Services
Mental health and recovery services for adults in Missoula, Montana, and through telehealth across the state.
Barefoot Mental Wellness offers two connected paths of care, each with its own focus.
Mental Health Services
Individual psychotherapy and mental health evaluations for adults seeking understanding, support, and meaningful change.
Substance Use & Recovery Services
Individual substance use counseling, chemical dependency evaluations, and peer support for adults exploring change, maintaining recovery, or seeking practical guidance.
Not sure which service fits? Our Practice Manager can help you identify the next step.
Individual Psychotherapy
Individual psychotherapy offers adults space to slow down, reflect, and understand what has been weighing on them.
Clients may seek support for anxiety, stress, emotional well-being, life transitions, emotional regulation, relationship patterns, or concerns that feel difficult to shift alone.
Sessions are collaborative and tailored to each person’s goals, pace, values, and lived experience. Care balances thoughtful understanding with practical tools for meaningful, sustainable change.
Individual psychotherapy is provided by Stephanie Barfuss, LCSW, LAC.
Mental Health Areas of Focus
• Anxiety and stress
• Life transitions and change
• Emotional regulation
• Burnout and overwhelm
• Relationship challenges
• Patterns that feel difficult to shift
In-Person and Telehealth Services
In-person psychotherapy, substance use counseling, evaluations, and peer support are offered by appointment in Missoula, Montana.
Telehealth services are also available for clients located across Montana when clinically appropriate.
Availability and format may vary by service. Evaluation requirements can also depend on the court, employer, licensing body, or other referring organization requesting the evaluation.
Contact our Practice Manager if you have questions about which format or service may fit your needs.
Substance Use Counseling
Individual substance use counseling provides a private, supportive space to explore your relationship with alcohol or other substances without judgment.
Counseling may focus on understanding patterns, strengthening motivation, reducing or stopping use, preventing relapse, navigating early recovery, or maintaining changes already underway.
Care is collaborative and tailored to your goals. You do not need to have everything figured out before reaching out.
Substance use counseling is available with Stephanie Barfuss, LCSW, LAC, and Ginger Connelly, ACLC, CBHPSS, based on fit and availability.
Evaluations
Mental Health Evaluations
Mental health evaluations help clarify current concerns, functioning, and appropriate recommendations. They may include a clinical interview, assessment measures, record review, collateral information, and a written report.
Mental health evaluations at this time are completed only by Stephanie Barfuss, LCSW, LAC.
Chemical Dependency Evaluations
Chemical dependency evaluations assess substance use history, current concerns, related consequences, and recommendations for treatment or support.
These evaluations may be requested for court, probation, employment, driver-related, professional licensing, or other third-party requirements.
Chemical dependency evaluations are available with Stephanie Barfuss, LCSW, LAC, and Ginger Connelly, ACLC, CBHPSS, depending on availability and the qualifications required by the referring organization.
Before scheduling, contact the practice to confirm the type of evaluation needed, deadlines, required documentation, and provider requirements.
Peer Support Services
Peer support offers practical, recovery-oriented support grounded in connection, respect, and personal strengths.
Peer support may help with identifying recovery goals, navigating community resources, strengthening self-advocacy, building supportive routines, developing confidence, and taking manageable next steps.
This service can complement counseling or other treatment, but it is not psychotherapy, a clinical evaluation, or emergency support.
Peer support services are provided by Ginger Connelly, ACLC, CBHPSS, a Certified Behavioral Health Peer Support Specialist. Peer support is currently offered in person in Missoula, based on availability.
What to Expect
Individual psychotherapy and substance use counseling sessions are generally 52–54 minutes. Many clients begin with weekly appointments, with frequency adjusted over time according to their needs, goals, and provider recommendations.
Evaluations follow a different process and may include an interview, assessment measures, record review, collateral information, and a written report. Timeframes vary depending on the type of evaluation and the requirements of the requesting organization.
Peer support scheduling is based on each person’s recovery goals, needs, and service availability.
Appointments may be offered in person at the Missoula office or through secure telehealth for clients located in Montana, depending on the service.
Fees and Insurance
Fees, insurance eligibility, and payment options vary by provider and service.
Some services may be billed to insurance when both the provider and service are eligible and the practice’s enrollment is confirmed. Insurance coverage is not guaranteed, even when a provider participates with a plan.
Private-pay options are available. For eligible out-of-network services, a superbill may be provided for you to submit to your insurance company for possible reimbursement. Reimbursement is determined by your plan and cannot be guaranteed.
Coverage for evaluations, peer support, and Employee Assistance Program services may differ from coverage for psychotherapy or substance use counseling. Please contact the practice before scheduling so we can discuss the service requested and current billing options.
HSA and FSA cards are accepted, along with major credit cards. You may also contact your insurance plan directly to verify benefits and estimated costs.
When you feel ready, the next step is simply to reach out.