Paul Dokey , LCSW

Paul Dokey is a Licensed Clinical Social Worker (LCSW) based in Missoula who brings more than 20 years of experience to psychotherapy with individuals and couples. He creates a present-focused, supportive space where clients can name their thoughts and emotions and explore practical steps toward change. Paul emphasizes a compassionate, attentive stance that helps people feel heard while learning new ways to cope and grow.

With a background that includes a Bachelor degree in Cultural Anthropology, Paul draws on cognitive behavioral strategies to identify unhelpful thinking patterns and shift self-defeating beliefs. He also teaches mindfulness-based skills designed to increase self-acceptance and greater satisfaction in daily life. His work commonly addresses depression, anxiety, grief and loss, trauma and PTSD, ADHD, and relationship concerns. As an LCSW - a licensed clinical social worker trained to provide mental health assessment and treatment - he integrates evidence-informed techniques to match each person’s needs and goals.

Therapeutic Approaches and Online Care

Paul integrates Cognitive Behavioral Therapy (CBT) to help clients identify and change thinking patterns that contribute to distress, which is useful for anxiety, depression, and relationship challenges. Acceptance and Commitment Therapy (ACT) is used to build psychological flexibility by helping clients clarify values and take committed action even when difficult emotions are present. Attachment-Based Therapy focuses on understanding relationship patterns and early attachment dynamics to improve intimacy, communication, and connection in current relationships.

Choosing the right approach is part of the work together - Paul collaborates with each client to determine which methods best match their goals, needs, and preferences, adjusting the plan as therapy progresses. This collaborative process helps ensure the treatment fits the person rather than the other way around.

Online therapy offers practical advantages for accessibility and scheduling. Working by video, phone, live chat, or text-based messaging makes it easier to attend sessions from different locations, manage time around work and family, and maintain continuity of care during life transitions. Licensed professionals can deliver effective, flexible support through these remote formats while tailoring sessions to each client’s circumstances.