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Getting Started
Peaks and Valleys Therapy
Peaks and Valleys Therapy is a psychotherapy practice that offers a supportive space for individuals and couples to explore themselves and their relationships. It's a place where you can ask questions, speak honestly, reflect, feel your emotions, and grow with support.
What to Expect
Peaks and Valleys Therapy offers therapy for individuals, couples, and groups. We use both traditional talk therapy and nature-based approaches to support healing. Sessions can take place in the office or outdoors—by a river, on a forest trail, or even while climbing a rock wall. We'll talk together during the first consultation to figure out your goals, how long therapy might last, and how intense or active you'd like sessions to be.
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In our work together, we’ll explore what you’re looking for in therapy. This can be a vulnerable process, so we take the time to really listen, understand your perspective, and shape the sessions around what matters most to you.
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We draw from different approaches depending on your needs, including body-centered therapy, mindfulness, nature-based practices, EMDR, and psychological education. As we move through the process, we’ll look at how nature can help, connect your actions to outcomes, build self-awareness, and learn useful tools for life and relationships.
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Our goal as therapists is to support you in a way that feels meaningful, so you can move toward more happiness, purpose, and fulfillment in your life.
Your First Session
What happens during the first appointment?
Your first session is an opportunity for us to get to know each other and for you to feel comfortable in the therapy space. During this session, you can expect:
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Introduction and rapport building: Your therapist will introduce themselves, explain their approach, and answer any initial questions you have.
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Discussion of your goals: You’ll share what brought you to therapy and what you hope to achieve. This helps shape a plan that fits your needs.
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Assessment and information gathering: Your therapist may ask about your personal history, mental health, relationships, and current challenges. This isn’t a test—just a way to understand your unique situation.
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Explanation of therapy process: Your therapist will review what therapy sessions typically look like, what methods might be used, and how progress is tracked.
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Next steps: Together, you’ll decide on session frequency, scheduling, and any homework or tools to use between sessions.
Most importantly, your first appointment is a safe, supportive space to ask questions, share concerns, and begin building a trusting relationship with your therapist.
How long is the first session?
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Your first session usually lasts 50–60 minutes, depending on your therapist and the type of therapy. Some sessions, like couples or family sessions, may be slightly longer. This allows enough time to introduce yourself, discuss your goals, and begin the assessment process.
What should I bring to my first session?
Bring anything that will help you feel comfortable and prepared. This might include:
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A list of questions for your therapist
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Insurance information (if applicable)
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Any relevant medical or mental health history
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A notebook for jotting down insights or tools
Most importantly, bring yourself and an open mind—that’s all you really need to start.
Can I have a consultation before booking my first session?
Yes! We offer a free 15-minute phone consultation so you can meet a therapist, ask questions, and see if it feels like a good fit before scheduling your full session.
Will I get homework or assignments after my first session?
Some therapists may suggest exercises, journaling prompts, or tools to practice between sessions, but this is always tailored to your needs. Nothing is required—you only do what feels helpful and manageable.
What if I feel nervous or unsure during my first session?
It’s completely normal to feel anxious or unsure before starting therapy. Your therapist will guide you, answer questions, and make space for you to share at your own pace. The first session is about creating a safe, supportive environment for you to begin your journey.
Therapy Process
What does ongoing therapy look like?
Ongoing therapy is flexible and personalized. Sessions may be weekly or bi-weekly, with pacing based on your goals, schedule, and comfort. You and your therapist will track progress and check in regularly to make sure the work feels meaningful and aligned with your needs.
How long does therapy usually last?
Therapy can be short-term or long-term depending on your goals. Some clients find clarity and growth within a few months, while others benefit from ongoing support over a longer period.
What if therapy feels hard or uncomfortable?
It’s normal for therapy to bring up challenging emotions or difficult reflections. Feeling discomfort is often part of the growth process. Your therapist will support you, provide a safe space, and help you navigate these moments at a pace that feels manageable.
Will I have homework or exercises between sessions?
Some therapists suggest reflective exercises, journaling, or mindfulness practices between sessions. These are optional and tailored to your goals.
How do I know if therapy is working?
Progress can be gradual and measured by improvements in mood, relationships, coping skills, or clarity about your goals. Your therapist will check in with you regularly.
Can I change therapists if it's not a good fit?
Yes! Finding a good fit is important. You can discuss a transition with your current therapist or request a referral to another provider on the team.
Is therapy confidential?
Yes. Sessions are private and protected by law, with a few exceptions (e.g., risk of harm to self or others, abuse reporting requirements).
Can I bring a friend or family member to my session?
Typically, sessions are private unless it’s family or couples therapy. Your therapist can explain options if you’d like support from someone else.
Nature-Based Therapy Experience
What does a nature based session feel like?
Nature-based therapy blends traditional therapeutic techniques with the healing power of the outdoors. Sessions might take place on forest trails, by a river, or even while climbing a wall. Being in nature can help regulate your nervous system, deepen reflection, and support experiential learning in a relational and safe context.
What happens if the weather is bad?
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Your therapist will plan ahead. If outdoor sessions aren’t possible due to weather, your appointment will be moved indoors.
Cost & Payment
Cost of Services
THERAPY RATES
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Tiana Wilson, LCSW
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$225 first two intake session
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$200 per 53-minute session
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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
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Jenn Jovin, SWLC
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$175 first two intake session
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$160 per 53-minute session
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Self pay, Aetna, Allegiance, BCBS*, Cigna, First Choice, Mountain Health CO-OP, Optum, Pacific Source
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Sydney Lea, PCLC
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$175 first two intake session
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$175 per 53-minute session
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Self pay, Aetna, Allegiance, BCBS*, Cigna, First Choice, Mountain Health CO-OP, Optum, Pacific Source
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*It is important to note that some BCBS plans have their behavioral health claims processed by a “carve out” company. The claims are processed according to that carrier’s contracting policy, not the BCBS contract. Examples: policies with prefix PBQ are processed by Optum/UBH, prefix PAS policies are processed by Beacon Health.
SUPERVISION RATES
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Tiana Wilson, LCSW
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without partnership offers 60-minute supervision at $150
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with partnership offers 60-minute supervision at $75
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OTHER INFO​
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Free 15 minute phone consultation
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Longer sessions are prorated according to the standard hourly rate (some couples and family sessions are 90-120 minute sessions.
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Extended intensive therapy sessions are available and are customized with your individual therapist.
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Couples therapy is not covered by more billable to Insurance or Medicaid. Learn more here.
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We offer group therapy. Check out our offerings here.
Payment Options
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Cash*
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Check*
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Credit Cards
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HSA Cards
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Insurance & Medicaid, see above **
* Paying with cash or check saves us 3% on credit card fees. Those savings go straight into our therapy scholarship fund for those who need financial assistance.** Insurance companies require a mental health diagnosis in order to ulitize the benefits.
** For all other insurance plans not listed above, we are considered out-of-network. We can provide Superbills for you to submit to your insurance company for potential reimbursement.
Cost of Nature-Based Therapy
We offer a range of nature-based and wilderness programs. Fees vary depending on the details of each program. Most of these offerings are not considered psychotherapy, so they aren’t typically covered by insurance.
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These programs aren’t focused on mental health diagnoses or clinical treatment. Instead, they’re designed to help people deepen their connection with themselves, with others, and with the natural world. They’re not structured as group therapy. Instead, we use a council-style format where participants share their experiences with the guide team and one another—listening, witnessing, and being witnessed. Many of our programs also include solo time in nature.
Check here for more details.
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