montana.

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Individual Therapy

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Explore our full range of Individual Therapy in Missoula and Online Across Montana.