Therapists in Helena, MT

I work with youth, adults, couples, and families facing a wide range of concerns, including trauma, grief and loss, major life transitions, chronic illness, and anger management. I also understand the unique experiences of those living in rural communities, where access to resources can feel limited, and I specialize in providing culturally responsive care for LGBTQIA2S+ individuals and their families.
I work with youth, adults, couples, and families facing a wide range of concerns, including trauma, grief and loss, major life transitions, chronic illness, and anger management. I also understand the unique experiences of those living in rural communities, where access to resources can feel limited, and I specialize in providing culturally responsive care for LGBTQIA2S+ individuals and their families.

My ideal client is someone struggling with substance use. They face a multitude of complex issues that are deeply intertwined with their substance use, including housing stability, trauma history, CPS, probation and parole. Given these issues, my ideal client has several critical needs that must be addressed in order for them to achieve their goals: Comprehensive Treatment, stable housing, trauma-informed care, legal support, parenting support, and mental health services referrals. Despite the challenges they face, my ideal client is motivated and determined to make positive changes in their life with their sobriety.
My ideal client is someone struggling with substance use. They face a multitude of complex issues that are deeply intertwined with their substance use, including housing stability, trauma history, CPS, probation and parole. Given these issues, my ideal client has several critical needs that must be addressed in order for them to achieve their goals: Comprehensive Treatment, stable housing, trauma-informed care, legal support, parenting support, and mental health services referrals. Despite the challenges they face, my ideal client is motivated and determined to make positive changes in their life with their sobriety.

Are you finding life to be too overwhelming or that you lack motivation or interest? Together we can partner together to help you feel more like yourself. Through reflecting on your experiences, history you and I will select new skills that best fit your needs and help you move from feeling stuck to living your best life. I love working with clients that are walking through depression, anxiety, stress, panic, trauma, burnout, grief, life transitions. I believe that there is such grace in our stories, and while not all roads are created straight, we often find that winding broken roads can be the most difficult and beautiful.
Are you finding life to be too overwhelming or that you lack motivation or interest? Together we can partner together to help you feel more like yourself. Through reflecting on your experiences, history you and I will select new skills that best fit your needs and help you move from feeling stuck to living your best life. I love working with clients that are walking through depression, anxiety, stress, panic, trauma, burnout, grief, life transitions. I believe that there is such grace in our stories, and while not all roads are created straight, we often find that winding broken roads can be the most difficult and beautiful.

Are you tired of feeling constantly worried or held back by fear or negativity? I specialize in working with clients who feel stuck in their thoughts and habits. It's truly inspirational observing clients move into the change process and start living the lives they've imagined. My first priority as a therapist is helping clients feel heard and understand. Having a safe, confidential space to discuss your thoughts and feelings is the first step to feeling better. My second priority is to utilize an evidence-based treatment, often Cognitive-Behavioral Therapy, to help clients learn skills they can use outside of my office.
Are you tired of feeling constantly worried or held back by fear or negativity? I specialize in working with clients who feel stuck in their thoughts and habits. It's truly inspirational observing clients move into the change process and start living the lives they've imagined. My first priority as a therapist is helping clients feel heard and understand. Having a safe, confidential space to discuss your thoughts and feelings is the first step to feeling better. My second priority is to utilize an evidence-based treatment, often Cognitive-Behavioral Therapy, to help clients learn skills they can use outside of my office.

My name is Rebecca Troianos, LCPC, PMH-C. I am passionate in creating a warm, comfortable, nonjudgmental environment for all my clients. My goal when working with clients is to increase self-awareness, self-regulation, and self-actualization. I empower clients by building a positive working relationship that connects an individual to their mind and body as a whole. I promote awareness of tension and mind-body control. I also help identify unhelpful thoughts and behaviors that impact functioning in day to day life. I hope to improve overall emotional regulation and provide coping strategies that are tangible.
My name is Rebecca Troianos, LCPC, PMH-C. I am passionate in creating a warm, comfortable, nonjudgmental environment for all my clients. My goal when working with clients is to increase self-awareness, self-regulation, and self-actualization. I empower clients by building a positive working relationship that connects an individual to their mind and body as a whole. I promote awareness of tension and mind-body control. I also help identify unhelpful thoughts and behaviors that impact functioning in day to day life. I hope to improve overall emotional regulation and provide coping strategies that are tangible.

