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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.

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. There is no fee for services. Individuals in need of transportation to the facility may contact the facility or law enforcement to assist with transportation. DCI/Downtown is an Appropriate Regional Facility for the State of South Dakota offering safe, supportive services for individuals experiencing mental health crisis or thoughts of self-harm.

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.

Individual counseling for adults and young adults. Specialty areas include, anxiety, trauma, depression, life change, relationship challenges, post traumatic stress (PTSD), feeling stuck, family of origin challenges, abuse issues, confidence and self-esteem challenges, fertility challenges, parenting, postpartum anxiety or depression, sports performance, and career counseling. Therapies available include, but are not limited to eye movement desensitization and reprocessing (EMDR), cognitive behavior therapy (CBT), mindfulness based cognitive therapy (MBCT), and solution focused brief therapy. Telehealth services available.

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.

Professional individual and family counseling. Services include: mental health screening, cognitive behavioral therapy (CBT), adolescent and youth counseling, and tele-health counseling.

The South Dakota Resource Hotline is part of South Dakota's Statewide targeted response to substance use. The hotline provides a place where individuals are able to reach out for information on treatment resources and support for themselves or someone else. The Substance Use Care Coordination program: Connects participants with substance use resources, such as treatment assessments, treatment programs, counseling and social supports. Provides consistent connections during high-risk times for returned use, which may include post detox and before and after treatment. Provides support working on reaching recovery goals. Assists with making connections with appropriate community referrals for financial assistance, transportation assistance and assessing mental health resources. Connects with referral locations to best understand wait-lists, common barriers to treatment completion and share needed information between referral sources. For new referrals, fill out the Care Coordination Referral Form and the Care Coordinator will reach out in 1-2 business days.

Individual, family and couple's counseling for mental health, psychiatry, chemical dependency, and ADHD assessment. Issues treated include anxiety, depression, mood disorders, adjustment disorders, substance abuse disorders, domestic abuse/violence, grief and loss, trauma, relational issues, and significant life changes. Offering sessions via telehealth.

Psychiatric evaluations, prescription medication management, psychological testing, and comprehensive therapy services including Eye Movement Desensitization and Reprocessing (EMDR). Psychological testing and evaluation services available for issues including Autism spectrum, learning disorders, attention deficit / hyperactive disorder (ADD/ADHD), bipolar, anxiety, depression, ability and achievement, IQ, memory, bariatric surgery evaluations, and court-ordered evaluations. Specializing in therapeutic services for depression, life-transition, behavioral issues, divorce, premarital, families, relationship issues, parenting, work-life balance, LGBTQ, grief and loss, serious and chronic disease, postpartum depression, infertility, stress management, eating disorders, physical disability, abuse issues, and chronic pain. Also offering telehealth services.

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.

In person and virtual counseling services for adult individuals in the following areas: trauma, victimization of abuse, family of origin conflicts, codependency, self-esteem & self-confidence issues, relational stressors, anxiety, depression, and stress management.

Individuals, couples, or families can receive specialized treatment for co-occurring issues of substance abuse/addictive disorders in conjunction with mental health conditions such as clinical depression, mood disorders and/or anxiety-based difficulties. Adult group programming for intensive outpatient treatment, early intervention, relapse prevention. Day and evening tracks are available for intensive outpatient treatment. Court-approved provider for chemical dependency assessments, counseling and treatment services. Adolescents can be seen for chemical dependency evaluations, individual therapy and aftercare group. ​Specialized counseling services available (individual, couples, family and group therapy) for pain management-related difficulties. Dual-credentialed therapists licensed in mental health and addictions. Telemedicine counseling services including CD assessments and individual therapy. Anyone can participate in this service. Accredited by the State of South Dakota as well as by the Joint Commission (JCAHO).

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.

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 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.

Counseling for individuals, couples, groups, and families for all ages. Other services include play therapy, psychological assessments just for children under 12 years of age, psychotherapy, relationship counseling and limited neuropsychological assessments. This office is able to provide telehealth to anyone in the state of South Dakota. There is paperwork that must be completed and signed prior to the first appointment.

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.

Provides a full range of primary healthcare services including physical exams, chronic disease management, acute illness management, physicals, well child exams, children/adolescent/men/women healthcare services, immunizations, telemedicine related to medical and mental health needs, certified laboratory services, All Women Count services, assistance with Marketplace insurance enrollment, and allergy injections. Some sites provide Department of Transportation physicals. Nurse triage available for after-hours calls. Situation will be assessed by a registered nurse with further guidance provided. Strives to meet the needs of all patients, including the underinsured and underserved and offers services at a reduced rate to those who qualify.

Provides both individual and group counseling for adults using Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Radically Open Dialectical Behavior Therapy (RO DBT) with Level 3 trained practitioners using in-person and telemedicine services.

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.

Individual, couples and family therapy for all ages with a specialization in eye movement desensitization and reprocessing (EMDR). Areas of focus include depression, anxiety, life transitions, post traumatic stress (PTSD), sexual abuse, grief, polyamory, and lesbian, gay, bisexual, and transgender population. 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.

Providing evidence based therapy for families, children, teens, and young adults. Specializing in athlete mental health, OCD, trauma, anxiety/depression, and Parent Child Interaction Therapy. Both virtual and in-person sessions available.

​​Offers Christian counseling services specializing in depression, anxiety, family issues, divorce, grief, self-injury, adjustment, drug and alcohol use, attention deficit / hyperactivity disorder (ADD/ADHD), social skill, anger, domestic violence, abuse, obsessive compulsive disorder (OCD), relationship, autism, and Asperger's syndrome. Offers services in person or via telehealth.

Provides a full range of primary healthcare services including physical exams, chronic disease management, acute illness management, physicals, well child exams, children/adolescent/men/women healthcare services, immunizations, telemedicine related to medical and mental health needs, certified laboratory services, All Women Count services, assistance with Marketplace insurance enrollment, and allergy injections. Some sites provide Department of Transportation physicals. Nurse triage available for after-hours calls. Situation will be assessed by a registered nurse with further guidance provided. Strives to meet the needs of all patients, including the underinsured and underserved and offers services at a reduced rate to those who qualify.