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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.

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

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 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, couples and family counseling. Treatment specialization includes: therapy for depression and anxiety; couples counseling; family counseling; parenting support; counseling with adolescents; grief counseling; work and career issues; stress management; conflict resolution; spiritual concerns; Eye Movement Desensitization and Reprocessing (EMDR). Offers telehealth services.

General outpatient offers individual and family counseling on a bi-weekly or weekly basis depending on the plan of care. Intensive outpatient offers 3+ sessions per week along with a space for alternative school utilizing distance learning from the individual's school district. Offers a variety of counseling services including family counseling, trauma informed therapy, faith-based counseling, adolescent/youth counseling, and parent counseling. ​​Also provides Eye Movement Desensitization and Reprocessing (EMDR) therapy, spiritual mentor, and care team.

Provides individual, couples/marriage, and family counseling. Topics covered include depression, anxiety, obsessive compulsive disorder (OCD), attention deficit/hyperactivity disorder (ADHD), adjustment disorders, bipolar, post traumatic stress disorder (PTSD), child sexual abuse, domestic violence, marriage issues, spiritual issues, women's issues, church leadership abuse issues, Asperger's, social skills, self-esteem, bullying, and individuals whose spouses have addiction issues.

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.

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.

Offers pastoral care, spiritual counseling, and emergency non-monetary financial assistance. For residents of Elkton facing an unusual circumstances (i.e. recovering from injury; acute, one time needs), can provide some direct (non-monetary) assistance. This is not intended to be used for ongoing/routine needs.

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

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.

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

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.

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.

Works with clients to address a broad range of concerns including depression, anxiety, behavioral problems, relationship & identity issues, life transitions, anger, hoarding, medical diagnosis and trauma. Works with each client to identify strengths as well as tailor the therapy to their identified learning style. Frequently uses hands on activities, visual demonstrations, writings, drawings, art and games to help illustrate or represent the topic being discussed. Telehealth services available.

​​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.

Individual, couples, and family therapy for the treatment of various adjustment problems and psychological disorders in children, adolescents, and adults. Special areas of expertise include: pain management, stress management, complicated grief and loss, spirituality issues, parenting adult children, chronic illness, anxiety, depression, post-traumatic stress disorder, parent education, abuse, eating disorders, marital infidelity issues, substance abuse issues, immigration adjustment concerns, and culturally relevant services. Therapeutic methods used include: acceptance and commitment therapy (ACT), eye movement desensitization and reprocessing therapy (EMDR), cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), emotionally focused couples therapy (EFT), and psychodynamic therapy. Telehealth available for all sessions. May request sessions via telehealth, in-person or a combination. Will teach new clients how to use telehealth services.

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.

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.

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.

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.

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.

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).