Therapists in Clay County, SD

As a Licensed Professional Counselor-Mental Health (LPC-MH) with 30 years of experience, I am here to provide a warm, open, and encouraging space where you feel safe to explore your emotions and find strategies that work for you. I work with people of all ages and backgrounds. I am particularly experienced with caregiver fatigue, end of life issues, and anxiety struggles. I want to become a partner on your therapeutic journey. Helping my clients moving forward in life brings me such joy.
As a Licensed Professional Counselor-Mental Health (LPC-MH) with 30 years of experience, I am here to provide a warm, open, and encouraging space where you feel safe to explore your emotions and find strategies that work for you. I work with people of all ages and backgrounds. I am particularly experienced with caregiver fatigue, end of life issues, and anxiety struggles. I want to become a partner on your therapeutic journey. Helping my clients moving forward in life brings me such joy.

I am an LMFT with over 30 years experience working with couples and individuals ages 12 and up addressing a wide range of issues. These include but are not limited to depression, anxiety, trauma, work challenges, grief and loss, addiction, aging, transitions, managing stress and relationship issues. I love what I do and feel privileged to do this important work. I create a safe place for people to address their concerns, fears and life changes that affect us all.
I am an LMFT with over 30 years experience working with couples and individuals ages 12 and up addressing a wide range of issues. These include but are not limited to depression, anxiety, trauma, work challenges, grief and loss, addiction, aging, transitions, managing stress and relationship issues. I love what I do and feel privileged to do this important work. I create a safe place for people to address their concerns, fears and life changes that affect us all.

Seeking mental health services can help an individual learn to cope with the difficulties that occur in one’s life. I will be available to assist you in your mental health needs, learning to manage symptoms causing one discomfort. Mental health therapy, whether individual or couples, is about change and meeting the best needs of those involved.
Seeking mental health services can help an individual learn to cope with the difficulties that occur in one’s life. I will be available to assist you in your mental health needs, learning to manage symptoms causing one discomfort. Mental health therapy, whether individual or couples, is about change and meeting the best needs of those involved.
I provide compassionate, trauma-informed individual therapy. I meet clients where they are with compassion and understanding. I have been providing counseling services for 15+ years.
I provide compassionate, trauma-informed individual therapy. I meet clients where they are with compassion and understanding. I have been providing counseling services for 15+ years.

Do racing thoughts make it hard to focus? Are you feeling overwhelmed by anxiety, burnout, or big life changes?
I specialize in helping adults manage anxiety, ADHD, depression, grief, career burnout, performance anxiety, and life transitions. Whether you’re struggling with emotional ups and downs, intrusive thoughts, or just feeling stuck, therapy can help you move toward clarity, resilience, and lasting change.
With over 13 years of experience, I offer a compassionate, personalized approach rooted in trust and collaboration. You’re not just another name on my schedule—our work together is built on connection, safety, and respect.
Do racing thoughts make it hard to focus? Are you feeling overwhelmed by anxiety, burnout, or big life changes?
I specialize in helping adults manage anxiety, ADHD, depression, grief, career burnout, performance anxiety, and life transitions. Whether you’re struggling with emotional ups and downs, intrusive thoughts, or just feeling stuck, therapy can help you move toward clarity, resilience, and lasting change.
With over 13 years of experience, I offer a compassionate, personalized approach rooted in trust and collaboration. You’re not just another name on my schedule—our work together is built on connection, safety, and respect.

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 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 strive to help individuals work towards peace and balance in the complex lives we all lead. An important part of therapy that is often lost when attempting to change or in dealing with change in general is to be at peace with the process. Life has many unplanned twists and turns, and I want to help each person be able to deal with life's challenges with grace and balance.
I strive to help individuals work towards peace and balance in the complex lives we all lead. An important part of therapy that is often lost when attempting to change or in dealing with change in general is to be at peace with the process. Life has many unplanned twists and turns, and I want to help each person be able to deal with life's challenges with grace and balance.

