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Clinic provides primary care, mental health, home based primary care, and telehealth services. No emergency services are provided at the clinic. Specialty Services include: Audiology, Dermatology, Anticoagulation, and Home Based Primary Care Mental health Services: individual, couples, and group psychotherapy Telemental health available Audiology Services: including hearing aid fittings, adjustments, and replacement, are provided on Tuesdays, Thursday afternoons and Friday afternoons at the CBOC. The following programs and specialty care are available by telehealth: Cardiology, Diabetes Management, Endocrinology, Gastroenterology, Genomic Medicine, Infectious Disease, Nephrology, Neurology, Nutrition, Oncology, Orthopedics, Pain Management, Physical Therapy, Prosthetics, Pulmonary, and VIST (low Vision).

Provides individual, couple, and family therapy services. Collaborative space to challenge life's ups and downs.

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.

Offering health care services such as primary care, laboratory and pathology, mental health care, treatment in post traumatic stress disorder (PTSD), and suicide prevention.

Provides state-accredited addiction treatment services including treatment needs assessments as well as outpatient individual and group treatment options. Telemental health provided.

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 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.

Individual, family, couples, and play therapy serving children, adolescents, and adults. Specialties include depression, anxiety, trauma, and abuse. Certified in dialectical behavior therapy (DBT). Call for information regarding help available for transition of clients who are moving out of state for college or other reasons until they can find a local therapist. In an emergency, helps existing clients via phone or secure email, or anyone in need of immediate help.

Provides individual, couples, family, and play therapy in person or via telehealth services.

Outpatient Services - Individual therapy (for mental health or substance use), Family therapy, Group therapy, Medication management, Psychological assessments and testing, Commitment evaluations, Nursing home consultations, and 24-hour a day crisis intervention via crisis line. Walk in assessments available during regular business hours at the Yankton and Vermillion locations. CARE Club - Program for individuals with a mental health disability (i.e. schizophrenia, bipolar disorder, anxiety and borderline personality) who live in the community. CARE club provides support, assistance, interaction with others and the opportunity to improve consumers existing skills and develop new coping skills. Children's Services - Provides child centered therapeutic services in the home or office. This program provides mental health services to children with Serious Emotional Disturbance (SED). The parents, families, and surrogate families of children with SED participate in all aspects of evaluation, planning and delivery of services. Works closely with child-serving agencies and programs.

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 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 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.

Offers individual, family, and couples psychotherapy. Specializes in bipolar disorder in adults and children.

Life Coaching Services provided to adults and children above the age of 8 via Zoom.

Focuses on mental health and providing care to help patients through difficulties they are experiencing. Offers a safe space to share, process, and learn how to effectively cope with life stressors while having therapeutic support. Services available include individual counseling, marriage counseling, substance abuse counseling, outpatient substance abuse treatment, grief/bereavement counseling, dialectical behavioral therapy (DBT), terminal illness counseling, LGBTQ counseling, child abuse survivor counseling for adults, family counseling, couples counseling, trauma informed therapy, gambling counseling/treatment, cognitive behavioral therapy (CBT), adolescent/youth counseling, gender identity counseling, parent counseling, telemental health, ADHD evaluations, mood disorders, personality disorders, adoption/attachment, and self-esteem.

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.

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.

Individual, couple, and family therapy for a wide range of mental and behavioral health concerns including anxiety, depression, marital distress, divorce, blended families, parenting challenges, and grief. Sensitive to indigenous culture through training and direct experience. Telehealth sessions available.

Provides equine-assisted counseling conducted in an arena with a team including a mental health professional, an equine professional, and one or more horses for individuals, couples, families, or groups. Specializing in Post Traumatic Stress Disorder (PTSD), moral injury, trauma, addiction, grief and loss, abuse, depression, anxiety, and mood disorders. Team building and professional development workshops are also available.

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.

Confidential counseling services, finding clarity in the expected, unexpected, and everything in between. Serving clients 12 years of age and older on the topics of abuse, attention deficit / hyperactive disorder (ADD/ADHD), adoption, alcohol abuse, Asperger's syndrome, autism, behavioral issues, bipolar disorder, borderline personality, chronic impulsivity, codependency, coping skills, divorce, domestic abuse, domestic violence, dual diagnosis, eating disorders, family conflict, grief, infertility, infidelity, obsessive compulsive disorder (OCD), oppositional defiance (ODD), parenting, pregnancy, prenatal and postpartum, self-esteem, self-harming, sexual addiction, insomnia, weight loss, and women's issues. Treatment approaches include cognitive behavioral therapy (CBT), family systems therapy, marital therapy, interpersonal therapy, mindfulness based, motivational interviewing, and solution focused brief counseling. Telehealth services available.

A mental health service provider for individual therapy. Services include psychological assessments, substance abuse counseling, trauma informed therapy, and cognitive behavioral therapy. Areas of training or expertise include depression, anxiety, mood disorders, suicidal thoughts, personality disorders, psychosis, addiction, bipolar disorder, stress, interpersonal relationships, coping skills, PTSD, and self-harming. Therapy sessions can be done in-person or telehealth.

A full continuum of mental health and treatment for substance use disorders. Services include assessments, individual and family counseling, intensive outpatient substance use disorder treatment, residential treatment for pregnant and parenting women who face substance use disorders, transitional care and aftercare counseling for adults and adolescents, trauma-focused treatment for children/adolescents and their families impacted by traumatic events. This can address a multitude of circumstances including COVID-related trauma, physical/ /sexual/emotional abuse, witness of violence, household incarceration, family substance abuse, mental illness, parent separation or divorce, medical, grief or refugee trauma, and bullying, neglect, disasters and more. ​Also offers MRT (Moral Recognition Therapy), CBISA (Cognitive Behavioral Intervention Substance Abuse), and 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.