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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, 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.

Committed to offering safe and confidential services. Provides individual, couples, and family services for those experiencing personal, relational and psychological issues. Telehealth services available.

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 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.

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.

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.

Counseling services for individuals, couples and families. Areas of care include anxiety, blended families, career changes, caregiver support, communication, depression, divorce, grief and loss, identity, infertility, life transition and adjustments, parenting, stress, women's health and wellness through the life span. Therapeutic approaches include Cognitive Behavioral Therapy, Brief Solution Focused Therapy, and Christian Counseling. In office and telehealth services are available.

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.

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.

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

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.

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 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

Provides individuals of all ages with feelings of value, courage, and connection to overcome challenges and move towards healing. Strives to bring an authentic relationship in a comfortable, safe and supportive setting for all to be both seen and heard. Specializes in working with children ages 4-11 utilizing play therapy to meet and communicate with children in their world and in their primary language - play. Services offered include: individual counseling; child abuse counseling; couples counseling; play therapy; trauma informed therapy; faith-based counseling; cognitive behavioral therapy; adolescent/youth counseling; internet (telehealth) counseling; and EMDR (Eye Movement Desensitization and Reprocessing).

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.

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.

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

​​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 variety of counseling services in a holistic approach including individual, family, and group counseling, trauma informed therapy, faith-based counseling, adolescent/youth counseling, and parent counseling. Also provides Eye Movement Desensitization and Reprocessing (EMDR) therapy, mentor support, and after school support.

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.

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.

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.

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 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.