Working with a therapist can provide a supportive environment for working through many of life’s challenges. If you’re looking for therapy in South Dakota, using an online therapy platform like BetterHelp can make access to mental health care more convenient and flexible.
With BetterHelp, you can work with a marriage and family therapist, licensed mental health counselor, or other licensed therapist from the comfort of your home at a time that suits your schedule. This flexibility makes accessing therapy more convenient, whether you’re a busy professional trying to avoid burnout or a graduate student working on a doctoral degree.
While BetterHelp does not currently offer therapy in group settings, the marriage and family therapists, psychologists, and social workers on the platform have extensive experience and can help individuals overcome their unique challenges and meet their goals.
Whether you have experienced trauma or you want to learn to overcome other emotional challenges, therapy can help. If you’re looking for an online therapist, SD has many options. The South Dakota therapists listed below are licensed to provide teletherapy across the state and can help you gain insight and take steps toward a more satisfying life.

Ian Charnley
With 12+ yrs. as a licensed therapist and 15+ yrs. working in the human services field, I have assisted many individuals, couples, and families through life’s challenges. I have extensive experience working in a variety of settings. Settings have included private practice, non-profit organizations, in-home therapy, therapeutic group homes, and juvenile & adult detention centers. In each setting, I’ve assisted clients through life’s positions that are not planned on being in, and yet find ourselves in. I believe in a holistic approach to wellness in which a healthy mind, body, and soul lead to a happier, more fulfilling life. I look to strengthen the core of each individual and couple to be able to strive, not just survive, through difficult moments. I provide tools and resources for short-term and long-term growth. The hardest and yet one of the more alleviating steps a client can take is the first step to reach out. As a partner in the therapeutic process, I meet each session with support and commitment.

Kelli Means
Hello and welcome! My name is Kelli Means and my pronouns are she/her/hers. I am a licensed independent mental health practitioner (LIMHP) and licensed alcohol and drug counselor (LADC) in the state of Nebraska and a licensed professional counselor (LPC) in the state of South Dakota. In 2019 I earned certification as a Certified Clinical Trauma Therapist and have maintained this certification with ongoing education in the trauma field. I earned my Bachelor of Science in Psychology from Nebraska Wesleyan University in 2011 and my Masters of Science from Wayne State College in Community Mental Health Counseling in 2015. I have worked in the mental health field for 10 years and the past 6 years have been as a mental health and addictions therapist at non-profit agencies that work with state funding and/or sliding fee scales. I have worked in a variety of settings, including an inpatient psychiatric unit while attending my master’s program, outpatient therapy, school-based therapy, and residential drug and alcohol treatment. I have found that my heart is truly in working with patients who have limited resources to meet their needs. While I have experience with children and adolescents, most of my experience has been working with adults. As a provider, I have worked with patients with a range of diagnoses and stressors, including (but not limited to): depression, anxiety, panic/panic attacks, schizophrenia (including first psychotic episodes), bipolar disorder, personality disorders, PTSD and trauma, LGBT+, grief/loss, relationships, sex trafficking, self-esteem, domestic violence, alcohol and other drug addictions, and dissociations. My counseling style is welcoming and conversational. I am known for being upfront and honest always and blunt when needed, though I tailor my approach to meet each individual’s needs. My therapeutic approach combines Person-Centered, Reality Therapy, Solution-Focused therapist, Motivational Interviewing, Cognitive-Behavioral, Dialectical Behavioral, and Somatic therapy depending on what you want or need. My job will never be to fix you or change you. I believe all my clients are people first and more than the sum of their symptoms or their diagnosis. My most significant job as a therapist is to understand who you are and build trust with you; if you don’t trust your therapist, you aren’t likely to tell them much, and if you don’t tell them much, you won’t get much work done. My hope is to teach you to cope on your own and learn to be assertive with what you want or need in life. You are in control of your life and ability to make changes, I am merely a guide to help you when you are lost or uncertain. I look forward to meeting you and starting this journey with you!

Carrie Jorgensen
Hi, I’m Carrie Jorgensen. In May of 2016 I graduated from South Dakota State University with a Masters degree in Clinical Mental Health Counseling. I take a strength-based approach, focusing on your goals and supporting you with embracing your own value. I work to help you establish healthy, nurturing relationships with others. My goal is to help you feel more confident and empowered. I have experience helping people manage a variety of life challenges including anxiety, depression, family concerns, and relationship issues. I support and advocate for diversity and inclusion, and greatly enjoy supporting clients who identify as LGBTQIA+.

