Serenity in Motion 

      Mental Health Clinic

Experienced Mental Health Specialists at Your Service

406-565-6912

About Us

Serenity in Motion provides quality mental health counseling to individuals, couples, and families in Butte and Missoula Montana and their surrounding areas. We also specialize in therapy for children with special needs, and their families. Contact us to learn more.

Tristen Valentino, LCPC

Clinical Director (Butte and Missoula Office)

Open, honest, and caring, Tristen brings his passion for healing and growth to every session. Tristen believes that the challenges we face in our lives are obstacles to be overcome, and can provide opportunities for growth. He strives to empower his clients with the skills and tools necessary for them to reach their highest potential, and achieve their most ambitious goals.


A graduate of the University of Montana, Tristen earned his Master of Arts in Mental Health Counseling. He is also currently pursuing his Master of Arts in Integrated Arts and Education at the University of Montana, where he integrates arts and education into his therapeutic practices.

Tristen believes that much of the distress and dysfunction we experience in our lives stem from suppressed and/or ineffectively expressed emotions. He works to build strong, safe relationships with his clients so that they can explore their emotions, develop insight and awareness into their thoughts, feelings, and behaviors, and help clients learn how to express their thoughts, feelings, and needs effectively.


Tristen has experience working with mood disorders (such as anxiety and depression), trauma, eating disorders, psychotic disorders, personality disorders, sexual disorders, and addictions. He has worked with children, adolescents, adults, couples, and families. He has also worked with members of the LGBTQIA+ community, and with individuals transitioning, as well as those who have already transitioned. He has had the opportunity to work with law enforcement and other first responders, such as fire fighters and EMT/Paramedics. He had the honor of serving in the United States Marine Corps and has worked with active duty military personnel and veterans.


Tristen also has experience and a passion for working with children, adolescents, and adults with special needs, along with their families.


Tristen practices from an Emotionally Focused Therapy perspective, believing that emotions are at the center of one’s life. He also believes that attachment plays a vital role in how one experiences reality, particularly as it applies to relationships with the self, others, and the world at large. He invites his clients to explore their emotions, develop awareness and acceptance of those emotions, and develop the ability to express their emotions by taking a strengths-based and solution-focused approach. He utilizes a mixture of talk therapy, art therapy, and movement therapy into his practice. 


In his leisure time, Tristen enjoys reading, writing, practicing martial arts, and hiking with his wife and two German Shepherds.

Nick Lumpkin, PCLC

Clinical Therapist (Butte and Missoula Office)

Nick helps his clients create positive change in their lives, and assists them on their journey of self-actualization. Nick’s therapeutic focus is to lead his individual clients on the path that will help them become what they strive to be in life, through compassion, encouragement, and various therapeutic modalities. He believes that by creating strong therapeutic relationships with clients, they can work toward positive change and happier, healthier lives.

Nick graduated from the University of Montana where he received his Bachelor of Arts in Psychology, and later his Master of Arts in Mental Health Counseling. Nick has rendered mental health services in Missoula and surrounding communities for nearly eight years. In addition to rendering services for the community in private practice, he was a clinical therapist at Montana State Prison, where he not only provided therapy for individuals with various needs and conditions, but he also conducted assessments and screenings. Nick has also had the honor of serving in the United States Marine Corps for eight years.


Nick believes that there are many known and unknown barriers in our lives that prevent us from reaching our full potential. With this belief, Nick works with his clients to develop new positive strategies to help them overcome these barriers and begin working toward change and their desired outcomes. Nick strives to build a strong working relationship with his clients in order to continuously move toward becoming the version of themselves they wish to become.


Nick has worked with individuals with psychotic, mood, and personality disorders. He has also worked with individuals who deal with addiction, as well as those who have suffered from trauma. He has experience working with clients with various backgrounds, ethnicities, and sexual orientations.


Nick’s therapeutic orientation posits that most of an individual’s strife stems from dissonance and incongruences within their lives. By developing a strong therapeutic bond, Nick and his clients can begin to tackle these barriers, and help create positive change that will ultimately improve their lives. He accepts his clients as they are, unconditionally.


When Nick is not working, he enjoys spending time with his family, fly fishing the majestic lakes, rivers, and streams of Montana, as well as playing soccer, and dabbling in Brazilian Jiu Jitsu.

