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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 comprehensive outpatient mental health and chemical dependency services for individuals of all ages. Offers therapy for a wide range of emotional, behavioral, and psychological concerns, including anxiety, depression, trauma, addiction, relationship issues, and life transitions. Services are available in both in-person and virtual formats to ensure accessibility and flexibility. The practice also offers emotional support animal (ESA) evaluations and is committed to providing a safe, inclusive, and culturally responsive environment for all clients.

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.

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.

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.

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 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.

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 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.

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.

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 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.

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, 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.

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.

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.

Providing individual and marriage counseling from a Christian perspective, and psychological evaluations. Internet counseling available depending on insurance/third party payment or private pay.

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 gas, electric or water utility assistance for bills at least 30 days past due with a shut off notice (cannot help with current bills). Call for qualifications and appointment time. TEFAP (The Emergency Food Assistance Program) is a federal program which helps supplement the diets of low-income families by providing emergency food and nutrition assistance at no cost. Option 1: TEFAP Food Only: Protein along with nutritional staple(s). If no ID, complete 1 TEFAP Self Declaration form Option 2: TEFAP & Other Food: Protein, canned goods along with nutritional staples. Picture ID and proof of residence required and 2 forms to complete. This institution is an equal opportunity provider. Household Voucher: Items used to cook and eat a meal or other household goods such as bed linens, towels, etc. are available from the thrift store 1 time every 3 years. Items are based upon availability and may vary. To qualify, a picture ID is required along with a current lease or rental agreement. Clothing Voucher: Clothing assistance is available every 3 months per individual from thrift store. To qualify, a picture ID is required along with verification for additional individuals in the household such as medical cards, birth certificates, etc. Items are based upon availability and may vary. Pathway of Hope: Long term case management program to help individuals and families move beyond crisis into stability and self sufficiency. To qualify, individuals are required to meet with a caseworker to design a plan to meet goals, needs and objectives (goal setting, financial counseling, assistance getting healthcare, educational opportunities, etc.). Call for more information and appointment time.

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 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.

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

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). ​Does not offer autism evaluations. Telemental health services available to individuals in South Dakota.

Working with children, adolescents, adults, couples, and families wanting to overcome trauma, anxiety, depression, mood disorders, other mental illnesses, relationship issues, marriage counseling, grief, family issues/dynamics, women's issues, domestic violence concerns, Eye Movement Desensitization and Reprocessing (EMDR), and other life challenges. Multiple support groups are always available (ie. After Divorce/Your Relationship Ends Support Group). Offering faith-based therapy and online counseling services when requested. As well as life coaching and advocacy services. Specializes in providing counseling for clergy and families working in ministry, as well as helping professionals in the human services and medical field. Offers telehealth counseling through software called Google Meet to individuals in South Dakota. Preference is to do in-person intake, but can do intake online if in-person is not an option.

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.