Haylee Heckert
I am a licensed professional counselor. I have worked with a range of populations including college students, children ages 5-18, families, and during my internship I worked in an inpatient setting for adults. I have experience helping my clients with anxiety, depression, ADHD, peer and family relationships, and trauma. I work hard to treat everyone with respect and kindness. My goal is to create a therapeutic environment that is warm, safe, collaborative, and encourages growth. I find the therapeutic bond to be key to the success of treatment, therefore I am always open to dialogue about how I can best help you. In our time together I can help you define your goals and create plans to help you achieve those goals.

Melissa Suter
I received my Master’s degree in social work from the University of Missouri. I am licensed in South Dakota with 16 years of professional work experience. I have experience in helping clients with coping with addictions, relationship issues, family conflicts, & trauma and abuse. I also have experience working through end of life issues, grief, and bereavement. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Dr. Brenda Nour
I am licensed in South Dakota with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, parenting issues, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

Victoria Scott
I have enjoyed working for various mental health agencies and have extensive experience in several areas of counseling. I am a Licensed Professional Counselor, in the states of Mississippi, Colorado, Georgia, North Carolina, Louisiana and a Licensed Clinical Professional Counselor in the state of Nevada. I have worked with individuals, couples, families and groups. I have worked with children as young as 4 to adults up to age 101! I have assisted clients who struggle with symptoms of anxiety, depression, addiction, trauma, relational and self-esteem issues. I am a mother of seven, including a son on the autism spectrum. My counseling style is person-centered. I believe in treating everyone with respect and unconditional positive regard. I will devise a plan of treatment created specifically for you. My personal life experiences, in addition to my education and work history, help me to empower individuals to overcome difficult emotional obstacles. I know that asking for help can be difficult. Congratulations on taking that first step. I am looking forward to hearing from you and guiding you through the therapeutic process.

Maria Piacentino
I am licensed in South Dakota with 28 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem, and confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Acea Starks
I am a non-traditional therapist with a holistic approach to mental health. I am licensed in Georgia, Alaska, South Dakota, Vermont, and Florida with more than 10 years of experience working with diverse populations. I would like to provide some information about myself. I am a little 'out there.' I have piercings, tattoos, and purple hair. I am a bit of a goth. I came to mental health services a little later than some. I was an English major when I first went to college out of high school. That did not work out very well. I love writing and the English language is beautiful so occasionally I use obscure words or references. If I ever say something that is not understood just tell me and I will rephrase. My second attempt at higher learning was when I was in the nursing program. I knew I wanted to make a difference and ease suffering but to be honest, I do not like to watch people die. I have and can, but I did not want to do it all the time. I was in my 30s when I started my program. I did an associate degree in psychology, a bachelor's degree in psychology and then a master's degree in mental health counseling all in one go. It was very stressful as I was also working at the time. I have worked a lot of jobs I did not like and have had some very interesting experiences. I have worked at Wal-Mart (twice) and did a stint as a grave digger (with a shovel). I have many hobbies and interests. My approach is eclectic because there are no one size fits all treatments. I am very open but believe in setting goals and having accountability. My role is to provide clients with tools to navigate their unique issues and concerns. I am very big on self care and work life balance. I am not on line everyday and try as often as possible to strap a pack to my back and hide in the woods.

