Aetna
First Choice Health
Meritain Health
Montana Medicaid & Healthy Montana Kids (HMK)
Alaska Medicaid & Denali Kid Care
Healing and Recovery are Possible
Mindful Space offers Telehealth services to youth, adolescents, and adults.
Mindful Space Telehealth Services
Mindful Space is committed to providing high-quality, compassionate Telehealth services to youth, adolescents, and adults. We offer person-centered, strengths-based, and trauma-informed care tailored to meet the unique needs of each individual.
Our therapeutic approach integrates evidence-based and best practice modalities in the following areas:
Grief and Loss Counseling
Depression and Mood Disorders
Anxiety and Panic Disorders
Substance Use and Co-Occurring Disorders
Post-Traumatic Stress Disorder (PTSD)
Medical Trauma
Abuse and Neglect Recovery
Interpersonal and Relationship Issues
Suicidal Ideation and Crisis Intervention
Individual Psychotherapy
And more, based on client needs
All sessions are conducted using secure, HIPAA-compliant technology to ensure the confidentiality, safety, and legal compliance of all communication and documentation, in accordance with state and federal regulations.
Telehealth Risks and Considerations
While Telehealth offers convenience and increased accessibility, it’s important to understand potential limitations, which may include:
Technical difficulties such as loss of internet connection or poor video/audio quality
Interruptions or disruptions in communication
Situations where in-person care may be recommended due to clinical appropriateness, safety concerns, or level of care required
Benefits of Telehealth Services
Telehealth supports increased access to care and offers many potential advantages:
Reduced travel time and associated costs
Ability to engage in therapy from the comfort and privacy of your home or a familiar setting
Access to mental health services not otherwise available in your local area
At Mindful Space, we are dedicated to promoting mental wellness, resilience, and empowerment through accessible and ethical care. Our goal is to foster a safe, respectful therapeutic space that supports your growth and healing journey.
Mindful Space accepts most major insurance companies.
BlueCross BlueShield of Montana
Blue Focus
Blue Shield Program
Pacific Source
IPN
Allegiance
Cigna
Mental Health Disorders or Situations Where Telehealth May Be Less Appropriate
Severe Psychiatric Disorders with High Risk
Examples: Active psychosis, severe mania, or acute suicidal/homicidal ideation.
Why: These conditions may require close monitoring, crisis intervention, or inpatient care that can’t be safely managed remotely.
Severe Cognitive Impairments or Dementia
Patients with significant cognitive deficits or memory problems may struggle to engage meaningfully in telehealth sessions or use the required technology.
Severe Substance Use Disorders with Detox Needs
Detoxification and management of severe withdrawal symptoms generally require in-person medical supervision.
Individuals with Limited Digital Literacy or Technological Access
If clients lack reliable internet, devices, or comfort with technology, telehealth may be impractical or frustrating.
Young Children or Individuals Requiring Hands-On Behavioral Interventions
Some therapies (e.g., play therapy for young children, certain sensory integration treatments) are difficult to deliver effectively via telehealth.
Severe Sensory or Communication Impairments
For example, clients with severe hearing or vision impairments might struggle with video platforms unless accommodations are provided.
Cases Requiring Physical Examination or Complex Medical Monitoring
Some mental health conditions co-occur with medical issues that need in-person physical assessment.
Clinical and Ethical Considerations
Safety Planning & Crisis Management: Telehealth providers must have clear protocols if a client becomes a safety risk during a session.
Therapeutic Alliance: Some clients or clinicians may find it challenging to build trust and rapport remotely, especially early in treatment.
Confidentiality: Privacy concerns at the client’s location can affect openness and safety during sessions.
Bottom Line
Telehealth is a valuable and effective tool for many clients, especially for mild-to-moderate anxiety, depression, PTSD, and ongoing medication management. But careful clinical assessment should guide when in-person services are necessary to ensure safety, quality, and accessibility.
What Research Is Saying About Telehealth
2011 Telehealth has shown comparable results to in-person visits when treating symptoms of PTSD and Depression. “Results indicate that telehealth treatments are associated with significant pre- to post-reduction in PTSD symptoms confidence interval, and result in superior treatment effects relative to a wait-list comparison condition. Telehealth interventions produced a significant within-group effect size and superior effect relative to wait-list comparison condition. Relative to face-to-face interventions, telehealth treatments produced comparable depression outcome effects. Taken together, these findings support the use of telehealth treatments for individuals with PTSD-related symptoms.”
-Denise M. Sloan, Matthew W. Gallagher, Brian A. Feinstein, Daniel J. Lee & Genevieve M. Pruneau (2011) Efficacy of Telehealth Treatments for Posttraumatic Stress-Related Symptoms: A Meta-Analysis, Cognitive Behaviour Therapy, 40:2, 111-125, DOI: 10.1080/16506073.2010.550058
2020 Telemental health was shown effective for children and teens with suicidal ideation, depression, and anxiety. Improved access to care in rural areas, reduced need for emergency department visits.
— Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, and Daniel Hardesty. Telemedicine and e-Health. Nov 2020. 1353-1362. http://doi.org/10.1089/tmj.2019.0254
A 2024 meta-analysis of 24 studies reported that telemedicine mental health services yield modest reductions in depression/anxiety (SMD ≈ –0.17), with intervention duration impacting outcomes.
Conclusion: Telemedicine applications in mental health services can play an effective role in reducing the burden of chronic mental illness and improving patient outcomes.
Güler KG, Uzun S, Emirza EG. The effectiveness of telemedicine applications in mental health services: a meta-analysis study. Ir J Med Sci. 2025 Feb;194(1):233-245. doi: 10.1007/s11845-024-03841-z. Epub 2024 Nov 13. PMID: 39535666.
2013 Large literature review found telehealth effective across all ages and many diagnoses. “Telemental health is effective for diagnosis and assessment across many populations (adult, child, geriatric, and ethnic) and for disorders in many settings (emergency, home health) and appears to be comparable to in-person care. In addition, this review has identified new models of care (i.e., collaborative care, asynchronous, mobile) with equally positive outcomes”
- Hilty, D. M., Ferrer, D.C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P.m (2013). The Effectiveness of Telemental Health: a 2013 review. Telemedicine journal and e-health: The Official Journal of the American Telemedicine Association, 19(6), 444-454. https://www.liebertpub.com/doi/10.1089/tmj.2013.0075
2021 Telehealth interventions appear to be as effective as conventional therapy delivered in-person for effectively treating anxiety and related conditions.
-Krzyżaniak, N., Greenwood, H., Scott, A., Peiris, R., Cardona, M., Clark, J., & Glasziou, P. P. (2021). The effectiveness of telehealth versus face-to face interventions for anxiety disorders: A systematic review and metaanalysis. Journal of Telemedicine and Telecare, 1-12. https://doi.org/10.1177/1357633X211053738
2024 Efficacy of Remote Psychological Interventions for Patients with Anxiety and Depression Symptoms: Systematic Review and Meta-Analysis
Conclusion: Our meta-analysis indicates that remote psychotherapy demonstrates comparable efficacy to face-to-face care in mitigating symptoms of depression and anxiety. It allows patients to select the best modality for their daily routines, promoting greater engagement and adherence to treatment.
Cecagno, P. O. M., et al. (2025). Efficacy of remote psychological interventions for patients with anxiety and depression symptoms: Systematic review and meta-analysis. Telemedicine and e‑Health, 31(2), 141–150. https://doi.org/10.1089/tmj.2024.0297
2015 Telemental health has shown effective for children and teens with diagnoses of ADHD, bulimia, panic disorder, OCD, depression, PTSD, and adjustment disorders.
— Gloff, N. E.; LeNoue, S. R.; Novins, D. K.; Et Myers, K. (2015). Telemental health for children and adolescents. International Review of Psychiatry, 27 (6), 513-524. DOI:
2022 Study finds telehealth is just as effective as in-person visits for treating depression and anxiety. “In our very large pragmatic study comparing behavioral health treatment delivered to a population of patients in rural, underserved communities, we found no clinical or statistical differences in improvements in depression or anxiety symptoms as measured by the PHQ-9 and GAD-7 between patients treated via telehealth or in-person.”
-McCord C, Ullrich F, Merchant KAS, Bhagianadh D, Carter KD, Nelson E, Marcin JP, Law KB, Neufeld J, Giovanetti A, Ward MM. Comparison of in-person vs. telebehavioral health outcomes from rural populations across America. BMC Psychiatry. 2022 Dec 10;22(1):778. doi: 10.1186/s12888-022-04421-0. PMID: 36496352; PMCID: PMC9736702.
2024 Evaluating the Efficacy of Telehealth-Based Treatments for Depression in Adults
Purpose: Major depressive disorder (MDD) is one of the leading causes of work-related disability, and accessing telehealth therapies can be a promising modality for workers with MDD. Barriers to accessing in-person mental healthcare, such as limited availability and accessibility in rural and remote communities, financial constraints, and stigma, have highlighted the need for alternative approaches like telehealth. This study investigated the efficacy of telehealth interventions including CBT for adults over 18 diagnosed with MDD. Conclusions: Telehealth-based CBT demonstrated positive effects on depression symptoms; it was generally superior when compared to control groups not receiving CBT and was on par with pCBT. The growing mental health burden in the community underscores the need for accessible telehealth services like tCBT. Effective policy formulation and implementation in national health agendas are essential to meet the increasing demand for mental health support.
Nowrouzi-Kia B, Bani-Fatemi A, Jackson TD, Li AKC, Chattu VK, Lytvyak E, Deibert D, Dennett L, Ferguson-Pell M, Hagtvedt R, Els C, Durand-Moreau Q, Gross DP, Straube S. Evaluating the Efficacy of Telehealth-Based Treatments for Depression in Adults: A Rapid Review and Meta-Analysis. J Occup Rehabil. 2024 Nov 1. doi: 10.1007/s10926-024-10246-3. Epub ahead of print. PMID: 39485666.