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Provides mental health therapy services for individuals, families, and couples dealing with life's challenges. Offers marriage, grief/bereavement, couples, adolescent/youth, parent, and telehealth counseling. Also provides mental health screening and cognitive behavioral therapy.

Offers primary care, mental health care, treatment for post traumatic stress disorder (PTSD), and suicide prevention. Also offers transitional and supportive housing for veterans experiencing homelessness. Gun safety locks are available through the Suicide Prevention Coordinator.

Play therapy offered to children ages 3-12 along with family counseling and parenting support. Areas of specialty include trauma, depression, anxiety, adjustment challenges, foster care placement, developmental delays and behavioral challenges. Emphasis placed on supporting the child and their caregiver(s) collaboratively in order to find success and improved functioning.

Individual therapy for ages 18 - 100. Offering services related to: LGBTQ+ counseling, pain management, child abuse survivor counseling for adults, parent counseling, spouse/intimate partner abuse counseling, grief counseling, trauma informed therapy, EMDRIA (Eye Movement, Desensitization and Reprocessing) therapy, and perinatal mental health. Offers telehealth counseling and accepts Medicaid and Medicare.

Committed to providing healing and restoration to individuals, couples, and groups experiencing personal, relational, sexual, and psychological issues. Specializing in sexual dysfunctions, sexual pain disorders, sexual abuse recovery, paraphilia's, sexuality after cancer, sexual addiction, infidelity recovery, reproductive health, infertility counseling, and trauma therapy. Therapeutic and advocacy for lesbian, gay, bisexual, and transgender individuals. General mental health counseling topics covered include; coping skills, bipolar disorder, dissociative disorders, personality disorders, obsessive compulsive disorder (OCD), borderline personality, depression, anxiety, chronic pain, self-esteem, co-dependency, relationship dynamics, divorce, abuse, anger management, trauma, post traumatic stress (PTSD), grief and loss, life transition, suicidal ideation, dual diagnosis, crisis management, and addictions.

Offering therapy in person and via telehealth. Services include individual counseling, dialectical behavioral therapy, LGBTQ+ counseling, adolescent / youth counseling, perinatal counseling, parent counseling, trauma informed therapy, and cognitive behavioral therapy. Also offers a free postpartum wellness group for new mothers.

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

Court approved divorce and custody mediator, parent coordinator, and custody evaluator. Individual, couples, and family counseling with expertise in blended families, marriage, family counseling, play therapy, trauma, child abuse, post traumatic stress (PTSD), and sexual assault.

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.

Individualized treatment including psychiatric and psychological evaluations, individual, couple, and/or family therapy. Treatment services for children, adolescents, adults, and seniors include but are not limited to: Anxiety disorders Mood disorders Personality disorders Somatization disorders Psychosexual disorders Schizophrenia Post-traumatic stress disorders (PTSD) Abuse issues Eating disorders Addictions Dementia Grief and loss Stress management Executive health Evaluation and treatment of childhood emotional and behavioral disorders including Attention-Deficit/Hyperactive Disorders (ADD/ADHD) Group therapy Psychological testing Neuropsychological testing Couples counseling These services are available via telemental health.

Provides mental health and substance abuse treatment services. Works with difficult clients involved in the legal system, suffering from Axis II disorders, and those who struggle to follow the rules. Also provides suicide prevention intervention services. Telehealth services are available. Services include: individual counseling, marriage counseling, divorce counseling, substance abuse counseling, outpatient substance abuse treatment, grief/bereavement counseling, child abuse counseling, child abuse survivor counseling for adults, family counseling, couples (conjoint) counseling, mental health screening, cognitive behavioral therapy, adolescent/youth counseling, parenting counseling, spouse/intimate partner abuse counseling, and suicide prevention services.

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.

Oncology Outpatient Therapist - offer counseling for people with cancer at any stage of treatment or recovery. Addressing issues of adjustment to illness, fear of reoccurrence, cancer induced distress, anxiety, depression, life legacy, advance care planning, grief, and bereavement. Also available to see any family or support members of the individual for counseling. ​​Telehealth available for any individual with cancer or their support person. May be in active treatment or out of treatment.

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 mental health counseling including the following services: individual counseling, marriage counseling, family counseling, couples counseling, divorce counseling, grief/bereavement counseling, LGBTQ counseling, child abuse counseling, child abuse survivor counseling for adults, trauma informed therapy, cognitive behavioral therapy, parent counseling, spouse/intimate partner abuse counseling, telehealth counseling, farm crisis counseling, and retirement and aging concerns.

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 counseling services for addictions, anxiety, depression, Bi-polar Personality Disorder, Borderline Personality Disorder, and other mental health diagnoses through a trauma focused Dialectical Behavior Therapy (DBT) technique. All sessions are held via telehealth.

Specialty care include: Audiology, Home Based Primary Care, Lab, Mental Health, Pharmacy clinical services, Physical Therapy, Primary Care, Social Work, and Nutrition. The following programs and specialty care are available by telehealth: Cardiology, Occupational Therapy, Chronic Health Management, Oncology, Dermatology, Orthopedics, Diabetes Management, Pain Management, Endocrinology, Pharmacy Services, Gastroenterology, Prosthetics/Orthotics, Genomic Medicine, Psychiatry, Infectious Disease, Pulmonary, Mental Health, Surgery (pre-op), Nephrology, Low Vision, Neurology, Urology, and Wound Care.​

Individuals, couples, and family counseling for children, adolescent, and adults. Counseling to help those who suffer from depression, anxiety, self-harm, post traumatic stress (PTSD), trauma, suicidal thoughts, grief and loss, Internal Family Systems (IFS), and other issues. Provides assisted animal therapy, play therapy, Cognitive Behavior Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Dialectical Behavior Therapy (DBT). Works closely with the LGBTQI population. Also offering services via telehealth.

Horizon Health - Alcester Medical is full-service medical clinic offering the following services - preventative screenings, acute care, chronic care management, well child visits, men's and women's health, immunizations, family planning, lab/x-ray, patient education, care management, DOT exams, after-hours access to care, and Certified Application Counselors for the Health Insurance Marketplace. Also offers behavioral health services: medication management, counseling, case management, integrated care, addiction services, and Medication Assisted Therapy (MAT).

Provides the following - individual and group counseling, crisis intervention services, and referral resources in the local community.

Community outpatient mental health facility. Provides mental health services to children, adolescents and adults. Services include but are not limited to psychiatric care and evaluations, children's services, group and individual counseling, play therapy, aggression management, and more.

​Individual, family, or group therapy for children, teens, and adults, who are victims or survivors or domestic violence, sexual assault, stalking, or child abuse. Services offered include: EMDR; child therapy for children ages 5 and older; crisis counseling for individuals staying in shelter; on-going therapeutic counseling with a masters-level therapist. Telehealth available.

Services include diagnostic assessments, individual therapy, couple and family therapy, medication management, and Attention Deficit Hyperactivity Disorder (ADD/ADHD) treatment. Telehealth services 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.