Theresa O’Keefe

Theresa O’Keefe, LCSW, LMSW, MS
she/her/hers
Secure Base Founder, Clinical Director, Clinical Therapist

MISSOULA ATTACHMENT AND TRAUMA SPECIALIST

My “therapy mission statement” is to aid you on your journey of emotional healing, courageous vulnerability, and attachment security. 

  • I work from a perspective that prioritizes the importance of emotions, self-esteem, and relationships.

  • At different times I will be your cheerleader, emotional witness, process consultant, reality-checker, co-regulator, and emotional translator.

  • Clients have described me as “warm, collaborative, easy to talk to, and insightful”. I strive to facilitate therapy that is as helpful and comfortable as possible. I almost always have a dog with me during sessions.

  • My office is a casual environment! Many of my clients enjoy drawing, sculpting, cross-stitching, building Legos or going for walks in sessions. Please let me know if you’d like to utilize any of these (or other) options in treatment!

  • I always have a dog or two in my office.

Therapy with me is active, relational, and flexible. Sessions may include emotional processing, nervous system regulation, creative expression, humor, or practical skill building depending on your needs.

theresa@a-secure-base.com
406-531-2948

ACCEPTED INSURANCE

  • BCBS

  • Allegiance

  • Aetna

  • PacificSource

  • Medicaid + Medicare

  • Mountain Health Co-Op

  • Missoula County

  • First Choice

  • Optum

  • United

Bia O’Keefe

Meet Bia (pronounced Bee-uh), Theresa’s therapeutic dog. She serves as an emotional animal in Theresa’s sessions.

Bia is the cuddliest therapeutic dog you'll ever meet! She’s mastered the art of making herself at home wherever she goes—usually right on your lap. Bia is the kind of dog who believes there’s no such thing as too much attention, and she’s always ready to soak up all the scratches and love you can give. Bia's gentle nature and warm presence make her the perfect companion for anyone in need of comfort or a little extra TLC. Her favorite pastime? Settling in for a cozy snuggle session, ensuring she’s as comfy as possible, and soaking up every moment of affection. Whether you're looking for a calming presence or just a furry friend who can’t get enough of you, Bia is always there to brighten your day with her endless love and unwavering attention.

AREAS OF SPECIALTY

  • Attachment issues

  • Attachment trauma

  • EMDR

  • Emotionally-focused therapy

  • Relationship issues

  • Expressive arts

  • Somatic skills

  • Emotions and Emotional Literacy 

  • Self-Esteem and Self-Confidence

  • Trauma/PTSD

  • Communication Skills

  • Couples and Individuals

  • Ages 12-60s

Theresa might be a good fit if…

  • You often find yourself stuck in the same relationship patterns and want to understand why.

  • You have experienced trauma, difficult life events, or painful relationships that continue to impact your daily life.

  • You feel disconnected from yourself, your emotions, or the people you care about most.

  • You want to explore how your past experiences and attachment relationships have shaped the way you see yourself and others.

  • You are navigating a major life transition and need support finding your footing.

  • You tend to be hard on yourself and are looking for a more compassionate way forward.

  • You want therapy that balances insight, practical tools, and genuine connection.

  • You are ready to do meaningful work, even if you're not exactly sure where to start.

  • You like a casual and laid-back setting.

  • Love dogs.

  • Swear a lot.

MEET THE PUPS

Maple O’Keefe

Meet Maple, Theresa’s other therapeutic dog. She often joins Bia in Theresa’s sessions, though she has also been known to make her way around the office! Maple is a young, gentle soul who may be a little shy at first—but once she warms up, she’s all wiggles, tail wags, and joy. Whether she’s quietly hanging out during your session or trying to convince you to play fetch with her favorite toy, Maple brings warmth, comfort, and just the right amount of goofy charm to our space.