If you’ve tried everything but still feel stuck in cycles of exhaustion, frustration, overwhelm, depression, lashing out, withdrawing, or numbing…its time to synthesize brain-body approaches that move you out of just changing your thoughts and into changing your life.
If you’ve tried everything but still feel stuck in cycles of exhaustion, frustration, overwhelm, depression, lashing out, withdrawing, or numbing…its time to synthesize brain-body approaches that move you out of just changing your thoughts and into changing your life.

We all go through challenges in life and shouldn’t have to face hard times alone. My passion is to come alongside and help you navigate these challenges. As a therapist pursing my certification as a Certified Eating Disorder Specialist, I specialize in working with teens and their families, and adults who struggle with symptoms from eating disorders, such as anorexia-nervosa, bulimia, binge eating disorder, over exercising, body dysmorphia, and disordered eating. I also work with adults and teens who have symptoms of anxiety, obsessive compulsive disorder, depression, and day to day life stressors.
We all go through challenges in life and shouldn’t have to face hard times alone. My passion is to come alongside and help you navigate these challenges. As a therapist pursing my certification as a Certified Eating Disorder Specialist, I specialize in working with teens and their families, and adults who struggle with symptoms from eating disorders, such as anorexia-nervosa, bulimia, binge eating disorder, over exercising, body dysmorphia, and disordered eating. I also work with adults and teens who have symptoms of anxiety, obsessive compulsive disorder, depression, and day to day life stressors.

Accepting a few daytime clients—
Valuing both reason and emotion, I believe in helping clients find a balance of the two in their daily lives. A safe, confidential connection is a courageous step when coping with big issues such as anxiety, depression, low self-esteem, divorce, addiction, strained relationships or transitions. It is with genuine regard for clients' personal stories that I feel dedicated to reducing suffering, building resiliency, and growing a hopeful future. Counseling is always structured to meet client goals and circumstances. I value your time and will provide support that is intentional, caring and respectful.
Accepting a few daytime clients—
Valuing both reason and emotion, I believe in helping clients find a balance of the two in their daily lives. A safe, confidential connection is a courageous step when coping with big issues such as anxiety, depression, low self-esteem, divorce, addiction, strained relationships or transitions. It is with genuine regard for clients' personal stories that I feel dedicated to reducing suffering, building resiliency, and growing a hopeful future. Counseling is always structured to meet client goals and circumstances. I value your time and will provide support that is intentional, caring and respectful.

Life can be very difficult at times and seeking mental health services can help you through those times. I will be able to assist you in coping with the struggles in your life and meeting your mental health goals. I have 20 years of experience in providing mental health therapy in an outpatient setting. Whether you are coming in for individual therapy or for couple's therapy, I will assist you in this journey.
Life can be very difficult at times and seeking mental health services can help you through those times. I will be able to assist you in coping with the struggles in your life and meeting your mental health goals. I have 20 years of experience in providing mental health therapy in an outpatient setting. Whether you are coming in for individual therapy or for couple's therapy, I will assist you in this journey.

As a REAL Sports Psychologist, I have a unique practice in that I specialize in working with athletes who have the desire to take their game to the next level. Being a competitive athlete and coach helps me relate to other competitive people in sports or business. My primary focus is building confidence and eliminating Performance Anxiety. I have worked in the following sports: PGA Golf (Primary), USTA, NFL, USA Hockey, Basketball, MLB, Fast Pitch Softball, Cheer, Gymnastics, Most NCAA Sports, Equestrian, Soccer, Boxing/MMA, Volleyball, Track/Field, Lacrosse, Bowling, Pool, E-Sports, Symphony Orchestra, Business Analytics, & Stage.
As a REAL Sports Psychologist, I have a unique practice in that I specialize in working with athletes who have the desire to take their game to the next level. Being a competitive athlete and coach helps me relate to other competitive people in sports or business. My primary focus is building confidence and eliminating Performance Anxiety. I have worked in the following sports: PGA Golf (Primary), USTA, NFL, USA Hockey, Basketball, MLB, Fast Pitch Softball, Cheer, Gymnastics, Most NCAA Sports, Equestrian, Soccer, Boxing/MMA, Volleyball, Track/Field, Lacrosse, Bowling, Pool, E-Sports, Symphony Orchestra, Business Analytics, & Stage.

