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Provides mental health and addictions assessments, early intervention, intensive outpatient treatment, and aftercare services for individuals, couples, and families. Providers treatment for concerns including addiction, anxiety, depression, mood disorders, adjustment, abuse, spiritual development, emotional management, stress management, family issues, grief, trauma, personality disorders, and relational issues. Offers in person services and telehealth services via Zoom. Services can also be provided via telephone. Clients are encouraged to check with insurance providers regarding coverage.

Provides assistance with: Clothing: Vouchers available by meeting with a case worker. Utilities: Assistance available for water, lights, or electric heat. Available up to 1 time a year, must have a disconnection notice. Prescriptions: Call for information. Rent: Assistance is available once a year. First month rent or with eviction notice. Personal hygiene items and laundry detergent Other needs: varies based on ability Diapers: Available based on donations Spiritual support School supplies

Individual, family, and couples therapy to all ages including children, adolescent, as well as married, never married, separating, or divorcing families. Areas of focus include work and career adjustment, stress management, grief and loss, parenting skills, conflict management, custody, co-parenting education, custody evaluations, parenting time, divorce, community supervised visitation (for children, elderly and disabled individuals requiring supervision), financial, and Ag mediation. Alcohol and/or drug testing to include hair follicle testing, nail testing, urinalyses, breathalyzer and PEth blood testing. Guardianship and Conservatorship.

Using multiple therapeutic approaches along with empathy and compassion to help people sort out negative images of themselves. Services offered include: individual counseling; family counseling; play therapy; faith based counseling; Cognitive Behavioral Therapy (CBT); adolescent/youth counseling; parent counseling; child abuse counseling; child abuse survivor counseling for adults; adoption support; attachment disorder; ADHD (Attention Deficit Hyperactivity Disorder); trauma; depression; anxiety; EMDR (Eye Movement Densitization Therapy), and Sand Tray Therapy. Telehealth sessions 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.

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.

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.

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.

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.

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.

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.

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 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.

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.

A boutique therapy practice created with the goal of providing client-centered emotional wellness services. Carries smaller case loads to enhance psychological care and to allow clinicians to focus on every aspect of each individual's healing journey. Only offering telemental health.

Individual, marital, and family counseling across the lifespan. Experience in attention deficit / hyperactivity disorder (ADD/ADHD), Asperger's syndrome, depression, anxiety, divorce adjustment, spiritual issues, blended families, affairs, abuse, past abuse, and pre-marital counseling. Also offers grief therapy and trauma focused therapy.

​​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.

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.

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.

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).

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.

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

Whether an adult, teen or child struggling with depression, anxiety, relationship issues, family conflict, behavioral challenges, trauma, pain, loss or any area of difficulty, staff are available to help and offer telehealth services. Mental health testing and assessment services also available, including: memory testing, disability testing, bariatric testing, ADHD/ADD testing and a wide range of competency assessments.

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