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.

Dr. Keley Smith-Keller
I am a licensed professional counselor for the State of South Dakota and a Certified Career Counselor through the National Career Development Association, with more than 30 years of experience working with individuals and groups. I empower people to make life and career choices that help them flourish. I have a master's degree in counseling and a doctorate in adult and higher education. I have worked with adults in higher education settings, as they adjust to college, manage relationships and anxiety, and make satisfying career choices. My approach combines narrative and solution-focused therapy. I believe that all of us have the tools we need to make our lives more satisfying. I will work with you in asking questions that help identify the preferred future you may be seeking. With a niche in writing for emotional wellbeing, I will use the chat space and writing to help you understand yourself. Congratulations on taking the first step towards that preferred future. I look forward to working with you!

Melanie Towne
I am a Licensed Independent Clinical Social Worker in the state of South Dakota. My background includes working with ages 10- to 17-year-old individuals in a psychiatric facility. I also have experience working with the elderly in the nursing home setting. I have 13 years of experiencing related to providing therapy to others. I enjoy working with individuals’ caregivers seeking to learn coping skills to prevent burnout, supporting people through their personal grief & bereavement experience, and folks adjusting to different life roles related to aging or illness. I also enjoy working with individuals who are struggling with depression, self-harm, and aggression. I have also worked with families to improve family dynamics and over all relationships. I have worked with youth involved in the court system here in South Dakota to navigate the system and make behavior changes. I also have experience and knowledge related to chemical dependency as well. In my time I have done individual counseling, family counseling and group therapy. I believe in person-centered, self-directed care. You are the expert in your own life, and I look forward to helping you achieve your goals. My approach includes evidenced based techniques like Cognitive Behavior Therapy, Trauma Informed, and Solution Focused counseling. I also value the importance of developing and strengthening a personal narrative through psychodynamic, supportive therapy. Together we will discuss your preferences, map out your goals, and determine the best way I can approach our counseling relationship in order for you to meet them. I enjoy working with individuals to help encourage them and provide support to help them overcome what they feel are the areas the need assistance. I feel that everyone has strengths to build on to conquer anything.

Geoffrey Faustman
I offer a direct, active, goal-oriented approach in helping you find relief from the anxiety, anger, depression, shame, or whatever it is that leaves you feeling stuck. By taking a look at 1) What are you trying to achieve? 2) What are you trying to preserve? 3) What are you trying to avoid? and 4) What are you trying to eliminate? we can highlight the sometimes-complex interaction among your thoughts, decisions, actions and outcomes. Knowing yourself, making use of your personal strengths & your tools at hand while allowing your values guide you, you can propel yourself toward becoming the best, most fulfilled version of yourself. I use a combination of evidence-based treatments tailored to suit your strengths to overcome your core fears and reach your goals. These include Cognitive-Behavioral Therapy (CBT), which can help with different kinds of problems and degrees of suffering. I don’t want you in therapy forever. I want you to reach your goals, and live your life to the fullest.

Alyssa “Petersen” Domel
“Challenges are what make life interesting and overcoming them is what makes life meaningful.” (Joshua J. Marine) Everybody struggles with the challenges of life and everyone deserves a full and fruitful life. I am committed to facing these challenges with you and walking along side you to create the life that you deserve. I am trained in working with adolescents, adults, and families who struggle with substance abuse and dependence, depression, anxiety, postpartum anxiety and depression and personality disorders. I also have specialized trauma training for individuals with PTSD, C-PTSD, or unspecified traumas. I am also certified to work with those individuals who follow the Medicine Wheel traditions. Together we can meet and overcome the challenges that are preventing you from being the best you! Please email or call to schedule your first step on your new journey!