Move from burnout to peace, from chaos to clarity. You deserve a life that feels balanced, fulfilling and whole, and I am here to walk with you every step of the way. The journey of healing not only reshapes our perspective but rekindles the joy we've been seeking. It is my goal to reignite that joy within you. I recognize that reaching out to a therapist might feel daunting. Yet, taking this step could pave the way for you to start living your best life. The highlight of my career is acting as a catalyst, helping clients realize their potential and desired life.
Move from burnout to peace, from chaos to clarity. You deserve a life that feels balanced, fulfilling and whole, and I am here to walk with you every step of the way. The journey of healing not only reshapes our perspective but rekindles the joy we've been seeking. It is my goal to reignite that joy within you. I recognize that reaching out to a therapist might feel daunting. Yet, taking this step could pave the way for you to start living your best life. The highlight of my career is acting as a catalyst, helping clients realize their potential and desired life.
Online Therapists

I believe in meeting clients where they are and walking with them through whatever challenges they are facing. I tailor interventions and therapy techniques to each client's individual needs and believe that the relationship between client and therapist is one of the most important tools for promoting positive change.
I specialize in working with children and teens (ages 10-18) as well as adult women on a variety of different issues including attachment, adoption, trauma and PTSD, anxiety, depression, and relationship concerns. I strive to provide a warm and welcoming environment where my clients feel comfortable and safe.
I believe in meeting clients where they are and walking with them through whatever challenges they are facing. I tailor interventions and therapy techniques to each client's individual needs and believe that the relationship between client and therapist is one of the most important tools for promoting positive change.
I specialize in working with children and teens (ages 10-18) as well as adult women on a variety of different issues including attachment, adoption, trauma and PTSD, anxiety, depression, and relationship concerns. I strive to provide a warm and welcoming environment where my clients feel comfortable and safe.

Life can be challenging at times and navigating emotional waves can be difficult. I believe that humans have an innate ability to challenge, process, and change their lives in a manner that is shaped by their unique experiences and beliefs. I provide clients with a judgement-free space to meet life’s challenges and learn to steer through turbulent times. I am dedicated to creating a safe, supportive environment where each individual is comfortable to express themselves in working toward their goals.
Life can be challenging at times and navigating emotional waves can be difficult. I believe that humans have an innate ability to challenge, process, and change their lives in a manner that is shaped by their unique experiences and beliefs. I provide clients with a judgement-free space to meet life’s challenges and learn to steer through turbulent times. I am dedicated to creating a safe, supportive environment where each individual is comfortable to express themselves in working toward their goals.

While I've worked with a wide spectrum of clients over the years the best fit client in my practice is a person between 12-40 who has difficulty with anxiety and/or relationships whether that is family or intimate in nature. Goals related to these difficulties are often managing anxiety, increasing coping skills, improving family relationships, and processing trauma if present. I have training in sex therapy and sexuality education from University of Michigan, an AASECT accredited program. Additionally, I am trained in EMDR.
While I've worked with a wide spectrum of clients over the years the best fit client in my practice is a person between 12-40 who has difficulty with anxiety and/or relationships whether that is family or intimate in nature. Goals related to these difficulties are often managing anxiety, increasing coping skills, improving family relationships, and processing trauma if present. I have training in sex therapy and sexuality education from University of Michigan, an AASECT accredited program. Additionally, I am trained in EMDR.

