Committed to offering safe and confidential services. Provides individual, couples, and family services for those experiencing personal, relational and psychological issues. Telehealth services available.

Focuses on supporting people through grief/loss, life transitions, mental health challenges, and family conflict. The therapy process offers the ability to process situations that may be difficult while also giving clients the ability to learn new skills that improve their daily lives and relationships. Other areas of training or expertise include ADHD, Austim Spectrum Disorder, miscarriage and infertility, and women's issues.

​​Offers Christian counseling services specializing in depression, anxiety, family issues, divorce, grief, self-injury, adjustment, drug and alcohol use, attention deficit / hyperactivity disorder (ADD/ADHD), social skill, anger, domestic violence, abuse, obsessive compulsive disorder (OCD), relationship, autism, and Asperger's syndrome. Offers services in person or via telehealth.

The Care Center is the hub of many resources at the Center of Hope. Services provided include computers and phone/fax - Guests can use, at no charge, for resume and employment/job searching; and Pastoral Care - Individuals can receive one on one counseling with the pastoral team, including getting connected with the Earn-Your-Way program. Weekly programs include: - ​Wednesday - ​9:30am - 11:00am, - Women's Coffee Break and Men's Life Bible study groups (During the school year) - Tuesday 9:30am - Transition to Transformed Bible Study, lead by Center of Hope staff at the Bishop Dudley Hospitality House

Provides assessments and therapy for individuals, groups, families, of all ages. Services address alcohol abuse and addiction, sexual abuse, spiritual abuse, marriage problems, family problems, adolescent and child adjustment, anxiety, grief, eating disorders, physical abuse, emotional abuse, delinquency problems, parent-child conflicts, stress, depression, spiritual needs, and mid-life issues. Offers telehealth sessions only if it is covered by insurance and client is located in state at the time of the call. Preference is for the first appointment to be face-to-face.

Mental health counseling uniquely tailored to meet each client's needs in a safe, non-judgmental environment. A variety of methods are used for treatment including EMDR, IFS, CBT, Motivational Interviewing and Adlerian Therapy. Trauma informed care is provided for adolescents, adults, individuals, couples and families working through anxiety, depression, PTSD, and relational trauma as well as other issues that occur throughout life. In-person sessions are available in the Spearfish office, or statewide via telehealth. Intensive and marathon sessions are provided as an option for treatment as well as traditional counseling sessions for individuals and couples.

Offers a full range of psychological services including therapy, psychological assessments and evaluation for children, adolescents, couples, and families such as: life changes and transitions, anxiety and depression, trauma and abuse, anger and conflict, grief and loss, marital affairs, self-image and self-worth, loneliness and isolation, impact of addiction, issues related to substance abuse, behavioral therapy, chronic pain and illness, identity/gender/sexual concerns, rape or sexual abuse, medical or spiritual issues, medical conditions, and Post Traumatic Stress Disorder (PTSD). Telemental health services available to individuals in South Dakota.

Provides individuals of all ages with feelings of value, courage, and connection to overcome challenges and move towards healing. Strives to bring an authentic relationship in a comfortable, safe and supportive setting for all to be both seen and heard. Specializes in working with children ages 4-11 utilizing play therapy to meet and communicate with children in their world and in their primary language - play. Services offered include: individual counseling; child abuse counseling; couples counseling; play therapy; trauma informed therapy; faith-based counseling; cognitive behavioral therapy; adolescent/youth counseling; internet (telehealth) counseling; and EMDR (Eye Movement Desensitization and Reprocessing).