Transformation begins when safety meets the courage to grow. Change can be scary, but with the right support, it doesn't have to be. Healing is not one-size-fits-all, and I honor the uniqueness of your journey by collaborating with you to identify goals that align with your needs and strengths. Whether we focus on processing past experiences, developing coping skills, or reconnecting with yourself in a new way, my role is to walk alongside you, offering tools, insights, and a compassionate presence.
Transformation begins when safety meets the courage to grow. Change can be scary, but with the right support, it doesn't have to be. Healing is not one-size-fits-all, and I honor the uniqueness of your journey by collaborating with you to identify goals that align with your needs and strengths. Whether we focus on processing past experiences, developing coping skills, or reconnecting with yourself in a new way, my role is to walk alongside you, offering tools, insights, and a compassionate presence.

If you suffer from depression, anxiety, trauma, poor impulse control, social difficulties, poor communication skills or relationship difficulties please understand that there are effective ways to overcome these issues.
If you suffer from depression, anxiety, trauma, poor impulse control, social difficulties, poor communication skills or relationship difficulties please understand that there are effective ways to overcome these issues.

Sarah Bigley, LCSW has worked in the mental health care field since 2014 and has been a therapist since 2019. Sarah has been passionate about psychology since she was a kid and reading about how the brain works. Once in undergraduate, she began to question how we can use this knowledge to help make a positive impact in people’s lives. After growing and learning in this field, Sarah decided to become a social worker to provide therapy to adolescents and their families. When Sarah is not working, she can be found playing video games, enjoying the outdoors, playing with her cat, or spending time with family.
Sarah Bigley, LCSW has worked in the mental health care field since 2014 and has been a therapist since 2019. Sarah has been passionate about psychology since she was a kid and reading about how the brain works. Once in undergraduate, she began to question how we can use this knowledge to help make a positive impact in people’s lives. After growing and learning in this field, Sarah decided to become a social worker to provide therapy to adolescents and their families. When Sarah is not working, she can be found playing video games, enjoying the outdoors, playing with her cat, or spending time with family.

If you want to learn to attend to your body’s cues properly, calm your nervous system, and restore your mind body connection, I am the right therapist for you. I work with a variety of issues including chronic pain, anxiety, and depression. I also focus my work on wellness through the use of positive psychology techniques, and I work with my clients to find their strengths, increase well-being, and increase positive emotions.
If you want to learn to attend to your body’s cues properly, calm your nervous system, and restore your mind body connection, I am the right therapist for you. I work with a variety of issues including chronic pain, anxiety, and depression. I also focus my work on wellness through the use of positive psychology techniques, and I work with my clients to find their strengths, increase well-being, and increase positive emotions.

In therapy I don't just help people walk through their struggles, I help them discover what those problems are, and where they came from. In the office, I use psychodynamic, existential, and relational approaches to understand both why folks want to change, and why they haven't been able to, fully honoring that reluctance in order to make therapy enduring and empowering, ages 3 through 93, for families, couples, and individuals.
In therapy I don't just help people walk through their struggles, I help them discover what those problems are, and where they came from. In the office, I use psychodynamic, existential, and relational approaches to understand both why folks want to change, and why they haven't been able to, fully honoring that reluctance in order to make therapy enduring and empowering, ages 3 through 93, for families, couples, and individuals.

Whatever obstacles and struggles you may be going through in life; I consider it a privilege to help you deal with them. You may have a lot coming at you, trying to make decisions, maintain life balance and all while dealing with intense emotions. My goal is to help you look at options, identify solutions that work for you and help you to discover your true potential to create life as you want it to be. I see each individual and their situation as unique, there is no "quick-fix" or "one-size-fits all" solution. I collaborate to help you successfully work through the challenges you are now facing.
Whatever obstacles and struggles you may be going through in life; I consider it a privilege to help you deal with them. You may have a lot coming at you, trying to make decisions, maintain life balance and all while dealing with intense emotions. My goal is to help you look at options, identify solutions that work for you and help you to discover your true potential to create life as you want it to be. I see each individual and their situation as unique, there is no "quick-fix" or "one-size-fits all" solution. I collaborate to help you successfully work through the challenges you are now facing.

