Low tide at Cannon Beach, with Haystack Rock reflected in wet sand
Sex therapy & relationship counseling

Come as you are.
Connect as you wish.

A thoughtful space to talk about sex, intimacy, and relationships—without shame, pressure, or judgment.

Helena, Montana · Online across MT, AZ & ID

Real conversations. Deeper connection. A way forward, together. Let's dive in.

Individual & couples counseling
Ways we can work together

There’s room for all of it.

Sex and relationships can be tender, complicated, joyful, and hard to talk about. Here, you can bring the questions you haven’t known where to ask.

Sex & intimacy therapy

Explore desire, intimacy, sexual concerns, and the stories you carry about your body and sexuality in a supportive, nonjudgmental space.

Learn more

Couples counseling

Find your way through disconnection, recurring conflict, and changing needs. Make space to understand one another and rebuild closeness.

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Individual therapy

Explore perfectionism, family dynamics, pelvic pain, and sexual dysfunction with warmth and care—so you can feel more at home in yourself.

Learn more
Gentle ocean tides receding over wet sand at low tide
A different kind of conversation

You don’t have to have the right words.

Talking about sex and intimacy can feel vulnerable. You might be feeling stuck, distant from a partner, disconnected from your body, or simply curious about what could feel different.

At Low Tide, we start where you are. Our work is collaborative, compassionate, and grounded in the belief that being truly heard can make room for change.

Meet the team
Meet the team

Care from someone who truly listens.

Low Tide Counseling is the practice of Katelyn Wilson, who provides individual and couples counseling in person in Helena and virtually across Montana, Arizona, and Idaho.

More about the practice

Katelyn Wilson

Clinician & Owner · Low Tide Counseling

Working with individuals and couples on intimacy, connection, and the conversations that matter most—in person in Helena, and online across Montana, Arizona, and Idaho.

kwilson@lowtidecounseling.com
Things you can bring here

Nothing is off limits.

There’s no single reason to begin. These are some of the conversations we can make space for.

Desire & intimacy
Communication about sex
Pelvic pain
Sexual trauma
Relationship transitions
Body image & self-worth
Feeling disconnected
Trust & attachment
Anxiety in relationships
Finding your voice
Getting started

One step at a time.

Taking the first step can be the hardest part. We’ll make space to see if working together feels right for you.

01 /

Reach out

Book a free 15-minute consultation call to share what’s bringing you here and ask your questions.

02 /

Find your fit

We’ll talk through your hopes for therapy and whether Low Tide is the right place for your care.

03 /

Begin together

Meet in person in Helena or connect virtually from anywhere in Montana, Arizona, or Idaho.

Whenever you’re ready

Let’s make room for
what comes next.

Questions, uncertainty, and hope are all welcome here. Start with a conversation.