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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.

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.

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

Offers client-centered counseling for individuals, couples, and families. Provides support for concerns such as anxiety, depression, grief and loss, relationship challenges, life transitions, stress management, and emotional wellness for adolescents and adults. Offers couples, marriage, and premarital counseling with a focus on healthy communication and connection. Services are available in person as well as through secure telehealth.

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.

Individual, couples, and family counseling for all ages regarding issues of depression, anxiety, grief and loss, recovery, stress, crisis, relationship issues, anger, forgiveness, communication, self-concept, learning disabilities, attention deficit / hyperactive disorder (ADD/ADHD), parenting, and spiritual direction. Also, provides tele-counseling (via phone). Preferred that inquiring clients attend the intake appointment in person.

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.

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.

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

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 clinical mental health and addiction counseling for individuals seeking support with emotional, behavioral, and substance-related challenges. Services include assessment, treatment planning, and evidence-based counseling approaches tailored to meet client's unique needs. The practice works with adolescents and adults to address concerns such as depression, anxiety, stress management, and substance use, with the goal of supporting overall well-being and personal growth.

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).

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.

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.

Pathway of Hope guides families with children 18 years and younger through crisis and instability to a place of security. Offers strengths-based casework, providing services such as: financial counseling and planning, goal setting with action steps, job training, referrals and employment assistance, assistance with securing housing and child care, and emotional and spiritual support. Pathway of Hope works with people where they are, offering practical guidance to help families overcome obstacles one step at a time.

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 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.

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.

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

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.

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.

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.

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.

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.

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).