Frequently Asked Questions

Some of our clinicians are in-network with Self pay, Aetna, Allegiance, BCBS, Health Montana Kids (HMK), Cigna, First Choice, Montana Medicaid, Mountain Health CO-OP, Optum, Pacific Source, TriCare West Region HNFS, TriWest Healthcare Alliance for individual therapy sessions. At this time, we are not contracted with any other insurance providers. If you have out-of-network benefits, we can offer a superbill that you may submit to your insurance for potential reimbursement.

Insurance cannot be used for couples therapy when the focus is on the relationship itself rather than on one individual’s mental health treatment. Regardless of whether we are in-network with your insurance, services specifically aimed at relationship counseling are not covered by insurance plans or Medicaid. These programs only reimburse for individual treatment. While sessions labeled as "couples" or "family" therapy may be billable, this is only when one individual is the identified client and others are involved to support that person’s care. Submitting claims for relationship-focused couples therapy may be considered unethical or non-compliant with insurance policies. Currently, major insurance providers, including Medicaid, do not cover therapy where the couple is the client.

Session rates typically fall between $150 and $200 for a standard 50-minute appointment. If your insurance plan includes out-of-network benefits, you may be eligible for partial reimbursement. We’re happy to provide a superbill, which you can submit to your insurance company for possible reimbursement according to your plan’s out-of-network coverage.

Yes, after we identify a therapist who seems like a good fit, you'll be offered a complimentary 15-minute phone consultation to see if the match feels right for you.

Yes! Therapy tends to be most impactful when done in person. Research in neuroscience highlights the benefits of being physically present with others, especially in a therapeutic setting. We offer in person sessions at three different locations.

How often you meet for therapy depends on your schedule, financial considerations, and personal goals. Weekly or bi-weekly sessions are most common, as longer gaps can slow progress. Many people choose to meet more frequently at the beginning and then reduce the frequency over time. You and your therapist will work together to decide what pace feels most supportive for you.

We offer individual therapy, couples counseling, premarital counseling, and family therapy, serving clients in Missoula, Great Falls, and across Montana via telehealth. Our team specializes in supporting clients through relationship issues, anxiety, depression, trauma, and life transitions.

Our diverse and compassionate team includes:

​

• Tiana Wilson, LCSW – Founder & Therapist (Missoula + Statewide Telehealth)
  Tiana specializes in Emotionally Focused Therapy (EFT), particularly for couples and individuals seeking deeper connection. Her approach is warm, attachment-based, and trauma-informed, helping clients shift emotional patterns and strengthen relationships.

​

• Sydney Lea, PCLC – Therapist (Missoula + Telehealth)
  Sydney practices Emotionally Focused Individual Therapy (EFIT), guiding clients through emotional healing by connecting to their inner wisdom. She works with trauma, low self-worth, anxiety, depression, and relationship wounds, providing a deeply affirming and inclusive space.

​

• Jenn Jovin, SWLC – Partner Therapist (Great Falls via Verdant Mind and Wellness)
  Jenn integrates CBT, DBT, Solution-Focused Therapy, and energy healing modalities like crystal therapy and vibrational sound healing. She supports adolescents, adults, and couples through trauma, anxiety, and identity exploration in a holistic, client-centered way.

Yes, at Peaks and Valleys Therapy, all of our therapists are trained to work with anxiety, depression, and a wide range of trauma-related concerns, including sexual trauma, abuse histories, and chronic loneliness. Each therapist brings a unique style to healing, whether through emotionally focused therapy, body-mind integration, or energy work.

Absolutely. We are proud to offer identity-affirming, inclusive therapy. Our team welcomes individuals of all sexualities, genders, sizes, ethnicities, and abilities, with a commitment to safety, nonjudgment, and deep respect for your lived experience.

Yes! Tiana Wilson is a certified Premarital Counseling Facilitator and works with all types of couples—whether married, engaged, or simply hoping to grow closer. She uses Emotionally Focused Therapy (EFT) to support improved communication, secure attachment, and deeper connection in all stages of a relationship.

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

​

• Missoula Office: 126 E Broadway, Missoula, MT 59802

​

• Great Falls Office: 1601 2nd Ave N Suit 110, Great Falls, MT 59405

​

We also serve clients across Montana via HIPAA-compliant telehealth.

Yes, all therapists at Peaks and Valleys Therapy offer secure telehealth appointments statewide. Whether you're in Missoula, Great Falls, or elsewhere in Montana, you can access care from the comfort and privacy of your own space.

Many of our therapists incorporate nature-based therapy, offering sessions both indoors and outdoors. This approach intentionally harnesses the healing power of nature throughout the therapy process. Outdoor sessions provide unique opportunities to engage with nature in ways that support nervous system regulation, create meaningful metaphors, and foster relational and experiential growth. Nature-based therapy can be particularly helpful for individuals healing from trauma, depression, or anxiety. At Evolve In Nature, your therapist will blend nature-based techniques with other therapeutic methods to support your overall treatment plan.

Your therapist will work with you ahead of time to create a plan for handling inclement weather, taking into account several factors. If an outdoor session isn’t possible due to weather, your appointment will be shifted to an indoor setting.

Generally, it’s recommended to work with a therapist who specializes in couples therapy instead of switching from an individual therapist. Additionally, continuing therapy with someone who already has a relationship with one partner can sometimes lead to bias or make the other partner feel uncomfortable or unsafe in the sessions.

Our therapists do not prescribe medications; this is a service provided exclusively by psychiatrists.