Lisa Pesanti, LCPC, LAC

Clinical Therapist, Licensed Addictions Counselor (Butte Office)

As a dually licensed clinical therapist, Lisa has a passion for helping adults who suffer from co-occurring disorders that include substance use and mental health. She believes that substance use is a symptom of pain stemming from other sources. She strives to help clients recover and begin a new life by guiding them to discover the onset of their pain.


As a graduate of Grand Canyon University, Lisa received a Master of Science in Professional Counseling, and a Bachelor of Arts in Psychology from Ashford University. She also studied and completed two levels of training in EMDR (Eye Movement Desensitization and Reprocessing), and is specialized in treating the effects of trauma. Lisa is also certified in Batterer Intervention, allowing her to help men with violent charges and anger issues. Lisa believes in meeting the client where they are with a caring, non-judgmental approach to help motivate them to new heights. She carries additional education in gambling addiction and process addictions.


Lisa has worked with a variety of men and women with backgrounds varying from mild, situational concerns to those who have suffered deeply with grief, trauma, attachment disorders, and more. She believes that recognition of original pain or childhood trauma helps heal dysfunctional thoughts, feelings, and behaviors in current life. She has worked with both male and female adults in environments such as intensive inpatient treatment and prison. She has a special passion for working with individuals and families of those who suffer with substance use disorders.


She believes deeply in the effectiveness of EMDR, CBT (Cognitive Behavior Therapy), Equine Therapy, and highly experiential learning/therapy. By recruiting all of the client's senses, the experience can be much more powerful than traditional talk therapy.


She deeply loves the State of Montana and is actively involved with her family, fishing, camping, riding horses, and floating the rivers.   

Sabina Sabyrkulova, PCLC

Clinical Therapist (Butte and Missoula Office)

Sabina creates a safe and nonjudgmental space for her clients, where she understands that oftentimes people feel confused, lost, overwhelmed, and scared of things that occur in our lives. When experiencing these feelings, Sabina recognizes that sometimes it can be difficult or intimidating to reach out for support, and she is glad when people take such an important step towards a change. Sabina views this process as flying an airplane, where a person is the main pilot and Sabina serves a role of a co-pilot, who will assist and support clients in the most respectful, safe, nonjudgmental, and understanding way.


Sabina graduated from the University of Montana with her Bachelor’s degree in Psychology and minor in Human and Family Development. Later on, Sabina graduated with her Master’s of Art in Clinical Mental Health Counseling. She had a privilege to be a Mental Health Counseling Intern at the Curry Health Counseling Clinic, the University of Montana.


Sabina has experience working with children, young adults, and adults. Sabina, in particular, has enjoyed working with children who have special and medical needs. Sabina’s experience consists of a variety of concerns: depression, anxiety, substance use, Obsessive-Compulsive Disorder (OCD), trauma, self-esteem, identity development, sexual assault, phobia, adjustment, and eating disorders. Sabina has an additional training in Motivational Interviewing, sleep, journaling, substances, and mindfulness. Sabina has experience working with diverse adults who represent different ethnicities, identities, and sexual orientations. Sabina had a privilege to be their advocate through various situations and experiences.


Sabina believes that, sometimes, individuals feel stuck and/or trapped in their stories, thoughts, and behaviors which prevent them from living a full, meaningful life that they desire. That is why, Sabina views counseling as a unique experience that allows clients to unlock different opportunities in life and create their own meaning out of it.


Sabina takes a supportive and relational base while integrating Cognitive Behavioral, Mindfulness, and Narrative approaches. Sabina believes that Cognitive Behavioral approach will help clients to work on understanding their feelings, thoughts, and behaviors. Mindfulness will allow clients to be present within themselves and check-in on how they might feel physically and emotionally. Sabina believes that a Narrative approach will allow and encourage clients to be experts in their lives while going through a challenging time. Sabina finds individuals to be their own tools in navigating life. With client’s strengths, vulnerability, and resilience, Sabina believes that they can collaborate on meeting clients’ life goals and wellness. Sabina is looking forward to being her clients’ co-pilot and being part of their experiences.


In her free time, Sabina enjoys running, cooking meals from different cuisines, baking, playing with her dogs, reading, listening to podcasts, fishing, and exploring different parts of Montana.

Becca Kwon, SWLC

Clinical Therapist (Butte and Missoula Office)

Originally from Neenah, Wisconsin, Becca moved to Missoula to finish her Bachelor's in Social Work in 2011. She has had a strong sense of helping people from a very young age. She grew up in her mom's in-home day care, where she helped with taking care of children of all abilities. Throughout obtaining her BSW, she was a teacher at a preschool and continued her passion of working with children. She completed her practicum at CASA of Missoula, where she was an advocate for children in the judicial system. After graduating, she worked at both youth mental health group homes and adult developmentally delayed group homes.

