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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.

DCI/Downtown provides 24 hours a day / 7 days a week overnight residential services to stabilize people experiencing an acute mental health crisis. Services include crisis stabilization, evaluations and and linking individuals to the services that will allow success in the long-term. Up to four individuals at at time may stay up to three days. DCI/Downtown is designated as an Appropriate Regional Facility (ARF) by the South Dakota Division of Behavioral Health.

Behavioral Health Services available from licensed substance abuse and mental health counselors. ​Services include: chemical dependency assessments and Level 1.0 counseling, individual, couples, and family behavioral health counseling, Medication Assisted Therapy (MAT) for patients recovering from substance use disorders, EMDR (Eye Movement Desensitization Reprocessing) Therapy, and psychiatry team availability. Transportation is available for current patients if needed.

Provides psychiatric residential treatment center licensed to serve boys and girls ages 10-17 years old, who have emotional, behavioral, and educational challenges. Offers specialized education program, extensive outdoor recreation, opportunities for community involvement, and evidence-based programming including cognitive behavior therapy (CBT) groups.

Provides 2 Psychiatric Residential Treatment Facilities (PRTF) for young women in nurturing, trauma-informed settings. The program offers an array of therapeutic services such as evidence-based trauma informed programming, special education schooling, individual therapy, group therapy, alcohol and drug treatment, and independent living skills. A variety of therapeutic techniques are used such as eye movement desensitization and reprocessing (EMDR), neurofeedback, bio feedback, cognitive behavior therapy (CBT), and dialectical behavior therapy (DBT).

Provides individual counseling services working with clients ages 14 and up with autism spectrum, depression, anxiety, mood disorders, attachment disorders, relationship issues, grief and loss. Services include individual counseling, cognitive behavioral therapy (CBT), adolescent/youth counseling, parent counseling, and internet (tele-health) counseling.

Provides individual mental health counseling for adolescents (age 16+) and adults experiencing personal, relational, and psychological challenges. Experience in anxiety, depression, mood disorders, women's issues, traumatic experiences/abuse, post traumatic stress disorder (PTSD), parenting/caregiver education, life transitions, identity, culturally competent, LGBTAIQ2S+ affirming. Telehealth services available in SD, MN, and ND.

Provides counseling to children, adolescents, and their families in the Black Hills area. Issues that are addressed include: ADHD, adoption and foster care, adjustment to life situations, anxiety, anger management, behavioral concerns, coping skills, depression, family conflict, FASD, oppositional defiance, parenting, suicidal ideation, stress management, and trauma (including emotional, physical, and sexual abuse). Telehealth available and determined on a case by case basis.

Provides detox, inpatient, and outpatient treatment for substance abuse. Services include daily individual and group therapy, trauma-informed care and dual diagnosis support, Medication-Assisted Treatment (MAT) when appropriate, relapse prevention and life skills development, recreational activities and peer support, case management and discharge planning.

Provides services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.

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 services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.

Provides 2 Psychiatric Residential Treatment Facilities (PRTF) for young women in nurturing, trauma-informed settings. The program offers an array of therapeutic services such as evidence-based trauma informed programming, special education schooling, individual therapy, group therapy, alcohol and drug treatment, and independent living skills. A variety of therapeutic techniques are used such as eye movement desensitization and reprocessing (EMDR), neurofeedback, bio feedback, cognitive behavior therapy (CBT), and dialectical behavior therapy (DBT).

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 a 24-hour crisis line that is answered by trained advocates, information and referral services, temporary shelter for adult victims of domestic violence or sexual assault and their children, personal advocacy, legal advocacy including protection orders, and education and awareness regarding issues of domestic violence and sexual assault.

Working with individuals ages 15 - adult, couples and families with a variety of challenges. Specialty training in family therapy, helping families dealing with challenging behaviors, and communication problems. Offers group therapy for parenting and eye movement desensitization and reprocessing (EMDR). Trauma focused cognitive behavioral therapy (CBT) trained.

Providing a safe place for people to explore, discover and accept the individual as they are. Services offered include Evaluations and assessments, Professional therapy and counseling, and a free coffee bar and baked goods for clients. Licensed clinical professionals work with individuals, couples and families.

Provides professional counseling, specializing in helping teens and adults learn to cope with anxiety, depression, PTSD, addictions, and more.

Individual, couples and family counseling/ psychotherapy, forensic testing and psychological testing (personality, intelligence, achievement and neuropsychological). Groups include a grief group, COVID support group, adolescent support group, and chronic pain groups. Offering in-person therapy as well as telehealth.

Counseling services range from individual counseling, adult/adolescent psychiatry, cognitive behavioral therapy, and parent child interaction therapy.

Equine-assisted psychotherapy for individuals, families, and groups. Specializes in trauma focused cognitive behavioral therapy, solution focused therapy, and youth with problematic sexual behaviors. Telehealth available.

Individual, marital, and family counseling across the lifespan. Experience in attention deficit / hyperactivity disorder (ADD/ADHD), Asperger's syndrome, depression, anxiety, divorce adjustment, spiritual issues, blended families, affairs, abuse, past abuse, and pre-marital counseling. Also offers grief therapy and trauma focused therapy.

Specializes in working with children, teens, and adults on a variety of concerns including couples therapy, grief and loss, trauma, anxiety, depression, general wellness and health, eating disorders, relationship issues, play therapy, and parenting. Provides individual therapy and marriage/couples therapy. Also, provides faith based counseling; bereavement counseling; cognitive behavioral therapy (CBT); terminal illness counseling; LGBTQ counseling; gender identity counseling; hoarding counseling, eye movement desensitization and reprocessing (EMDR), CBT, and DBT. Able to offer sessions via telehealth and in person.

Provides services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.

Works to increase identification of youth and families who have been exposed to traumatic stress and shorten the time it takes to get them into effective treatment programs. Offers free screenings to children who may be experiencing traumatic stress, and then, if information warrants, a full assessment will be scheduled. Youth and families who are identified as experiencing traumatic stress will be referred to appropriate treatment providers. Treatments available at YFS include: Trauma-focused cognitive behavioral therapy Child parent psychotherapy Equine Therapy Problematic sexual behavior-cognitive behavioral therapy Prolonged exposure therapy Dialectical behavior therapy (DBT) Integrative treatment for complex trauma Motivational interviewing Also assists community mental health providers' expansion of trauma-focused knowledge and skills through education, training, and collaboration.