Rev. Elizabeth Hector, LCSW

Licensed in Montana · 13 years in practice

Rev. Elizabeth Hector offers gentle, practical therapy rooted in client-centered and trauma-focused work.

License and registration

LCSW, Montana: BBH-LCSW-LIC-4525 · expires December 2026
NPI: 1487881777 · national provider identifier
Years in practice: 13
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Elizabeth

Rev. Elizabeth Hector offers gentle, practical therapy rooted in client-centered and trauma-focused work. She names herself in the first paragraph and presents a calm presence for people coping with anxiety, grief, relationship challenges, and addiction.

She practices in Montana and brings 13 years of clinical experience as a licensed clinical social worker - LCSW - to her sessions. Her background includes many years in pastoral ministry before social work school.

Background and approach

That history shaped an accepting approach toward gender, sexuality, race, and belief. She has spent time supporting people across the lifespan, from youth work to hospice and end-of-life care. In sessions she uses a mix of methods, including cognitive behavioral techniques, mindfulness, solution-focused steps, and EMDR for trauma processing.

Conversations are aimed at practical change - learning new coping skills, reducing distressing symptoms, and improving day-to-day functioning. She also addresses parenting challenges, communication problems, and issues tied to addiction or co-occurring conditions. Elizabeth has worked with people experiencing complex trauma, PTSD with substance use links, and disruptive mood concerns.

She also helps those dealing with chronic illness, caregiver stress, neurodiversity, and aging-related worries. Her clinical focus includes LGBT and gender dysphoria matters, along with family of origin and intimacy-related concerns. Clients can expect a collaborative style that combines listening with concrete tools.

The therapist draws on 13 years of clinical practice and a long history of ministry to support people through life transitions, grief, and rebuilding after trauma.

Focus areas and approaches

Everything Elizabeth lists on their public professional profile, in their own terms.

Stress, Anxiety
LGBT
Trauma and abuse
Grief
Depression
Addictions
Relationship issues
Family conflicts
Intimacy-related issues
Parenting issues
Self esteem
Bipolar disorder
Coping with life changes
Compassion fatigue
ADHD
Aging and geriatric issues
Autism and Asperger Syndrome
Caregiver issues and stress
Chronic pain, illness, and disability
Codependency
Communication problems
Disruptive Mood Dysregulation Disorder (DMDD)
Domestic violence
Eating and food-related issues
Family of origin issues
Family problems
Forgiveness
Gender dysphoria
Guilt and shame
Hospice and end-of-life counseling
Infidelity
Mood disorders
Multicultural concerns
Post-traumatic stress
Prejudice and discrimination
Process addiction (porn, exercise, gambling)
Seasonal Affective Disorder (SAD)
Sex addiction
Sexual assault and abuse
Social anxiety and phobia
Women's issues
Young adult issues

Approaches Elizabeth names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Therapeutic approaches for online trauma and coping work

Rev. Elizabeth Hector uses client-centered therapy to create a respectful space where a person's goals guide each session. This approach focuses on listening, understanding a person's experience, and following their lead to set priorities and next steps.

She also uses cognitive behavioral therapy, which breaks problems into thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns. CBT is commonly used for anxiety, depression, and managing mood or stress. For people who have experienced traumatic events, she offers EMDR to help process painful memories and reduce their emotional intensity in a paced way.

Finding the right approach is treated as a team effort. The therapist will talk with each person about their needs, goals, and comfort with different methods and then choose or combine approaches that fit. This collaborative process aims to match techniques to the issues that matter most to the client.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging so people can pick what works best. Video sessions allow face-to-face interaction, phone calls can be easier when bandwidth is limited, chat is useful for shorter check-ins, and messaging supports ongoing reflection between appointments. These formats provide flexibility for scheduling, help maintain continuity during life changes, and make it simpler to keep therapy going from different locations.

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Questions people ask

What kinds of concerns does she help with?

She works with stress, anxiety, grief, depression, addictions, trauma and abuse, and relationship and intimacy issues. Additional focus areas include ADHD, bipolar, caregiver stress, chronic illness, and end-of-life concerns.

What is her therapy style like?

Her style is client-centered and collaborative, blending cognitive behavioral techniques, mindfulness, solution-focused work, and trauma-focused methods. Sessions mix listening with practical strategies you can use between meetings.

How much clinical experience does she have?

She brings 13 years of clinical experience as a licensed clinical social worker and many prior years in pastoral ministry. That combination informs a calm and accepting approach.

Where does she practice and what credential does she hold?

She practices in Montana and holds the credential MT LCSW, which is noted as her professional licensure.

Can sessions be conducted in languages other than English?

Sessions are offered in English. International clients are accepted for remote work.

What session formats are available?

Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to fit different schedules and preferences.

How is cost handled for sessions?

Cost varies with location and therapist availability and is delivered through a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.

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