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.

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.

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.

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.

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, family, and couples therapy services including the following core issues: anxiety, depression, addictions, self esteem issues, couples issues, parenting challenges, and relationship building. Also offers leadership development services.

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.

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

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.

Believes that there is hope for everyone and that part of healing can come from connected relationships in which one is known and accepted. Services provided include individual counseling; marriage counseling; divorce counseling; faith-based counseling; grief/bereavement counseling; cognitive behavioral therapy (CBT); adolescent/youth counseling; terminal illness counseling; parent counseling; domestic violence/spouse/intimate partner abuse counseling; child abuse survivor counseling for adults; internet counseling (telemental health); group counseling and also trained in sexual addiction and betrayal trauma.

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.

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.

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.

Providing individual, couples, and family counseling. Treatment specialization includes: depression, anxiety, panic attacks, phobia, Gottman Method Couples counseling, social anxiety, sexual problems, relationship issues, medical and health concerns, grief and loss, work and career issues, stress management, addiction and recovery, parenting and family issues, conflict resolution, child and adolescent therapy, anger management evaluation and treatment, Attention Deficit Hyperactivity Disorder (ADHD), sexual assault and domestic violence issues, Eye Movement Desensitization and Reprocessing (EMDR), Trauma Focused Cognitive Behavioral Therapy (TFCBT), Brainspotting, and discernment counseling. Services are available in person and via telehealth.

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.

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.

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.

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.

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.

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.

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

​​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.

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 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).