Christy Alten
I'm so glad that you are reaching out for help! I believe with all my heart that there is hope, and purpose and healing from pain. I am a Licensed Addictions counselor in South Dakota, and a Licensed Professional Mental Health Counselor in South Dakota and a Licensed Mental Health Counselor in Iowa. I have been practicing for over 30 years working with adults and adolescents struggling with addictions and mental health issues. This is a judgement free zone! I am a Chrisitan counselor with a passion for hope and healing through the love of God and evidenced based strategies. I am experienced in 12 Step therapies, DBT and CBT, Gottman couples work, and Polyvagal approaches. I approach counseling from an existential and spiritual perspective. We will work together to create a plan to best meet your needs and walk through the healing journey together. You are not alone! I also have a passion for helping to develop new clinicians and to support clinicians long in the field. I have over 22 years of experience providing clinical supervision and professional development. Helpers need helpers too! So don't be afraid to admit you are struggling and ask for help! You can do this! As for scheduling, I do not put all my open slots through self-scheduling. I am able to accommodate more than is posted. I have limited availability on nights and weekends, but am not opposed to making something work for you when you are willing to fully engage in the therapy process. Together we can do what we could not do alone. Thanks for reaching out!!

Sara Cady
I am licensed in South Dakota with 7+ years of professional work experience and many more years of experience in the helping profession. I have experience in helping clients with stress and anxiety, coping with addictions, anger management, & motivation, self esteem, and confidence. 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.

James Cady
I was born and raised in Sioux City, Iowa. I received my Bachelor’s Degree in psychology from Morningside College in Sioux City . I earned a Master’s Degree in Counseling from the University of North Dakota in Grand Forks, North Dakota . In the spring of 2013, I was awarded a Specialist’s Degree in Counselor Education and Supervision from the University of South Dakota in Vermillion, South Dakota. For six years, I worked as a counselor with a local community mental health center. In June of 2013, I established a private practice . In my years as a counselor, I have worked with a variety of populations experiencing a wide range of emotional challenges. This work has included working with families, couples, and children.

Joseph Bair
I am licensed in Wyoming and South Dakota bringing 5 years of licensed mental health experience and additional years of pastoral counseling experience. I have experience in serving clients struggling with addictions and grief and loss. I work with my clients to create an honest and accepting environment where your thoughts and feelings can be named, shared, and explored without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Janita Easter
I am a Licensed Therapist in the state of Michigan with over 10 years of experience in Behavioral Health. I have worked with clients on a wide range of concerns including trauma, depression, relationship issues and personality disorders. I have helped many clients overcome the lasting effects of trauma and reduce the frequency and severity of their symptoms. Mental Health deserves equal importance as physical health and it takes dedication to achieve your goals. I am a dedicated Therapist here for you, let me guide you on your journey to feeling better! My therapy style is warm and interactive. I believe in treating everyone with respect, sensitivity, and compassion; I meet my clients where they are and we start building from there. My areas of training include Psychodynamic, Cognitive Behavioral Therapy, Rational Emotive Therapy, Trauma Focused and DBT Informed. I use a Humanistic approach and dialogue based format. I will tailor your treatment plan to meet your unique and specific needs. It takes courage to seek a resolution and work toward a happier life. I applaud you for taking the first steps towards change. Together we can work toward a healthier, happier you!

Stacy Herman
Hello, my name is Stacy and I am a Licensed Clinical Professional Counselor in the state of Montana. I have worked in community-based clinics for over three years working with individuals experiencing a variety of issues including family conflict, parenting styles, depression and anxiety, stress-related issues, autism, communication challenges, self-esteem, and many more. My choice to work in this field comes from the belief that everyone deserves to be understood, heard, and supported while working towards becoming what they feel is their best and being comfortable with who they are. After several years working in the school district and witnessing family members struggle to be their best selves, I decided this was my calling. I graduated from Chadron State College with a Master of Arts in Education. I would describe myself as being pretty down to earth with a side of truth to it. I believe that we all deserve to be heard and understood and to be shown compassion during those difficult times. My beliefs that we are all capable of getting to our best and a big part of that starts with how we process our thoughts as our thoughts are a big part of shaping who we are. It would be my pleasure to help you on that journey to help with thoughts and to help shape you into the person you feel is your best. I look forward to meeting you.
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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