Provides individual, marital, and family counseling with a focus on addiction recovery (including evaluations), abuse, healthy relationships, unplanned pregnancy, adoption, and birth parents. Youth prevention program focuses on issues of addiction, violence, promiscuity, and suicide. Variety of educational workshops available. Offers free counseling services to ranchers and producers facing stressful times. Adoption services offers domestic and international adoption services, including, but not limited to: support for individuals coping with the many emotions and decisions that come from choosing adoption; providing birth parents have the opportunity to interview and select the adoptive family; working under the provisions of Baby Moses law; and providing home studies and training for potential foster parents/homes. Pregnancy Counseling supports mothers as they experience the many emotions and decision that come with facing an unplanned pregnancy and help find the options that will work the best. Assistance with medical costs associated with pregnancy may be available. Some infant items are also available (layettes, infant clothing, etc.). Licensed social workers are available to travel and meet mothers involved in a crisis situation. Crisis pregnancy meeting sites will be kept confidential and be convenient for the mother. Start Making It Livable for Everyone (SMILE) classes for separating and divorcing parents with children under the age of 18, designed to: inform parents how to better understand the effects of divorce; assist parents to understand the needs of their children; help parents learn what they can do to create a nurturing and safe environment so their children can recover and feel good about themselves; inform parents how to prevent destructive game playing that is common among divorce; help parents gain problem solving skills; and let parents know they are not alone. Other programs include: Lakota Circles of Hope, Disaster Relief, and Uplifting Parents.

Services Offered: Individual psychotherapy for PTSD, trauma, depression, anxiety, loss-grief, addictions, communications, self-esteem, and behavioral issues and group therapy (Survivor Strong Groups for female survivors of sexual, physical and psychological abuse) through the following modalities: Eye movement desensitization and reprocessing (EMDR), motivational interviewing (MI), cognitive behavior therapy (CBT), rational emotive behavioral therapy (REBT), and dialectical behavior therapy (DBT).

Pathway of Hope guides families with children 18 years and younger through crisis and instability to a place of security. Offers strengths-based casework, providing services such as: financial counseling and planning, goal setting with action steps, job training, referrals and employment assistance, assistance with securing housing and child care, and emotional and spiritual support. Pathway of Hope works with people where they are, offering practical guidance to help families overcome obstacles one step at a time.

Offers therapeutic interventions and healing in a variety of ways, including creative outlets like play, music and art. Specific approaches include: Individual counseling, Dialectical behavioral therapy, LGBTQ+ counseling, Child abuse survivor counseling for adults, Couples (conjoint) counseling, Faith based counseling, Adolescent/youth counseling, Parent counseling, Spouse/intimate partner abuse counseling, Mass shooting counseling, Grief/bereavement counseling, Child abuse counseling, Family counseling, Play therapy, Cognitive behavioral therapy. Also trained to do Animal Assisted Play Therapy. In-person and telehealth counseling appointments available.

Provides individual therapy and consultation/training services in the following areas - anxiety, behavioral concerns, depression, divorce, grief and loss, life transitions, parenting, school issues, play therapy, and workplace management. Primary emphasis is working with children, adolescents, and families. Also provides training and consulting with schools and communities.

Individual, couples, or family therapy for the treatment of children, adolescents, adults, and seniors focusing on issues including, but are not limited to anxiety, mood, personality disorders, somatization disorders, psychosexual disorders, schizophrenia, post-traumatic stress (PTSD), abuse issues, eating disorders, dementia, grief and loss, childhood emotional and behavioral disorders, spirituality, stress management, and executive health. Evaluations available include psychiatric, psychological, neuropsychological, forensic, and custody.

Licensed, professional counseling for adults and children. All areas of counseling are available, including individual, marriage, and family.

Provides counseling services. Therapeutic approaches include client centered, existential, and cognitive-behavioral. Christian counseling is also offered. Therapy techniques include EMDR, play therapy, art therapy, behavior modification, and short-term solution-focused therapy. Telehealth is available through Doxy.me, a HIPAA compliant platform. Some phone sessions are also available.