Cynthia Lawson
I am a U.S. Army veteran who has become a licensed clinical social worker or LCSW in Texas with 4 years of professional work experience. I am also licensed in both Iowa & South Dakota as a clinical social worker in private practice. My goal is trying to bring mental health services to more communities. I spend my time between TX, IA & SD. My bachelor's degree is in health science. I have my first master's degree in criminal justice, the second master's degree in social work, and my third master's degree is in public administration. I have experience in helping clients with stress, ADHD, anxiety, trauma and abuse, depression, coping with life changes & many other concerns. I am a huge advocate for spending time outside and learning self-care. This can be something as simple as sitting on the porch watching the sun set. Kudos to my fellow veterans, first responders & medical professionals out there, thank you for your service. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Life can be prickly like a cactus, sometimes we need help to navigate times where we get stuck. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
How can a counselor support you?
Therapists can practice many types of counseling, from marriage and family therapy to cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT). They may also assist you with symptoms of depression, stress, or anxiety.
Therapists may help you set and achieve career goals, work on current issues you may be facing, or address your past. Over 609,545 people live in SD, and one out of five Americans has a mental health condition. Searching for local licensed professionals may help you find mental health support for personal growth, anxiety disorders, post-traumatic stress disorder (PTSD), and other mental health concerns. You do not need a mental health diagnosis to seek support from one of BetterHelp's licensed providers above.
The mental health field can include psychiatric medication management, online therapy, marriage counseling, couples therapy, clinical social work, licensed counseling, and other mental health services in person and online. Seeing a licensed provider can help you navigate mental health conditions and life circumstances through mindfulness and other specialized techniques.
Please note that a BetterHelp therapist does not offer diagnostic or medication management services.
Why do people choose to work with a licensed counselor?
People reach out for mental health support for a variety of reasons. Many individuals work with a counselor for general life advice, while others may attend therapy for a specific concern. Whether you live in a large city or a smaller county, BetterHelp can match you with a licensed professional tailored to your preferences noted when you sign up.
The mental health therapists in South Dakota support clients with varying issues through therapy, such as:
- Challenging situations or life stressors
- Eating disorders
- Anxiety disorders
- Depression or depressive conditions
- Adjustment issues
- Emotional support for a terminal illness
- Chronic pain emotional support
- Grief
- Personality disorders
- Trauma
- Relationship conflicts and concerns
Finding a therapist that takes new clients in online therapy can be the first step in finding a treatment plan that works for you. Your therapist can provide a safe space for you to focus on self-care and well-being.
If you're interested in speaking to one of the therapists above or being matched with a counselor in 24 to 48 hours, consider signing up for BetterHelp. BetterHelp has over 35,000 providers, including those listed above.
Emergency services to contact in a crisis
If you are experiencing a crisis or emergency, don't use the BetterHelp site. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:
- National Domestic Violence Hotline: 1-800-799-SAFE (7233)
- National Suicide Prevention Lifeline:1-800-273-TALK (8255)
- Crisis Text Line:Text HOME to 741741
- Veterans Crisis Line<:Call 1-800-273-8255 (and press 1) or text 838255. For support for the deaf and hard of hearing community, please use your preferred relay service or dial 711 then 1-800-273-8255.
- Trevor Lifeline(LGBTQ Lifeline): (866)488-7386
- SAMHSA National Helpline: (Substance Use): (800)662-4357
- National Eating Disorder Association Helpline:1-800-931-2237 (M-Th: 9 AM-9 PM EST, Fri 9 AM - 5 PM EST
- Child Help Hotline Call 1-800-422-4453 or use the online chat feature
- National Anti-Hazing Hotline: 1-888-NOT-HAZE (1-888-668-4293)
- Physician Crisis Support Line: Call 1-888-409-0141 if you are a first responder or medical provider experiencing crises related to Covid-1
- Sexual Assault Hotline: Call RAINN at 1-800-656-4673
Frequently asked questions (FAQs)
Some of the most commonly asked questions about therapy can be found in the section below.
How much does a therapist cost?
Mental health professionals can differ in price. Forbes found that the average cost of in-person therapy in the US is around $100 to $200 per hour. Pricing can also vary based on your location.
BetterHelp offers payment plans of $60 to $90 per session, charged monthly in a lump sum. You can also take advantage of this pricing on one of BetterHelp's sister platforms, like ReGain for couples or TeenCounseling for teens aged 13 to 19.
Many therapists may be upfront about their pricing and whether or not they take health insurance from the beginning. Additionally, some in your area may offer a sliding scale plan to allow those with lower incomes to pay less for therapy. However, services online can often save individuals a few hundred dollars per month.
When should I get a therapist in South Dakota?
Mental health services and mental health providers may help you navigate various concerns. You do not need a diagnosis or condition to attend therapy; You can discuss grief, relationship concerns, stress, or life changes and ask for general advice. A counselor may help you gain power over your life and emotions while you navigate day-to-day experiences.
Mental health issues don't always present as a crisis. Many professionals provide talk therapy and support for life transitions, skills learning, relationship problems, or life coaching. Online therapy sessions can allow clients seeking therapy to experience professional help through video, phone, or live chat sessions without commuting to an office.
Does insurance cover the cost of therapy?
Different counseling services can vary in cost. Therapists must apply to accept insurance through insurance companies, which may take time and money, so not every therapist offers services through insurance. If you cannot find a therapist that accepts your plan, BetterHelp may be cheaper than visiting an in-person therapist.
Is online therapy the safe option?
Online therapy through BetterHelp and its sister platforms is safe. Therapists are licensed, experienced, and vetted before being contracted with the platform. If you experience any concerns with your therapist, you change your counselor through the platform or app at any time.
Popular cities in South Dakota
- Sioux Falls, SD
- Rapid City, SD
- Aberdeen, SD
- Brookings, SD
- Watertown, SD
- Mitchell, SD
- Yankton, SD
- Pierre, SD
- Huron, SD
- Spearfish, SD
- Vermillion, SD
- Brandon, SD
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