Rev. Elizabeth Hector, LCSW

Rev. Elizabeth Hector is a licensed clinical social worker who combines practical strategies with a compassionate, accepting approach. She uses Cognitive Behavioral Therapy alongside client-centered and trauma-focused methods to help people manage stress, anxiety, grief, addiction, and mood concerns.

She brings 13 years of clinical experience plus a long background in pastoral ministry. That background informs a gentle, nonjudgmental way of being with people of diverse genders and sexualities. She has worked with people facing chronic illness, end-of-life issues, and complex trauma.

Her clinical work often addresses trauma that co-occurs with substance use and mood disorders. She uses EMDR along with CBT and mindfulness tools to reduce distressing symptoms and teach new coping skills. Sessions focus on practical steps clients can try between meetings.

She also helps with relationship and family issues, intimacy-related concerns, parenting strain, and communication problems. Additional areas of focus include ADHD, bipolar disorder, chronic pain and illness, caregiver stress, and eating-related struggles. She draws on solution-focused techniques to set achievable goals.

People who choose her work with someone who values direct, respectful conversation and steady problem solving. She accepts clients from Montana and internationally and offers multiple session formats to fit different lives. To begin, she asks people to complete a short matching questionnaire and schedule a time that works for them.

How therapeutic methods translate to online care

Rev. Elizabeth Hector commonly uses Cognitive Behavioral Therapy to identify unhelpful thinking and to teach step-by-step skills for managing anxiety, depression, and stress. CBT sessions often include homework exercises that clients can practice between meetings to build new habits.

She also uses Client-Centered Therapy, which means conversations focus on the client's priorities and pace. This approach emphasizes listening, validation, and working at a level the client finds comfortable. For trauma-related work she incorporates Eye Movement Desensitization and Reprocessing, a trauma-focused method aimed at reducing distress from painful memories and symptoms.

Finding the right approach is a collaborative process. The therapist will talk with each person about their needs, goals, and preferences, then try techniques that fit those priorities. Adjustments are made over time to keep work practical and meaningful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions are useful for in-depth skill work and real-time interaction. Phone sessions can be easier when lower bandwidth or hands-free check-ins are needed. Live chat and text allow shorter check-ins, written reflections, and ongoing support between meetings. These options make it easier to fit therapy into busy lives while using CBT, client-centered listening, and trauma-focused work.