Provides gas, electric or water utility assistance for bills at least 30 days past due with a shut off notice (cannot help with current bills). Call for qualifications and appointment time. TEFAP (The Emergency Food Assistance Program) is a federal program which helps supplement the diets of low-income families by providing emergency food and nutrition assistance at no cost. Option 1: TEFAP Food Only: Protein along with nutritional staple(s). If no ID, complete 1 TEFAP Self Declaration form Option 2: TEFAP & Other Food: Protein, canned goods along with nutritional staples. Picture ID and proof of residence required and 2 forms to complete. Household Voucher: Items used to cook and eat a meal or other household goods such as bed linens, towels, etc. are available from the thrift store 1 time every 3 years. Items are based upon availability and may vary. To qualify, a picture ID is required along with a current lease or rental agreement. Clothing Voucher: Clothing assistance is available every 3 months per individual from thrift store. To qualify, a picture ID is required along with verification for additional individuals in the household such as medical cards, birth certificates, etc. Items are based upon availability and may vary. Pathway of Hope: Long term case management program to help individuals and families move beyond crisis into stability and self sufficiency. To qualify, individuals are required to meet with a caseworker to design a plan to meet goals, needs and objectives (goal setting, financial counseling, assistance getting healthcare, educational opportunities, etc.). Call for more information and appointment time.

Provides clinical mental health and addiction counseling for individuals seeking support with emotional, behavioral, and substance-related challenges. Services include assessment, treatment planning, and evidence-based counseling approaches tailored to meet client's unique needs. The practice works with adolescents and adults to address concerns such as depression, anxiety, stress management, and substance use, with the goal of supporting overall well-being and personal growth.

Services provided are individual counseling, divorce counseling, faith based counseling, youth counseling, parent counseling, family counseling, grief/bereavement counseling, terminal illness counseling, child abuse counseling, crime victim/witness counseling, geriatric psychiatry, Cognitive Behavioral Therapy (CBT), and Trauma Informed Therapy. Areas of training or expertise include rural mental health - meeting farmers, ranchers, and their families where they are at, often times at their farm. Hours can be accommodated to fit the harvest/planting schedule; anxiety, depression, suicidal ideation, life transitions, farm succession, parenting strategies, communication styles, and trauma. Counseling sessions are also available via telehealth.

Primarily a clergy retreat ministry specializing in wilderness sabbaticals for pastors to promote wellness and resiliency. Offers professional counseling on a limited schedule through an office in Custer, SD. Providing a place where helping professionals can find support to deal with the challenges of caring. Also faith based professional counseling services on a limited schedule. Offering services via telehealth.

Addresses the following - marital and premarital counseling, anxiety, depression, life transitions, grief, women's issues, post partum concerns, mood disorders, and couples counseling. Offers telehealth services.

Equine Assisted Counseling (EAC) is the combined use of horses, a licensed therapist, and a horse specialist working with clients to address various individual treatment goals. EAC is safe and all activities are done from the ground. No riding is involved.

An outpatient counseling center that specializes in mental health therapy, marriage and family therapy and substance abuse, gambling and pornography addiction, along with other compulsive behaviors. Services are offered in a safe, graced filled environment where an authentic connection with a therapist and client is formed. The philosophy of care is to meet clients where they are at, help them navigate through the difficulties of their life and empower them to see positive improvements in their life by offering clinically proven skills and tools that research has shown has helped many in our 20 years of practice. Available services include individual psychotherapy, group therapy, marriage and family therapy, couples counseling, Christian counseling, outpatient substance abuse treatment, gambling treatment, pornography addiction treatment, intimacy disorder treatment, spouse of sex addict treatment, family recovery therapy, internet and gaming treatment, spiritual direction, life coaching, psychotherapy for pastors, ministry leaders, non-profit leaders, and business executives, and treatment also for anxiety, depression, trauma and grief issues along with a variety of other mental and emotional distress.

Specializes in working with children, teens, and adults on a variety of concerns including couples therapy, grief and loss, trauma, anxiety, depression, general wellness and health, eating disorders, relationship issues, play therapy, and parenting. Provides individual therapy and marriage/couples therapy. Also, provides faith based counseling; bereavement counseling; cognitive behavioral therapy (CBT); terminal illness counseling; LGBTQ counseling; gender identity counseling; hoarding counseling, eye movement desensitization and reprocessing (EMDR), CBT, and DBT. Able to offer sessions via telehealth and in person.

Providing individual and marriage counseling from a Christian perspective, and psychological evaluations. Internet counseling available depending on insurance/third party payment or private pay.