She then worked as a case manager at Winds of Change Mental Health Center and gained a lot of experience and learned about various resources available in Missoula. She wanted to make a bigger impact on the lives of others, so she went back to school to obtain her Master's of Social Work degree from Walla Walla University where she focused on treatment for children and families. For the past few years, Becca has worked at Summit Independent Living, working with people of all ages and abilities ensuring their needs are met in order to live as independently as they wanted.


Becca has expertise in Cognitive Behavioral Therapy, Motivational Interviewing and Solution Focused Therapy, and has experience in working with individuals with physical and/or mental disabilities as well as a wide range of mental illnesses. Specifically, Becca has worked with individuals suffering from PTSD, anxiety, depression, Bi-Polar I, Bi-Polar II, agoraphobia, Oppositional Defiant Disorder, Borderline Personality Disorder, OCD, substance abuse, and others. Becca is a Level 1 Gottman Certified Family therapist. She has experience with individual, group, couple, and family therapy.


Becca meets every client where they are and believes in going at the pace of her client's needs. She believes that building a relationship is what allows a therapeutic relationship to flourish and be successful. She believes the client is the expert of his or her own life, and progress can only be made when the client is ready. By offering a friendly and welcoming atmosphere, she feels everyone can be successful and make positive changed in their lives with the proper support.


In her spare time, Becca enjoys being outside. She likes to play soccer, run, go for hikes (individually or with friends), spend time on the river, relax, and cuddling up with her cat.

Holly Priscu, JD, PCLC

Clinical Therapist (Telehealth)

With authenticity, integrity, and compassion, Holly is a true advocate for her clients while providing them with a safe space for therapeutic self-exploration and healing. Holly truly believes that happiness is the journey and not the destination in life. By helping individuals find meaning and purpose in their lives, she empowers her clients to overcome a variety of challenges and obstacles in life.


Holly’s passion for serving the underserved originally led her down a different career path. After graduation in 2010 from Humboldt State University in Arcata, California, she went on to obtain her law degree from California Western School of Law in sunny San Diego, CA with specialization in criminal defense. A native of Bozeman, Montana, Holly missed seasons and chose to move back to Montana where she worked as an attorney. Holly realized that briefs and motions were not getting her clients the type of help they needed—mental health help. She left the law and obtained her MS in Counseling from Montana State University in 2019.


Holly specializes in working with individuals and families who are caught up in the criminal justice system. She recognizes that mental health services during incarceration and reentry are limited, yet are often a crucial component to individual success. Holly worked in the Gallatin County Detention Center where she led creative experiential groups, including a co-occurring disorders group and a group focused on social, emotional, and thinking skills. Her favorite group modalities include art therapy, mindfulness and meditation, and cognitive-behavioral therapy activities. Holly currently works as a clinical therapist at the Montana State Prison where she does crisis intervention, long-term individual therapy, group work, and intakes/assessments.


Holly has experience working with mood disorders, personality disorders, schizophrenia/psychosis, substance use, grief, and PTSD/trauma, among others. She also believes that therapy can benefit anyone, not just those with diagnosable mental illness. Holly has experience working with teens, adults, couples, members of the LGBTQIQA community, and clients with different ethnicities and backgrounds.


Holly practices from a person-centered approach in which she believes every person has value and worth, and each has the power within them to create a meaningful life. Her background is also in acceptance and commitment therapy (ACT), which is based on the idea that happiness comes from living a life based on one’s values, while not being overwhelmed or constrained by our thoughts and emotions. She also focuses on helping her clients create relationships with themselves so they can be comfortable with who they are and recognize their true value and worth.


Holly believes in the importance of self-care, and in her spare time she enjoys yoga, fly-fishing, reading, and spending time with her puppy Dobby. She is also a NAUI certified Master Diver and enjoys traveling the world and SCUBA diving.


More about Holly Priscu:

Bozeman Daily Chronicle Interview

Becca Gervais Wagner, SWLC

Clinical Therapist (Butte and Missoula Office)

Becca creates a warm and inviting atmosphere to ensure her clients feel as safe as possible throughout every session. Becca’s therapeutic focus is to meet each person where they are at in their journey and to work alongside every person to help them accomplish their goals, together as a team.

