Top Therapists in Montana

Astghik Poghosyan

LCPC • Licensed Clinical Professional Counselor

Astghik Poghosyan, LCPC, is a licensed clinical professional counselor at Intermountain Health's Downtown Clinic in Billings, Montana. She provides counseling to adolescents, adults, and older adults for a range of behavioral and mental health concerns.

Autumn Mcsweyn

MS

Autumn Mcsweyn, MS, works with individuals experiencing severe mental illness through Program of Assertive Community Treatment (PACT) and focuses on integrating behavioral health into primary care to improve patient outcomes.

Desmond Fialkosky

MPAS, CAQ (Psychiatry)

Desmond Fialkosky provides psychiatric care at Montana Psychiatry, focusing on whole-body wellness and mental health. He holds a Certificate of Added Qualifications in Psychiatry and trained with a Master’s in Physician Assistant Studies, bringing ICU experience and an emphasis on building meaningful patient relationships.

Amanda Michael

CSOT • Occupational Therapist

Amanda Michael is an occupational therapist who works with children, teens, and young adults, bringing upbeat energy and strong therapeutic connections. As a Certified Sexuality Occupational Therapist (CSOT), she provides affirming support around sexuality, gender identity, and intimacy.

Jeff Oslund

Licensed Addiction Counselor

Jeff Oslund is a licensed addiction counselor who helps individuals uncover the underlying reasons for their substance use and guides them toward lasting recovery.

Nicole Joyce

OTD • Occupational Therapist

Nicole Joyce is an occupational therapist (OTD) who specializes in pediatric outpatient care and helping children thrive. She completed clinical rotations in hospital and outpatient pediatric settings.

Alexia Fregoso

MSW, LCSW, PCIT • Licensed Clinical Social Worker

Alexia Fregoso is a Licensed Clinical Social Worker who specializes in family-focused care and parent-child interaction therapy (PCIT). She has extensive experience supporting families through Head Start and Early Head Start programs.

Joelle Steller

MS, LCPC, NCC • LCPC

Joelle Steller, MS, LCPC, NCC, is a person-centered, strengths-based therapist with psychodynamic training who helps clients better understand themselves and expand their choices. She draws on corporate marketing experience and a Master’s in Mental Health Counseling to combine real-world insight with clinical expertise.

Lisa Collins

Ph.D., LCPC, RPT, RPT-S • Licensed Clinical Professional Counselor

Lisa Collins, Ph.D., LCPC, is a licensed counselor who specializes in working with children, teens, and families on anxiety, ADHD, depression, school issues, and parenting. She provides a supportive, paced approach in both in-person and telehealth sessions.

Barbara Debree

LCSW • Licensed Clinical Social Worker

Barbara Debree is a Licensed Clinical Social Worker who specializes in trauma recovery and has extensive experience supporting clients with chronic illness and pain. She owns Healing Mountain Mental Health, providing community-focused wraparound services including peer support, case management, and addiction counseling.

Carly Robbins

MSW, LCSW, LAC • Licensed Clinical Social Worker

Carly Robbins is a Licensed Clinical Social Worker who provides individual, family, and couples therapy for adolescents and adults, specializing in anxiety, adjustment disorders, and substance use. She uses a strengths-based, systemic approach to create a non-judgmental, empowering space for clients.

Messina Michalsky

PMHNP-BC • Psychiatric Mental Health Nurse Practitioner

Messina Michalsky is a board-certified Psychiatric Mental Health Nurse Practitioner who treats PTSD, depression, bipolar disorder, psychosis, ADHD, anxiety, and substance use disorders. She specializes in trauma-informed care and integrative, holistic approaches that address the mind, body, and spirit.

Kathryn Bowen

LCPC • Licensed Clinical Professional Counselor

Kittie Bowen is the Founder and Director of Bozeman Counseling Center and a Licensed Clinical Professional Counselor who now focuses on supervising and training emerging therapists. She also offers business coaching and mentorship for mental health providers, integrating counseling and coaching with mind–body and brain-science–informed tools.

Gianna Lishman

Trauma-informed Therapist

Gianna Lishman is a trauma-informed therapist who works with children, teens, and families, focusing on healing trauma, unmet needs, and social-emotional skill gaps through brain- and body-informed, compassionate care.

Samantha Burns

LAC • Licensed Addiction Counselor

Samantha Burns is a Licensed Addiction Counselor (LAC) who provides a warm, empathetic space for adults, adolescents, and families. She specializes in substance use, trauma, and holistic wellness, helping clients address addiction, shame, and emotional stagnation by fostering belonging, connection, and autonomy.

Meggan Mueske

Meggan Mueske holds a master’s degree in speech‑language pathology and brings extensive experience across schools, inpatient and outpatient care, long‑term care, skilled nursing, in‑home health, and rehabilitation. She treats neurological, speech, language, cognitive‑communication, and swallowing disorders.

Patricia Francisco

PA-C, CAQ-Psychiatry • Physician Assistant

Patricia Francisco is a certified physician assistant specializing in psychiatry who provides care for children, adolescents, adults and those with addiction across inpatient, outpatient, and residential settings. She practices at the Yellowstone Boys & Girls Ranch residential campus and holds a Certificate of Added Qualifications in Psychiatry.

Andrea Macdonald

PMHNP-BC • Psychiatric Mental Health Nurse Practitioner

Andrea Macdonald is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of healthcare experience. She specializes in medication management for depression, anxiety, bipolar disorder, schizophrenia, and PTSD in inpatient and outpatient settings.

Aspen Pitcher

Aspen Pitcher holds a master’s degree in occupational therapy and has experience working with children ages 6–18 in hospital settings, including Utah State Hospital and the Neuro ICU at the University of Colorado Anschutz. She volunteers with ROC Wheels, Charles Campbell Camp, and Special Olympics.

Ann Mcwilliams

Co-Executive Director

Ann McWilliams has worked in behavioral health since 2015, primarily in outpatient care, holding roles from rehab aid to clinical director and co-executive director. She is committed to supporting individuals in recovery and believes in the inherent value of every person.