Nikki Roth
Licensed Professional Counselor, LPC-MH, LAC, LPCC, CCTP
2 Endorsed
Sioux Falls, SD 57105
"Nothing is impossible. The word itself says I'm possible"- Audrey Hepburn. This is one of my favorite quotes. I have a true passion for helping others feel validated, accepted, and supported on their journey in life. I believe as people we do the best with what we know how to do, but it's easy to get lost. There are many reasons we may find selves on detours that were unexpected. Taking the step to reach out for help is a big one; and when you are ready, I am here to help. I understand that starting your mental health journey can be complicated and intimidating. Thus, I offer free consultations to answer any concerns or questions
"Nothing is impossible. The word itself says I'm possible"- Audrey Hepburn. This is one of my favorite quotes. I have a true passion for helping others feel validated, accepted, and supported on their journey in life. I believe as people we do the best with what we know how to do, but it's easy to get lost. There are many reasons we may find selves on detours that were unexpected. Taking the step to reach out for help is a big one; and when you are ready, I am here to help. I understand that starting your mental health journey can be complicated and intimidating. Thus, I offer free consultations to answer any concerns or questions

I love helping people reach their full potential and providing support to them along the way! I provide a holistic and non-judgemental approach to clients to help them feel safe, heard, and validated. Together we will discover what works best for you and create reachable goals. I work with all personal, relational, sexual, and psychological issues. Through one-on-one therapy, I am committed and dedicated to supporting you every step of the way. As for couples therapy, we will work through difficult relationship dynamics and conflicts while we strengthen communication and intimacy!
I love helping people reach their full potential and providing support to them along the way! I provide a holistic and non-judgemental approach to clients to help them feel safe, heard, and validated. Together we will discover what works best for you and create reachable goals. I work with all personal, relational, sexual, and psychological issues. Through one-on-one therapy, I am committed and dedicated to supporting you every step of the way. As for couples therapy, we will work through difficult relationship dynamics and conflicts while we strengthen communication and intimacy!

As a psychologist/therapist, I want to work with you to gain the tools and strategies to help you move past the area that is of concern. I have been in practice for nearly 20 years, having raised three beautiful daughters and now enjoying 4 grandchildren. I believe that we must find the positive and the good in each day even if it's small to give us the power and motivation to move forward. It is not always easy, but it is definitely worth it. When you are ready to take your first step towards change, I am here to help guide you toward a more productive life. Lets talk and begin a new chapter. You will not be judged, but understood
As a psychologist/therapist, I want to work with you to gain the tools and strategies to help you move past the area that is of concern. I have been in practice for nearly 20 years, having raised three beautiful daughters and now enjoying 4 grandchildren. I believe that we must find the positive and the good in each day even if it's small to give us the power and motivation to move forward. It is not always easy, but it is definitely worth it. When you are ready to take your first step towards change, I am here to help guide you toward a more productive life. Lets talk and begin a new chapter. You will not be judged, but understood

Life's detours- overwhelming moments, adjustments, challenging relationships, illnesses, loss- can bring us to a place of overwhelm, frustration, worry, hopelessness, or despair. When what you have done in the past to cope is no longer helping, it may be time to reach out. What would it look like for you to be restored, renewed, and refreshed- to have vitality in life again- despite these challenges?
Life's detours- overwhelming moments, adjustments, challenging relationships, illnesses, loss- can bring us to a place of overwhelm, frustration, worry, hopelessness, or despair. When what you have done in the past to cope is no longer helping, it may be time to reach out. What would it look like for you to be restored, renewed, and refreshed- to have vitality in life again- despite these challenges?
See more therapy options for Clay County
How does your Therapist compare?
Number of Therapists in Clay County, SD
10+
Average cost per session
$165
Therapists in Clay County, SD who prioritize treating:
100% | Anxiety |
92% | Depression |
85% | Coping Skills |
85% | Life Transitions |
77% | Grief |
77% | Self Esteem |
77% | Stress |
Average years in practice
16 Years
Top 3 insurances accepted
90% | BlueCross and BlueShield |
90% | Sanford Health Plan |
70% | Wellmark BCBS |
How Therapists in Clay County, SD see their clients
85% | In Person and Online | |
15% | Online Only |
Gender breakdown
84% | Female | |
16% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Clay County?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.