A typical counseling session with Anne Graham, LCPC, lasts approximately 55 minutes.  We’ll start wrapping up the session a few minutes before that, so that you leave with a plan for how to apply what you worked on in session to your life.

The frequency of counseling varies from person to person.  I work with individuals who primarily benefit from coming once a week.  If you’re going through a particularly difficult time, you may want to schedule an extra session on a given week.  If you’ve been in counseling for a while and are making progress but need continued support, you might come in every other week.

The answer is “it depends”.  If you have a history of coping well and you seek counseling for getting through a rough time or managing a transition, you may only need to come to counseling for a few months.  If you’ve been dealing with anxiety for a long time and it impacts many aspects of your life, you will likely benefit from coming longer. 

I conduct most of my sessions at my office at 725 SW Higgins Ave., Suite D, Missoula, MT.  Some sessions for clients engaged in nature-based therapy may take place in a nearby park or on a trail in Missoula, MT.  I provide online counseling in Montana as well.   

My rate for a 55-minute session is $180. Depending on your insurance, you may be responsible for a portion of that fee. If you are in need of services but can’t afford my rate, ask me about limited reduced-fee spots which may be available to you.

Good faith estimate for private pay clients.

I am an in-network provider with Aetna, Allegiance, BCBS Montana, Cigna, Mountain Health Coop, and Pacific Source. To find out how much your insurance plan will pay, you can ask them the following questions. What are my benefits for in-network and out-of-network outpatient mental health therapy?

• What is my deductible? This is the amount you pay each year before insurance starts paying for a portion of your care.

• What have I paid so far toward my deductible? Your deductible resets each year.

• What is my copay? This is a fixed rate you are responsible for each session, sometimes after your deductible has been met.

• What is my coinsurance? This is a percentage of the allowable amount that you are responsible for, often after your deductible is met.

If you are out-of-network (meaning, I don’t contract with your insurance plan) and we are a good fit, you can still work with me.  You will pay me at the end of the month, then submit a Superbill, provided by me, to your insurance company for reimbursement.

There are some advantages to being a private pay client. You will receive the same level of care from me, but you are not required to be assigned a diagnosis to receive therapy. Insurance companies cannot dictate the type or length of care you receive, and they won't have access to your records.

I don’t see clients on evenings or weekends.  Some clients choose to come during their lunch hour or start the work day an hour later.

While it’s important for a therapist to listen well and show empathy and understanding for your feelings, counseling is often much more.  Starting in the first session, I will help you determine what goals you have for making changes in your life.  We will work together to find out what is getting in the way of your wellness, and we’ll practice different ways of overcoming those barriers in session.  This might involve relaxation skills, increasing your ability to allow difficult feelings, taking the power out of thoughts that don’t move you forward, problem-solving, and more.