Individual and couples therapy for adults dealing with life transitions, healing from trauma and/or abuse, restoring difficult relationships, or looking for balance and support in their lives. Individual therapy for adolescents dealing with trauma or behavior issues. Assessment and therapy for those engaged in addictive behaviors, and also for those who love them. Experienced in serving the Native American community, particularly in the areas of historical trauma and grief.

Provides monthly collaborative meetings identifying resources and needs within the recovery communities. Variety of meetings available including: Systems of Native Community Health- Board Meeting; Medicine Wheel; Anpetu Waste Oyate Okolakiciye Prevention Coalition Family and Friends; and Wellbriety. Provides information and education regarding root causes, particularly unresolved trauma and grief and provides technical assistance and technical training to tribal, local, county, state, regional entities, and community profit and non-profit organizations and agencies. Online resources are available for all addictions.

Offers a variety of counseling services including Individual, couples, and family therapy, Group therapy and education groups, Mental health assessments and evaluations, Mediation, Counseling for victims of crime (including all types of child abuse), Substance abuse assessment and counseling, Functional Family Therapy, Moral Reconation Therapy (MRT), Moral Reconation Therapy-Domestic Violence (MRT-DV), Cognitive Behavioral Interventions for Substance Abuse (CBISA), Cannabis Youth Treatment (CYT), Aggression Replacement Therapy (ART), Parent Coordination, EAP (Employee Assistance Program) counseling, and Culturally Sensitive Services. Telehealth services are available for clients statewide.

Culturally sensitive mental health care for adults and adolescents. Focuses on medication management, mental health screenings for a variety of mental health issues, spravato (eskatamine) for treatment resistant depression, and photobiomodulation therapy (light bed treatment.

Collaborative, relational, non-pathologizing, trauma-informed. EMDR trained. Areas of special emphasis include identity transformation and development, recovery from trauma, mood and anxiety concerns, relationship difficulties, family dynamics, and LGBTQIA+.

Christian Counseling - Provides individual, couples (including premarital & divorce recovery), and family therapy in a setting where clients' Christian beliefs will be integrated into the therapeutic process. Topics covered include addressing depression, anxiety, stress management, trauma and multi-cultural concerns. Services offered include; individual counseling, family counseling, marriage counseling, divorce counseling, mental health screening, faith based counseling, grief/bereavement counseling, cognitive behavioral therapy, dialectical behavior therapy, sliding fee scale counseling, hoarding counseling, child abuse survivor counseling for adults and telehealth counseling.

Offers a variety of counseling services including individual, couples, and family therapy; group therapy and education groups; mental health assessments and evaluations; mediations; counseling for victims of crime (including all types of child abuse); substance abuse assessments and counseling; Moral Reconation Therapy (MRT) and Moral Reconation Therapy Domestic Violence (MRT-DV); Aggression Replace Training (ART); Integrated Cognitive Behavioral Therapy (ICBT); culturally sensitive services. Offering telehealth services.

Provides coaching, education and mentorship services to both youth and adults in transition; life transition, work transition or transition from incarceration and homelessness. Support is provided to the vulnerable through group and individual life, character and career coaching classes.

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.

Offers a variety of counseling services including Individual, couples, and family therapy, Group therapy and education groups, Mental health assessments and evaluations, Mediation, Counseling for victims of crime (including all types of child abuse), Substance abuse assessment and counseling, Functional Family Therapy, Moral Reconation Therapy (MRT), Moral Reconation Therapy-Domestic Violence (MRT-DV), Cognitive Behavioral Interventions for Substance Abuse (CBISA), Cannabis Youth Treatment (CYT), Aggression Replacement Therapy (ART), Parent Coordination, EAP (Employee Assistance Program) counseling, and Culturally Sensitive Services. Telehealth services are available for clients statewide.

Individual therapy for ages 14 and up. Topics discussed include: anxiety, depression, trauma, PTSD, chronic pain, stress management, employment issues, abuse, grief and loss, LGBTQ+ counseling, and women's issues. Telehealth sessions available.

​​Offers traditional medicines (flat cedar/hante sha; sage/pezi hota; sweetgrass/wacanga; bear root/mato heta;bitterroot/sinpetu; medicinal tea blends; homemade honey) spiritual guidance, smudging, and a warm and welcome space for relatives to come and talk. Also offers cultural activities throughout the week to take care of individuals spirit and keep connected to traditional Indigenous ways of life. Doors are always open for relatives needing to pray, sing, smudge or just talk. Mitakuye oyasin "we are all related". Offers a variety of culturally-centered activities. Dates and times of groups vary. Below is a list of group offerings, but not all groups are always offered. Please visit the website sduih.org/events to see current offerings. Inipi Inipi sweat purification ceremony is open to all Indigenous community members seeking spiritual connection, being mindful of those in attendance and taking care that all participants feel safe. Those who are on their moon time are respectfully asked to not attend. Community Inipi is open to men, women, children, Two-Spirit, and gender diverse community members seeking spiritual connection. Women's Inipi is open to all women, as well as Two-Spirit and non-binary community members who align with women's spiritual teachings. Positive Indian Parenting (PIP) PIP is an 8-week parent training class for Indigenous parents, caregivers, non-Native foster parents of Indigenous children, and others who strive to be more positive in their approach to parenting. PIP offers participants a structured exploration of traditional American Indian and Alaska Native values concerning parenting and helps participants apply those values in a modem setting. Red Road Approach (RRA) RRA groups offer a cognitive and experiential curriculum on Native American/Indigenous philosophies, activating the spirit for individuals, families, and communities. Participants will be guided through lessons on the impacts of alcohol and drugs on the mind, body, and spirit. This curriculum is a 10-week adult program that meets on a weekly basis. Incentives available for graduates of the program. Men's and Women's RRA groups offered. Therapeutic Sewing & Beading Join for coffee, laughter, and traditional craft-making! Open to the community, warm up with some coffee and work on beading and sewing with help from experts. Ašniyapi Ošpaye (Healing Family) Group (Sioux Falls) / Spiritual Group (Pierre) Join for a safe space for those seeking support, healing, and a time to connect with others in the community. Members will be guided through topics such as cultural values, language, and continued self-healing. All are welcome, as this group will be a place to foster empowerment through encouragement and education. Walking Group During the warmer months, we invite you to join SDUIH for a weekly walking group! Incentives available for group participants. Open to all fitness levels. Trauma Recovery and Empowerment Group Join the women's resiliency group to share and rebuild. The group will focus on building coping skills and resilience, covering depression, anxiety, trauma, and healthy relationships. All winyans (women) are welcome, regardless of tribal affiliation or race. Alcoholics Anonymous (Pierre Only) If you are experiencing substance use disorder (SUD), we invite you to join us each week in a confidential setting to share your experience and support other group members on your journey to recovery. Alcoholics Anonymous follows a 12-step program focusing on actions that guide members through their recovery journey by taking aim at admitting powerlessness over alcohol, seeking support, and making amends. Through sharing your lived experience, the goal is to achieve and maintain sobriety while helping others. This group will operate on the principle of anonymity, emphasizing confidentiality within the group to create a safe and non- judgmental environment for individuals seeking help. The group is an open yet confidential group. Anyone is welcome. No sign-up is necessary.