As a therapist, I believe that therapy can be an extremely useful vehicle of change. Change can be obtained in a variety of ways depending on the needs & personality of each client. I emphasize listening, unconditional positive regard and respect, while providing a safe and caring environment. I focus on the individual strengths of each client, and his/her ability to manage their choices. My goal is to guide each client toward positive personal growth by providing him/her with support through therapy, coaching, education & resource sharing. These skills learned will not only be helpful between sessions, but throughout life.
As a therapist, I believe that therapy can be an extremely useful vehicle of change. Change can be obtained in a variety of ways depending on the needs & personality of each client. I emphasize listening, unconditional positive regard and respect, while providing a safe and caring environment. I focus on the individual strengths of each client, and his/her ability to manage their choices. My goal is to guide each client toward positive personal growth by providing him/her with support through therapy, coaching, education & resource sharing. These skills learned will not only be helpful between sessions, but throughout life.

Hi! I am currently seeing clients in person in Helena and providing telehealth across Western Montana. I am a relationship-oriented therapist striving to accept clients unconditionally wherever they are at in life. I believe (and research supports) therapy works best when client and therapist work together toward understanding the origins of dissatisfaction and finding freedom to truly be oneself. This process makes possible change that enhances the relationship with oneself and with others. I work with clients to develop greater openness to experience and greater capacity for the complexity of a richly lived life.
Hi! I am currently seeing clients in person in Helena and providing telehealth across Western Montana. I am a relationship-oriented therapist striving to accept clients unconditionally wherever they are at in life. I believe (and research supports) therapy works best when client and therapist work together toward understanding the origins of dissatisfaction and finding freedom to truly be oneself. This process makes possible change that enhances the relationship with oneself and with others. I work with clients to develop greater openness to experience and greater capacity for the complexity of a richly lived life.

Seeking support through counseling is both a difficult decision and a daunting task. I realize you are likely experiencing something difficult that brought you to this place, and I commend you for the bravery it takes to start researching therapy options. I have been providing therapy for over 10 years and in private practice for over 5. Prior to my work as a therapist, I provided end-of-life support to families in the Helena. I strive to make therapy a comfortable experience in which you will will feel seen, heard, and supported. I have extensive training in and primarily use ACT, CBT, and EFT approaches.
Seeking support through counseling is both a difficult decision and a daunting task. I realize you are likely experiencing something difficult that brought you to this place, and I commend you for the bravery it takes to start researching therapy options. I have been providing therapy for over 10 years and in private practice for over 5. Prior to my work as a therapist, I provided end-of-life support to families in the Helena. I strive to make therapy a comfortable experience in which you will will feel seen, heard, and supported. I have extensive training in and primarily use ACT, CBT, and EFT approaches.

We all need help finding direction at some point in our lives. I specialize in working with individuals and families who have been impacted by issues stemming from trauma, , family discontent, and difficult life transitions. I work with my clients in order to help them access their own inner wisdom; to process their past trauma and to adopt new strategies in dealing with life on life's terms. By creating a collaborative, trusting relationship with the individuals with whom I work, they are empowered to overcome challenges they face and become the best version of themselves.
We all need help finding direction at some point in our lives. I specialize in working with individuals and families who have been impacted by issues stemming from trauma, , family discontent, and difficult life transitions. I work with my clients in order to help them access their own inner wisdom; to process their past trauma and to adopt new strategies in dealing with life on life's terms. By creating a collaborative, trusting relationship with the individuals with whom I work, they are empowered to overcome challenges they face and become the best version of themselves.

I enjoy helping children overcome and heal from life's challenges. I believe that teamwork with parents is critical to kid's healing and healthy development. With over 25 years of professional experience, I specialize in treating children ages 2-18. I offer effective evidence based treatment for early childhood through adolescence. Children's stumbling blocks can be rooted in divorce, learning or developmental disabilities, loss, grief, behavioral difficulties, trauma, abuse, depression, anxiety and academic struggles. Counseling can help turn these struggles into valuable life experience and increased confidence.
I enjoy helping children overcome and heal from life's challenges. I believe that teamwork with parents is critical to kid's healing and healthy development. With over 25 years of professional experience, I specialize in treating children ages 2-18. I offer effective evidence based treatment for early childhood through adolescence. Children's stumbling blocks can be rooted in divorce, learning or developmental disabilities, loss, grief, behavioral difficulties, trauma, abuse, depression, anxiety and academic struggles. Counseling can help turn these struggles into valuable life experience and increased confidence.

