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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.

Providing confidential and no-cost early pregnancy services including pregnancy testing and limited obstetrical ultrasound. Other services include Confidential peer counseling, emotional support, information and education on pregnancy options, post-abortion help, pregnancy and parenting classes and referrals for community resources.

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).

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.

Individual, couple and family counseling for issues related to trauma, abuse, relationships, unplanned pregnancy, adoption and parenting. Offers Telehealth counseling services for rural South Dakotans to have access to an outpatient therapist via smart phone, tablet or computer. Call to schedule a session via confidential/secure HIPAA compliant video technology. Employee Assistance Program (EAP) - can provide trainings, classes/groups or counseling for employees. Youth prevention program focuses on issues of addiction, violence, promiscuity, and suicide. Other programs include: Lakota Circles of Hope, Disaster Relief and Uplifting Parents.

Provides mental health services and counseling for individuals, families, and couples. Issues such as depression, anxiety, panic, life transition and adjustment (such as career, mid-life, relationship changes, aging), coping with chronic illness, grief and loss, trauma, PTSD, job stress, issues relating to confidence, self esteem and empowerment, Attention Deficit Hyperactivity Disorder (ADHD), behavioral issues, anger, and parenting. Sessions offered in-person or via telehealth.

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). ​Does not offer autism evaluations. Telemental health services available to individuals in South Dakota.

Provides mental health counseling services to individuals, couples, groups, and families. Works with a wide range of client populations experiencing issues including anxiety, depression, mood disorders, life stage changes, adjustment issues, relationship problems, behavior issues, substance abuse and recovery, grief, trauma, parenting and discipline, educational/vocational and concerns. Offers EMDR and Brain spotting for trauma treatment and recovery.

Providing a multicultural approach to mental health and substance abuse counseling for adolescents and adults. Specific areas include adult ADHD and neurodivergence; anxiety; chronic pain and illness; depression and mood disorders; grief and loss; spirituality; trauma and stress-related disorders; work and career issues; farming stress and rural life; men's mental health and women's mental health . Help is available for caregivers, parents, helping professionals, college students and young adults, first responders

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.

Counseling from a biblically Christian worldview. Services include counseling for couples, marriage, marriage preparation, parenting, family, adolescents, depression, anxiety, grief, anger, crisis management, decision making, male sex addiction, gambling addiction, self-esteem, adjustment, life/professional coaching. Therapies include CBT, solution-focused, emotionally-focused couples, person-centered, Biblical, and prayer. Offering telehealth sessions.

Provides comprehensive outpatient mental health and chemical dependency services for individuals of all ages. Offers therapy for a wide range of emotional, behavioral, and psychological concerns, including anxiety, depression, trauma, addiction, relationship issues, and life transitions. Services are available in both in-person and virtual formats to ensure accessibility and flexibility. The practice also offers emotional support animal (ESA) evaluations and is committed to providing a safe, inclusive, and culturally responsive environment for all clients.

Counseling for individuals, couples and families; premarital, marital and blended family support with needs such as, depression, anxiety disorders, sexual abuse, addiction, vocation & identity exploration, life transitions & adjustment, grief & trauma. Offering telehealth sessions.

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.

Provides mental health and mindfulness therapy for teens and adults struggling with OCD, grief, anxiety, depression, eating disorders and stress. Provides marriage/couples counseling. Works with kids of all ages. Offers EMDR therapy. Telehealth sessions available after first session in person.

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.

A Christian counseling agency ​providing individual, marriage, and family outpatient therapy as well as medication evaluation and management. Also provides various prevention education programs to churches and civic organizations on an as-requested basis.

Offers help and insight in the following areas - marital relationships, addictions, family relationships, pregnancy counseling, depression, stress, and eating disorders.

Counseling and therapy services include marriage, couples, and family. Focus areas include depression, anxiety, grief, chemical dependency, abuse, body image, spirituality, and life transitions. Offering services via telehealth.

Provides mental health counseling to adolescents and adults struggling with life adjustments, anxiety, depression, trauma, and post-traumatic stress disorder (PTSD). Certified in eye movement desensitization and reprocessing (EMDR) to treat complex trauma, abuse, neglect, and other disorders. Services offered include individual counseling, divorce counseling, grief/bereavement counseling, dialectical behavioral therapy (DBT), terminal illness counseling, child abuse counseling, child abuse survivor counseling for adults, couples counseling, mental health screening, trauma informed therapy, faith based counseling, cognitive behavioral therapy (CBT), adolescent/youth counseling, parent counseling, and hoarding counseling. Offers services in person and via telehealth.

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.

Provides individual and men's group therapy. Topics include relationship counseling, life coaching and work burnout. Offers in-person, telehealth, and walk-and-talk therapy (for those not wanting the traditional office atmosphere).

Individual, group, couples, and family counseling for all ages. Issues covered included depression, anxiety, borderline personality disorder, bipolar disorder, anorexia, bulimia, healthy weight loss, grief, attention-deficit / hyperactivity disorder (ADD/ADHD), chronic pain, family separation, divorce, self-destructive behaviors, self-esteem, abuse issues, anger management, and/or any other mental health disorder including PTSD. ​Offering neuropsychological and psychological testing, biofeedback, eye movement desensitization (EMDR), and EAP (employee assistance program) services and training. ​Group therapy including borderline personality disorder treatment groups including STEPPS, STAIRWAYS, and STRIDES; Dialectical Behavioral Therapy (DBT) group; adolescent group; and pain management group.

Guides and inspires adults, children, adolescents, couples and families with concerns that are impeding joy and life fulfillment. Will assist in ways to improve relationships, eliminate symptoms and inspire the best version of each individual. Specialties include: trauma, anxiety, depression, self-esteem issues, conflict management, personality disorders, and bipolar. Modalities of treatment encompass: Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprogramming (EMDR), Emotional Freedom Techniques (EFT, Tapping), Psychodynamic Therapy, Filial Therapy, Brain Tap, Acceptance & Commitment Therapy (ACT), Gottman Couples Techniques, Christian Counseling, Play Therapy, Parent-Child Interactive Therapy (PCIT), Sand Tray Therapy, and other techniques specific to the individual, adolescent, children, family, and couples needs.

A non-profit ministry which provides Bible-based counseling and training courses. Staff are under the umbrella of pastoral counseling as opposed to state licensed counseling and are not a psychiatric or psychological state licensed professional, legal, or clinical medical advice providers.