Roots and Streams Counseling, LLC

Break the cycle.
Keep your footing.

Specialized therapy for OCD, anxiety, grief, and trauma. Support built around what you're actually carrying, not just one diagnosis.

  • OCD, ERP & I-CBT
  • Anxiety
  • Grief & Loss
  • Trauma & PTSD

Telehealth in Montana & Florida · In-person in Bozeman, MT · Most major insurance accepted

Sunbeams filtering through a quiet forest path
Our approach

Two things real change actually needs

Whatever brought you in — OCD, anxiety, grief, or trauma — lasting change tends to need the same two things: solid ground, and the willingness to move.

Moss covered tree roots

Roots — understanding what's underneath

We start by mapping your history and the patterns underneath what you're carrying — what's driving the anxiety, the grief, the compulsions, or the aftermath of what happened to you. No two people's story looks the same.

A gentle stream flowing through the forest

Streams — practicing the change

Understanding it isn't the same as living differently. This is where you practice a new response — facing what you've avoided, sitting with what you've lost, or trusting yourself again — at a pace that's yours.

Services

Support for wherever you're standing right now

01

OCD, ERP & I-CBT

Exposure and Response Prevention (ERP) and Inference-Based Cognitive Behavioral Therapy (I-CBT), tailored to your specific obsessions and compulsions.

02

Anxiety disorders

Generalized anxiety, panic, social anxiety, and health anxiety — evidence-based treatment for the racing thoughts and physical toll they bring.

03

Grief & loss

Support for the death of someone close, and for the quieter losses — a relationship, a role, a version of life you expected to have.

04

Trauma & PTSD

Processing traumatic experiences — including religious trauma — at a pace that respects your nervous system, using approaches like EMDR and Internal Family Systems (IFS).

05

Teen OCD & anxiety support

Age-appropriate treatment for kids and teens, with parent coaching built in so home stays part of the solution.

06

Family & loved one support

Guidance for partners and parents on reducing accommodation — the reassurance and ritual participation that unintentionally keeps OCD fed.

Your therapist

Someone to sit across from

EL

Elizabeth Langley, LCSW

Elizabeth is trained in Exposure and Response Prevention (ERP) and Inference-Based Cognitive Behavioral Therapy (I-CBT) to treat OCD, and brings additional training and experience treating complex trauma through a humanistic, attachment-based approach. Sessions available in-person and via telehealth.

Elizabeth has served as an NASW Board member for the last 5 years.

A Montana native, Elizabeth spends her free time with family and friends and her sidekick Prudence (the wonder dog). You'll often find her at art fairs, festivals, and farmers markets, or out enjoying the Montana outdoors.

Insurance & Payment

Coverage and cost, made simple

We're in-network with the plans listed below. Don't see yours, or prefer to pay out of pocket? We offer a discounted cash-pay rate.

Blue Cross Blue Shield (BCBS)
Cigna
Allegiance
Aetna
Montana Medicaid
PacificSource
Mountain Health Co-op

Self-pay & cash price discount

Paying out of pocket or don't see your plan above? We offer a discounted self-pay rate. Ask about current pricing when you book your consultation.

Get started

Let's find a time to talk

Fill out the form and we'll follow up within one business day to schedule a free 15-minute consultation — or book directly through our scheduling portal.

Book directly via SimplePractice →

Email

rootsandstreamsmt@gmail.com

Phone

406.212.6136

Office

5 West Mendenhall, Suite 207, Bozeman, MT 59715

If you're in crisis right now: please call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room. This website is not monitored for emergencies.

We'll follow up within one business day.