01 · Who Rev. works with

Rev. works with stress, Anxiety, LGBT and trauma and abuse

Rev. lists 15 specialisms and 27 further focus areas. Specialisms are the subjects Rev. chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Rev.'s own words

What Rev. says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a trauma therapist in Montana with ten years of pastoral experience prior to attending social work school. My background, while grounded in pastoral ministry, also comes from the liberal side, with a basis of acceptance and gentleness for all, regardless of gender, sexuality, race or creed. I have worked with all age groups in both careers, moving seamlessly from youth work to sitting gently with people facing chronic illness and end of life issues. I am trained in EMDR (Eye Movement Desensitization and Reprocessing) and I'm working on training in Internal Family Systems. I've spent years working with co-occurring disorders and finding that most of my clientele were struggling with trauma issues. PTSD is one of the most common disorders to be complicated by substance use disorders. I've worked as well with Multi-Systemic Therapy, and have a passion for finding ways to allow my clients to regain control where chaos has taken over. For the last two years I've concentrated on teenagers in a group home setting - more trauma and more co-occurring disorders and more work to get families to engage as well. LCSW: 11 years. Ordained United Church of Christ: 28 years. Offering CBT, EMDR, client focused work in mood disorders, trauma and process addictions, also work with LGBT issues.

Rev. Elizabeth Hector, on the BetterHelp listing · read 9 Oct 2026

03 · How Rev. works

The 7 approaches Rev. lists, in plain English

These are the clinical methods Rev. lists. The descriptions are Maker Therapy's, not Rev.'s - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Rev. runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

Internal Family SystemsIFS

Treats the mind as made up of parts - the critic, the one who withdraws, the one that keeps everything running - each of which is trying to protect you. The work is getting to know them rather than overruling them.

Also listed

• Systemic Therapy

04 · What happens next

From this page to a first session

Rev. practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Rev.'s own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Rev. at this point.

2. Naming Rev. specifically

   BetterHelp matches algorithmically by default, so asking for Rev. is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Rev..

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Rev.

Built from what Rev. actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Rev.'s - Rev. has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

Montana

Licence

MT LCSW BBH-LCSW-LIC-4525

Licence number

BBH-LCSW-LIC-4525

Licence expires

31 Dec 2026

NPI

1487881777

Years in practice

13

Gender

Female

Languages

English

International clients

Accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Rev.'s name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Rev.. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.