Our Services

Consultation for Mental Health Professionals

Kelli Smith, MS, LCPC offers general case consultation for mental health professionals in the United States who primarily treat OCD and related anxiety disorders using evidence-based practices such as ERP, ACT, CBT, and ICBT.

    • How to create values-aligned exposures and prioritize consent throughout the process.

    • How to work with the family system to reduce accommodations.

    • How to collaborate with the client and provide appropriate psychoeducation related to treatment options (ERP, ACT, CBT, ICBT).

    • How to integrate and develop competency in treating OCD with ICBT.

    • How to prioritize self-care, personal values, and professional boundaries to create longevity for clinicians.

    • How to provide culturally competent care for LDS and various faith-based clients throughout the spectrum of differentiated engagement in faith-based practices.

    • How to collaborate with ecclesiastical leaders to support clients experiencing Scrupulosity.

Counseling Services for Montana Clients

If you reside in MT and are seeking treatment for OCD, a related anxiety disorder, or other areas highlighted in our clinical profiles you are in the right place! Big Sky Counseling LLC offers counseling services in-person and via telehealth throughout the state of MT.

  • We use compassionate evidence-based approaches with all of our clients We are committed to being real, authentic, and a safe relationships for our clients. Counseling won’t always feel serious or clinical with our team, we offer warmth and humor in our approaches.

    Please see the FAQ section to learn about additional areas of clinical focus at Big Sky Counseling. Our team is skilled and experienced in a wide variety of areas and committed to serving Montanans!

    We work with individuals ages 6+ and collaborate with parents throughout treatment process as needed when working with children and adolescents.

    You are worthy of compassion, belonging, and hope. We are committed to walking with you on your journey toward healing and providing you with valuable tools that will offer you increased inner peace so you can spend your time and energy on what matters most!

    Reach out today to inquire about availability to meet with a clinician on the Big Sky Counseling team!

Reviews by Therapists

  • “Kelli's therapy consultation services for professionals seeking consultation around faith-based issues have proven to be invaluable in my practice. Her expertise and insight in navigating the complexities of the therapeutic field and the intersection of the value systems in some faith organizations have significantly enhanced my clinical skills and decision-making. Kelli's ability to provide a safe and non-judgmental space for discussing challenging cases and ethical dilemmas has been instrumental in my professional growth. Through her guidance, I have gained a deeper understanding of best practices, expanded my therapeutic toolkit, and developed a stronger sense of confidence in my abilities when working with clients from the LDS church. I highly recommend Kelli's professional consultation services to fellow professionals seeking to elevate their practice and provide the best possible care to their clients."

    - Tricia C., LCPC

  • "Kelli's consultation services have been invaluable in increasing my ability to treat OCD. I came to her after I completed training on ERP, but felt that I needed 1:1 to apply it to my specific cases. Kelli was flexible and able to focus on whatever was most needed at the moment (hierarchy ideas, resources for clients, how to address challenges presented by my clients, etc.) All of the ideas/approaches that she suggested were very successful with my clients. As a result, I've gained valuable experience and increased my confidence in using ERP to treat OCD."

    -Jilleen Jarrett, LCSW

  • "I'm a psychologist in private practice and met with Kelli for consultation related to OCD work I am doing with clients. Kelli was so helpful and I left each consultation session amazed at how much information and support, plus suggestions and new ideas she was able to fit into the hour. I gained so much from talking with her. She is highly supportive and I never felt judged for what I didn't know. It's clear she is a true expert in this field and has so much experience to draw upon. She's down to earth and easy to talk to. Not only did she share her own expertise with me, she shared resources generously and helped to connect me to larger professional networks that will be helpful to me going forward as well. Highly recommend consultation with Kelli!"

    — S.W.

  • Email your review to: ksmith@bigskycounselingllc.com

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