Paul Dokey , LCSW

Paul Dokey believes therapy should provide a dependable place for people to express thoughts and emotions without judgment, using a present-focused stance to support meaningful change. As a Licensed Clinical Social Worker (LCSW) practicing in Missoula, Montana, he draws on more than 20 years of experience offering psychotherapy to individuals and couples who are navigating depression, anxiety, loss and grief, trauma and PTSD, ADHD, and relationship challenges.

Paul combines a cognitive behavioral orientation with mindfulness practices to help clients identify unhelpful thinking patterns, shift self-defeating beliefs, and cultivate greater self-acceptance. His work emphasizes practical skills and awareness in the present moment so clients can make tangible changes in daily life and relationships. He holds a Bachelor’s degree in Cultural Anthropology, which informs a thoughtful, culturally aware approach to clinical work. Clients can expect a calm, supportive environment focused on collaboration, skill-building, and real-world outcomes tailored to their goals and circumstances.

Therapeutic Approaches and Online Care

Paul often integrates Acceptance and Commitment Therapy (ACT) to help clients clarify personal values, practice present-moment awareness, and make value-driven changes even when difficult thoughts or feelings are present. ACT can be helpful for stress, anxiety, and coping with life transitions.

He also uses Cognitive Behavioral Therapy (CBT) to identify and change unhelpful thought patterns and behaviors, teaching practical skills for managing depression, anxiety, and relationship difficulties. CBT focuses on concrete strategies that clients can apply between sessions to see gradual improvements.

Finding the right therapeutic approach is part of the collaborative process. Paul works with each person to select or blend methods that fit their needs, goals, and preferences, adjusting the plan as progress unfolds.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for busy schedules, geographic distance, or varying comfort levels with communication. These formats allow licensed professionals to deliver consistent care and practical skills work while making participation more accessible for clients.