Patricia Francisco is a highly skilled Physician Assistant who brings a “whole-person” medical perspective to the team at Montana Psychiatry. A Billings native raised on a local farm and ranch, Patricia’s deep-rooted connection to the land and the people of Montana informs her grounded, empathetic approach to patient care. With over two decades of clinical experience, she specializes in bridging the gap between complex physical health and psychiatric wellness.
After graduating with honors from Rocky Mountain College in 1999, Patricia dedicated her career to psychiatry in 2009. Her diverse background in Emergency Medicine, Critical Care, and Family Practice allows her to treat mental health not as an isolated symptom, but as a vital component of a patient’s overall biological health. Today, she is a key provider for Montana’s youth, providing specialized care at the Yellowstone Boys & Girls Ranch residential campus.
Patricia’s commitment to the Billings community is lifelong. From her early training at the Billings Clinic to her leadership as a representative for the Montana Physician Assistant Association, she has been a steady advocate for local healthcare. Her work at the Yellowstone Boys & Girls Ranch underscores her passion for supporting Montana’s most vulnerable youth, providing them with the stability and specialized psychiatric care they need to thrive in a residential setting.
In 2017, Patricia earned the Certificate of Added Qualifications (CAQ) in Psychiatry, a prestigious distinction reserved for Physician Assistants who demonstrate advanced clinical mastery in mental health. This certification, combined with her years of experience in Addiction Psychiatry, allows her to navigate the most challenging cases with a science-driven, evidence-based approach that prioritizes long-term recovery over short-term symptom management.
What distinguishes Patricia is her "well-rounded" medical foundation. Having practiced in Emergency Medicine, Urgent Care, and Occupational Health, she understands how physical trauma and chronic illness impact the brain. This unique lens ensures that her treatment plans are medically comprehensive, addressing everything from cellular nutrition to diagnostic complexity. When not in the clinic, she stays connected to her heritage, tending to her horses and cattle on her family ranch.
From medication management to FDA-approved treatments for treatment-resistant depression, we offer comprehensive psychiatric services for adults and adolescents across Montana. Every care plan is individually designed to treat the whole person—not just a diagnosis.
Find your balance with expert psychiatric medication management. Our mental health specialists provide personalized treatment plans for ADHD, anxiety, and depression. We focus on evidence-based care and regular monitoring to ensure your wellness journey aligns with your lifestyle.
Discover a new path for treatment-resistant depression. We offer FDA-approved esketamine nasal spray for those who haven’t found success with traditional antidepressants, providing rapid-acting support and in-office monitoring in a safe, professional setting.
Non-invasive relief for treatment-resistant depression. FDA-approved TMS uses magnetic pulses to stimulate mood centers without medication side effects. Reclaim your mental health with this drug-free, no-downtime treatment.
Experience rapid relief for depression and PTSD. Our clinical ketamine infusions target neural pathways to provide breakthroughs where traditional meds fail. Start your journey to healing in a safe, medically supervised environment.
Skip the commute with secure virtual care. Our HIPAA-compliant telehealth platform offers insurance-friendly psychiatry and therapy sessions from home. Professional mental health support is now convenient, private, and just a click away.
3737 Grand Avenue, Suite 6
Billings, MT – 59102
Tel : 406-839-2985
Therapy Office
517 S 24th St. W. Unit C3
Billings, MT – 59102
Tel : 406-839-2985
Tel : 406-551-8001