Becca operates from a strength-based, trauma-focused and person-centered framework. She incorporates evidenced based techniques including mindfulness meditation, cognitive behavior therapy (CBT), narrative therapy, solution-focused brief therapy and art therapy. A core value of Becca’s is her belief that each and every person is worthy and deserving of a fulfilling life.


Becca obtained a bachelor’s degree in psychology from the University of St. Thomas in St. Paul Minnesota, as well as a master’s degree in social work from the University of Denver, with a concentration on mental health and trauma. In addition to her work in family practice, Becca is also involved with two local non-profit organizations, assisting youth with disabilities, as well as survivors of sexual abuse.


Becca has worked with individuals of all ages who have physical, developmental, and mental disabilities. Specifically, Becca is trained in working with individuals who have experienced chronic and acute trauma, psychotic, mood, and personality disorders, as well as substance-use and addictive disorders.


Throughout her career, Becca has enjoyed facilitating therapeutic groups; she has seen firsthand the power that connecting with those who have shared experiences can have. Becca has facilitated cognitive behavior therapy (CBT) groups, mindfulness meditation groups, coping skills groups, life skills groups, as well as support groups for individuals who have experienced domestic violence and sexual assault.


During the warmer months, Becca spends her free time camping, hunting for wildflowers, and hiking her two dogs. Becca prides herself on being a person who loves winter, spending nearly every weekend snowboarding throughout Western Montana. 


Trish Lamb, APRN

Nurse Practitioner (Butte and Missoula Office)

Trish has been in the nursing profession for almost 25 years. She feels strongly about caring for everyone from the young to the wise in years. She grew up in a very small town in eastern North Dakota and graduated in a class of 5 people. She became a mom and worked at that for several years while supporting her husband in the Air Force. She went back to school and she obtained her bachelor's degree from the University of North Dakota.

Trish worked several years in long term care in rural ND until she moved to Montana with her husband, a Helena Montana native. After working as a mom of two, a school nurse, a long term care nurse and a hospital rehab nurse she went back to school. She earned her Masters degree as an APRN and FNP from Montana State University. Her degree had an emphasis on rural nursing as that is where she has always lived and worked.


Since graduating 14 years ago Trish has practiced in several areas including in a rural clinic, in home health, in a community health care clinic, in a mission clinic and in mental health care clinics. She recently had her own private practice for several years but has decided to move away from business management and back into team care again. Trish was also the first provider in Montana to obtain a Master of Psychopharmacology Certification through the Neuroscience Education Institute. Trish provides medication management for various issues including unipolar depression, anxiety, PTSD, ADHD, bipolar disorder, schizophrenia disorders and many more. She also addresses all of the cascading problems people experience with mental health issues like sleep disturbances. Trish offers straight forward advice and treatment plans.


Trish has a husband of 30 years, two adult children, a bonus daughter (in-law) and two beautiful granddaughters. Trish loves camping, reading, her yorkies and being with her family in her spare time. She is excited to be seeing new and previous clients through Serenity in Motion. It is her passion to help others feel the best they can whether that is through improving mood, function, improving sleep or otherwise, she believes complete wellness takes a holistic approach.


Tristyn Howard

Office Manager (Butte Office)

Born in Butte, MT, and a graduate from Whitehall High School, Tristyn joins Serenity in Motion as the Office Manager. Tristyn has had the pleasure of living in Arizona for four years, with year-round warmth and sunshine, and although she enjoyed the fact that sunshine does not have to be shoveled, her heart and home are in Montana. Tristyn is happy to be back in Butte, where she has her family, friends, and the great outdoors.

Tristyn’s work experience includes customer service and administrative support positions. Additionally, Tristyn is pursuing a bachelor’s degree in Health Sciences from Arizona State University and is passionate about holistic health and wellness. Tristyn enjoys helping others and is pursuing her degree so that in the future she can use her experience and knowledge of the health sciences to assist people on their journey of positive change in the form of diet and exercise. Tristyn believes that overall wellness of the mind and body is the key to achieving a healthy and balanced lifestyle, and she lives by example of her beliefs. Tristyn’s fitness experience includes terrain runs, CrossFit, and lifting.


Tristyn also has experience being around individuals with Post Traumatic Stress Disorder. Her father served in special forces in the Army during the Vietnam War, and her fiancé served eight years in the Army with two tours in Afghanistan. Through her father and fiancé’s experiences, Tristyn has built an understanding of the struggles that individuals with PTSD face on a daily basis, which has helped lead her down the path of holistic health.