We all experience times in our lives where we need a little extra support, empathy, compassion, and understanding. Navigating the ebb and flows of life can be tedious and can take a toll on your mind, body, and spirit. Working through the barriers that our work life and family life can present can be difficult.
We all experience times in our lives where we need a little extra support, empathy, compassion, and understanding. Navigating the ebb and flows of life can be tedious and can take a toll on your mind, body, and spirit. Working through the barriers that our work life and family life can present can be difficult.

Imagine therapy as renovating a house. You’ve got some rooms that could use a touch-up, maybe a few areas needing structural work, and the occasional leak to patch up. It can feel daunting, like taking on a renovation project without a blueprint. But rest assured, when you step into my office, it’s like hiring a seasoned contractor—I’m here to help you navigate the renovation process with expertise and a sprinkle of humor. The best part? I’m not here to swing the hammer for you. Think of me as your project consultant, offering guidance and support as you tackle each room of your life’s house.
Imagine therapy as renovating a house. You’ve got some rooms that could use a touch-up, maybe a few areas needing structural work, and the occasional leak to patch up. It can feel daunting, like taking on a renovation project without a blueprint. But rest assured, when you step into my office, it’s like hiring a seasoned contractor—I’m here to help you navigate the renovation process with expertise and a sprinkle of humor. The best part? I’m not here to swing the hammer for you. Think of me as your project consultant, offering guidance and support as you tackle each room of your life’s house.

Gianna Lishman (Sentinel Mental Health Inc)
Clinical Social Work/Therapist, LCSW-C
3 Endorsed
Helena, MT 59601
I am a trauma-informed child, teen and adult therapist who is deeply committed to empowering my clients with the knowledge and skills they need to heal wholeheartedly. I treat both the brain and the body and believe that all behavior is communication. Often times, the challenging behaviors we see in ourselves and our children reflects underlying neurobiological processes related to trauma, unmet needs, and lagging social-emotional skills. As a therapist, it is an honor to walk alongside you on your path to healing.
I am a trauma-informed child, teen and adult therapist who is deeply committed to empowering my clients with the knowledge and skills they need to heal wholeheartedly. I treat both the brain and the body and believe that all behavior is communication. Often times, the challenging behaviors we see in ourselves and our children reflects underlying neurobiological processes related to trauma, unmet needs, and lagging social-emotional skills. As a therapist, it is an honor to walk alongside you on your path to healing.

I am able to provide both mental health and addictions counseling. Main modality of treatment is Cognitive Behavior Therapy. EMDR trained. I have been licensed addictions counselor for 5 years am working toward licensure for mental health and marriage and family therapy (PLCP). I assist clients with addiction, relationship issues, Post Traumatic Stress Disorder (PTSD). Skilled at teaching coping skills and working on thinking errors.
I am able to provide both mental health and addictions counseling. Main modality of treatment is Cognitive Behavior Therapy. EMDR trained. I have been licensed addictions counselor for 5 years am working toward licensure for mental health and marriage and family therapy (PLCP). I assist clients with addiction, relationship issues, Post Traumatic Stress Disorder (PTSD). Skilled at teaching coping skills and working on thinking errors.
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How does your Therapist compare?
Number of Therapists in Helena, MT
100+
Average cost per session
$160
Therapists in Helena, MT who prioritize treating:
89% | Anxiety |
83% | Depression |
77% | Trauma and PTSD |
71% | Self Esteem |
66% | Relationship Issues |
66% | Stress |
64% | Coping Skills |
Average years in practice
10 Years
Top 3 insurances accepted
92% | BlueCross and BlueShield |
82% | Allegiance |
74% | PacificSource |
How Therapists in Helena, MT see their clients
76% | In Person and Online | |
24% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Helena?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.