Top Therapists in Montana

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.

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.

Mary Black

Doctor

Dr. Mary Black treats anxiety, mood and trauma-related concerns, emotional regulation, interpersonal and identity development, parenting challenges, and personality disorders. She also conducts comprehensive psychological assessments for ADHD, learning disorders, intellectual functioning, trauma symptoms, substance use, and diagnostic clarification.

Vanessa Palmer

Vanessa Palmer is a Montana native who focuses on addiction and mental health. Drawing on her own recovery experience, she helps clients build self-understanding, confidence, and inner peace.

Heather Irby

LCSW, MSW • Licensed Clinical Social Worker

Heather Irby is a Licensed Clinical Social Worker and the Lewis and Clark County Service Line Director at Many Rivers Whole Health. She focuses on leadership and clinical care for adults with severe and disabling mental illness, with experience in PACT, group home, psychiatric hospital, intake, and behavioral specialist roles.

Lisa Thomas

Therapist

Lisa Thomas is a therapist specializing in family-centered therapy, CBT, trauma-informed care, anxiety treatment, and attachment-based approaches. She focuses on building strong therapeutic relationships to create a safe, supportive space for individuals and families.

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.

Laura Johnson

MS, CSP

Laura Johnson is a Certified Specialist in Psychometry (CSP) with a Master of Science in Psychology. She focuses on psychometric assessment and has served as board treasurer for the National Association of Psychometrists.

Oliva Roche

Olivia Roche provides therapy for adults coping with anxiety, depression, trauma, grief, PTSD, neurodivergence, identity exploration, and life transitions. She uses a holistic, person-centered, trauma-informed approach, integrating attachment theory, parts work, and creative expression to support clients' goals and growth.

Jen Carruth

LCSW, MSW • Licensed Clinical Social Worker

Jen Carruth is a Licensed Clinical Social Worker offering trauma-focused, strengths-based therapy to individuals coping with trauma, grief and loss, high-demand group recovery, maternal mental health, anxiety, depression, and family conflict. She helps clients integrate past trauma, cultivate self-awareness, and build personal agency.

Len Lantz

MD • Psychiatrist

Dr. Len Lantz, MD, is a psychiatrist at Big Sky Psychiatry in Helena, Montana, who provides psychiatric evaluations, medication management, and telemedicine for adults and children. He has expertise in treating complex and treatment-resistant depression.

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 Stys

Amanda Stys combines over 20 years in healthcare with two years of case management experience to support individuals through structured case management plans. She focuses on empowering clients with guidance, resources, and organizational support to navigate their path to better well-being.

Jamie O’Callaghan

Counseling Intern

Jamie O’Callaghan is a counseling intern in Bozeman pursuing a Master’s in Clinical Mental Health. She supports clients’ wellness journeys with warmth, empathy, and curiosity while training under LCPC supervision.

Erin Rohde

Therapist

Erin Rohde is a therapist at We Care Behavioral Health who transitioned from early elementary education into social work. She offers case management and is developing a specialized focus in addiction and dual-diagnosis treatment.

Taylor Schwikert

Taylor Schwikert works with individuals facing addiction and mental health challenges, drawing on personal recovery experience and an interest in neuroscience. Taylor focuses on building self-awareness, confidence, and pathways to greater inner peace.

Stephen Mandler

Psychiatrist

Dr. Stephen Mandler is a psychiatrist and Medical Director at We Care Behavioral Health who specializes in treating infants, children, adolescents, and families. He is board‑certified in adult, child, and adolescent psychiatry with residency and fellowship training at the Menninger Clinic, Baylor College of Medicine.

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.

Hannah Pyles

MS, PCLC • Mental Health Counselor

Hannah Pyles, MS, PCLC, is a mental health counselor who uses a person-centered, humanistic approach to provide a warm, collaborative space for growth. She helps individuals explore their inner world, build self-awareness, and address unhelpful patterns.

Karlee Hamilton

DNP, PMHNP • Psychiatric Mental Health Nurse Practitioner

Karlee Hamilton, DNP, PMHNP, is a board-certified psychiatric mental health nurse practitioner with 13 years of psychiatric nursing experience. She provides adult mental health care at Many Rivers Whole Health for mood, anxiety, eating and substance use disorders.