In her spare time, Tristyn enjoys exercising, hiking, horseback riding, being outdoors, and spending time with her family.


Shelby Lamb

Office Manager (Missoula Office)

Shelby has joined Serenity in Motion as the Office Manager with excitement for a new adventure. She was born in North Dakota, raised in Missoula, and a graduate of Sentinel High School. For the last three years, she has had the pleasure of working at her mother’s private mental health clinic. Through this experience, she has found a new passion for mental health and has learned an abundance of knowledge regarding administration, mental health disorders, and psychiatric medications. Shelby also has a love for young children as she has previously worked in varied positions in childcare.

Shelby is currently enrolled at St. Augustine School of Medical Assistants to receive her Medical Assistant certification.  Shelby believes that this opportunity and furthering her education can provide her with the capability of doing what she loves most, helping others.  Shelby has been exposed to healthcare throughout her life from various family members that are, or once were, healthcare workers.  All of whom, have inspired her to follow in their footsteps.  


In her spare time she enjoys hunting, fishing, camping, spending time with her dog and cats, and most of all spending as much time as possible with her friends and family. 


Desiree Valentino, M.Ed., M.A.

Behavior Modification and Intervention Specialist (Butte Office)

Desiree is a behavior modification and intervention specialist, special education teacher, inclusion specialist, and parent/student advocate. She brings 9 years of teaching experience to the practice, and a passion for working with children and families of all needs and abilities. She has been a special education teacher, art teacher, reading teacher (elementary school), math teacher (elementary school), and grade 1 Braille instructor (working toward Braille certification and endorsement).

Desiree is a steadfast advocate for the success of children with special needs in the classroom and community. She believes in and has facilitated equal access for all children, in both the school setting and community—meaning all children, no matter the level of their abilities or the severity of their needs, be given access to the general education classroom with their non-disabled peers, and be given the opportunity to be involved in and accepted by their community. Desiree believes that all children have the right to experience the joys and wonders of the general education classroom, free from judgment, bias, and skepticism. She knows that all children can learn and succeed—they just need the adults and professionals in their lives to believe in them, and help them pave their way toward success. She has taught students with a diverse set of abilities and needs, including but not limited to: autism, blindness and other visual impairments, chromosomal disorders, deaf-blindness, deafness and other hearing impairments, emotional disturbances, intellectual disabilities, life threatening illnesses, multiple disabilities, orthopedic impairments, seizure disorders, severe medical conditions, specific learning disabilities, speech or language impairments, and traumatic brain injuries.


Desiree looks past the disability to see the child. She understands and operates from the position that students with disabilities are children first, and has oriented her interventions and teaching styles to help students exceed expectations and develop skills and abilities to gain success, happiness, and independence in their lives. Through collaboration with families, schools, and communities, Desiree has developed individualized education programs, created inclusive special education programs, trained other special education teachers and support staff, collaborated with specialists and medical professionals, trained community members on how to be more inclusive, and provided community services to children and families in Montana.


Desiree believes in inclusive education, no matter how severe the needs of the child, and has fostered and witnessed success with children with severe disabilities in the general education classroom and community. She has seen the transformative power of when adults begin to believe in children and what they can achieve—children succeed, socialize, develop independence, and live richer and happier lives.


Strategies Desiree has utilized to help students and children achieve academic, behavioral, and social success include, but are not limited to:

  • Applied Behavior Analysis
  • Positive Behavior Supports and Interventions
  • Fine Arts Integration
  • Picture Exchange Communication System (PECS)
  • Solution-Focused Practices
  • Adapted Technology
  • First/Then Language
  • Visual Aids and Supports
  • Incentivized Learning Strategies
  • Shared Experiences Facilitation
  • Social Narratives
  • Power Cards
  • Video Modeling


Collaborations have also included:

  • Montana School for the Deaf and Blind
  • Montana Deafblind Project
  • The Lolo Horse Arena and Faith Therapeutic Riding Services
  • Speech Therapists
  • Occupational Therapists
  • Physical Therapists
  • Medical Professionals
  • Mental Health Professionals
  • Churches within the community

In her spare time, Desiree loves being with her husband and two dogs, getting together with friends and family, being outdoors, meeting new people, reading, walking, cooking, and painting.


More about Desiree Valentino:

Professional Paper 

SPARK! for the Arts featured article

View Our Services