Frequently Asked Questions


"A good therapist has a deep interest in their client as an individual and will see and relate to them in ways that are sensitively tailored to the person’s specific needs. There is no one proven method of therapy – no one-size-fits-all approach to treatment, because no one person is like the other. In order to be available to a patient and establish a solid relationship built on trust and understanding, the therapist has to be equally attuned to the patient and their own state of being." 

-Lisa Firestone Ph. D.

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How does therapy work?

Essentially, our job is to create safety and undo aloneness so you can free yourself to be yourself. Here is how it works.

When something really bad happens and we feel powerless to control our environment or our future, we create a psychological strategy to protect ourselves. These are called defenses. Defenses are not bad things; without them we literally couldn't function.

The bad news is that defenses can interfere with your quality of life ... your ability to love and be loved, to pursue goals or experience self worth. When that happens, our job is to help you work through or around these defenses. Many of these defenses developed outside of your conscious awareness during vulnerable times throughout your past. They are no longer necessary and are depriving you of experiencing the life that you want. Gently, compassionately and tenaciously, we dissolve these defenses so you can know and express your real nature

We do this by helping you connect with yourself as deeply as you are capable. We also help you connect with us in an honest and deep way so you can experience the essential safety and security you need in order to heal. As we work together, new restorative experiences associated with feeling loved and whole become available to you. Your relationship to yourself, your life and others starts to deepen and expand. Fear gives way to freedom and curiosity. Anger gives way to acceptance. And sorrow eases, creating room for resilience, love and self- activation.

I’m very private and it is important to me that issues I talk about are protected.

Yes. By law I am bound to protect your confidentiality. The exceptions to this are related to child or elder abuse, a threat to harm another person or if you are in danger of self harm. If you want to use a third party payer to pay for therapy it will be necessary to provide the information required by your insurance company which will likely include a diagnosis. If this is the case I will discuss with you what is disclosed to an insurer.

Do you bill insurance? Which insurance panels are you in network with? *

Yes. We do bill insurance. We ask that you provide your insurnace card at your intake session. We will bill your insurance directly for in network payers or provide you will a superbill for out of network payers. All of the therapists at Bridger Peaks Counseling are in network with Blue Cross Blue Shield of MT, Allegiance, Cigna & Pacific Source. Please do not hesitate to reach out if you have additional billing questions. Anyone of our team members can support you with answers as we understand this is an important consideration when exploring therapeutic options.

What are the benefits of therapy?*

Psychotherapy produced positive effects in 92% of respondents

The longer people stayed in therapy, the better their results.

People that were active in therapy did better than those that were passive. People that actively engaged by being open, asking questions, and following up did better.

For most psychological conditions, people in therapy alone did as well as people who had medication plus therapy.

Respondents who stayed in therapy only until insurance coverage allowed did worse than those who stayed until their concerns resolved. **Why is it a good idea to attend therapy every week?*

As with many things, regular attention and participation greatly improves the impact of the activity. Think about trying to meet a physical goal - health status, physical fitness - but only going to the gym once every few weeks. The results you achieve will be clearly impacted by the frequency with which you get to the gym. Making a lifestyle or emotional change takes time and sustained attention. We recognize the personal and financial commitment associated with choosing to initiate a course of therapy. We encourage you to respect your commitment to your work as we do and make time in your week for your appointment.**

How will I know if you are the right therapist for me? *

You really need to meet me face-to-face in order to get a good idea of what we're like as people and as professionals. At our first meeting you should keep these questions in mind:

How easy is it to talk to her?

Does she seem like somebody I could trust?

Is she really listening to me?

Does she seem to know what she is doing?

Does she seem confident and competent?

Do I feel comfortable with her?

Could I ever show this person the deepest, ugliest parts of myself?

Does she seem to have the capacity to handle me

Mostly, "Do I like her?"