Robert G. Sise



Throughout his work, Dr. Sise emphasizes meeting patients where they are at in their willingness to change. Prior to co-founding 406 Recovery, he co-founded and served as chief medical officer of the greater-Montana region’s largest psychiatric practice to ensure more Montanans have access to quality psychiatric treatment services and crisis care. He also served as chief executive officer of a joint venture with the Montana Hospital Association to provide emergency psychiatry consultation services to hospitals across the state. Dr. Sise started providing care to Montanans when he joined Billings Clinic and founded the organization’s first addiction treatment clinic. Before leaving Billings Clinic in 2021, he served as Medical Director of Montana’s first EmPATH Unit, led the consult-liaison psychiatry service and created a virtual urgent care service. He has lectured on substance use disorder screening, diagnosis and treatment at both state and regional conferences. Dr. Sise is board certified in general and addiction psychiatry.

Areas of Expertise:

  • Addiction Psychiatry
  • Substance Use Disorder Diagnosis and Treatment
  • Motivational Interviewing
  • Screening, Brief Intervention and Referral to Treatment (SBIRT)
  • Integrated medication management with psychotherapy
  • Mood and Anxiety Disorders
  • Dialectical Behavioral Therapy  
  • Mental Health System Design and Implementation
  • Psychiatry Residency Training

Education and Training: 

  • Addiction Psychiatry Fellowship, University of Washington
  • General Psychiatry Residency, University of Washington
  • M.D., University of California, San Francisco
  • M.B.A., University of California, Berkeley
  • M.P.H., University of California, Berkeley
  • Fulbright Scholarship – Ecuador
  • B.A., University of Notre Dame

Academic Positions:

Community Faculty, University of Washington Psychiatry Residency- Montana Track