LGBTQ+ Counseling in Montana: Affirming Therapy for Individuals, Couples & Families

LGBTQ+ affirming therapy is a type of mental health support that validates and respects the identities and experiences of lesbian, gay, bisexual, transgender, queer, and other gender or sexual minorities. It creates a safe, supportive environment to explore personal challenges, identity, relationships, trauma, and more—without judgment or discrimination.

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At Peaks and Valleys Therapy, we provide inclusive, compassionate care tailored specifically for LGBTQ+ individuals, couples, and families in Missoula, Great Falls, and across Montana.

Our therapy services are ideal for:

• LGBTQ+ individuals exploring identity or facing mental health challenges

• Couples looking to strengthen their relationship in an affirming space

• Families navigating dynamics related to coming out, transitioning, or acceptance

• Anyone seeking a safe, trauma-informed space to heal and grow

We provide a wide range of specialized, affirming services:

• Individual Therapy: Explore identity, mental health, and resilience

• Couples Counseling: Improve communication, intimacy, and mutual understanding

• Family Therapy: Foster acceptance, repair relationships, and build support

• Gender-Affirming Support: Navigate gender identity and transition with care

• Coming Out Support: Gain confidence and clarity during the coming out process

• Trauma-Informed Care: Heal from past trauma in a sensitive, affirming setting

Yes. We proudly serve LGBTQ+ clients throughout the state—whether you live in a larger city or a rural community. You can access our services in person or via secure online therapy (Telehealth).

Locations:

• Missoula Office: 2423 Mullan Rd, Missoula, MT 59808

• Great Falls Office: 1601 2nd Ave N Suite 250, Great Falls, MT 59405

• Online Therapy: Available anywhere in Montana

• LGBTQ+ Affirming: Our therapists are trained to provide culturally competent care that fully affirms your identity

• Experienced Team: We specialize in working with LGBTQ+ individuals, couples, and families

• Safe & Confidential: We offer a welcoming, judgment-free environment

• Flexible Access: Choose in-person or online therapy sessions

• Queer-Owned Practice: Our founder is a lesbian therapist who brings both lived experience and clinical expertise

• Yes. Telehealth is just as effective as in-person therapy for most clients—and often more accessible, especially in rural areas. Many LGBTQ+ clients prefer online therapy for its privacy, convenience, and comfort.

Absolutely. Our therapists can support you through every stage of your coming out or gender journey, including:

• Navigating identity exploration

• Preparing for conversations with loved ones

• Managing emotional impacts and building resilience

• Accessing gender-affirming resources and support

Family therapy can help parents, siblings, and extended family members better understand and support LGBTQ+ loved ones. We work with families to:

• Improve communication and acceptance

• Heal from conflict or misunderstanding

• Strengthen relationships and build mutual support

Yes. Here are a few organizations we recommend:

• Western Montana LGBTQ+ Community Center – Advocacy, education, and events in Missoula

• Montana Queer Alliance – Peer support, mental health care, and case management in Helena

Scheduling is easy! Just fill out our request a callback form on our website or click here. We’ll help you match with a therapist who fits your needs and identity. They will contact you!

• We’re here to help. Contact us today and begin your journey toward healing, growth, and self-discovery—with affirming, expert support every step of the way.

Serving LGBTQ+ individuals, couples & families across Montana
www.montana-counseling.com

​Missoula • Great Falls • Online Throughout Montana