ADHD Therapists in Custer County, SD

Black Hills Fireside Counseling LLC
Licensed Professional Counselor, MSEd, LPC-MH, QMHP
Custer, SD 57730
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.

Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.
Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.

My focus is helping individuals during times of distress, frustration, grief, confusion and burn out with the difficulties of life. This affects us all differently! Sometimes we simply can’t see over the walls that we ourselves put up let alone those that life, others or work can construct for us. Sometimes you simply need someone skilled to help navigate around or over those walls. Understanding the opportunity of life and how we truly can take steps to move ourselves to the life we dream and wish for is possible! No matter what the issues are I hope, to be a guide, and if I can’t help, I will help you find who can.
My focus is helping individuals during times of distress, frustration, grief, confusion and burn out with the difficulties of life. This affects us all differently! Sometimes we simply can’t see over the walls that we ourselves put up let alone those that life, others or work can construct for us. Sometimes you simply need someone skilled to help navigate around or over those walls. Understanding the opportunity of life and how we truly can take steps to move ourselves to the life we dream and wish for is possible! No matter what the issues are I hope, to be a guide, and if I can’t help, I will help you find who can.
Online Therapists

I have found particular enjoyment working with ADHD, healing from narcissistic relationships, religious trauma, depression and anxiety.
With a background in Adlerian, CBT, DBT, MI, and experiential therapies I take an eclectic and tailored approach to treatment. Therapy provides the chance to grow to fully accept who you are as well as an opportunity to change the parts that aren’t working for you.
I have found particular enjoyment working with ADHD, healing from narcissistic relationships, religious trauma, depression and anxiety.
With a background in Adlerian, CBT, DBT, MI, and experiential therapies I take an eclectic and tailored approach to treatment. Therapy provides the chance to grow to fully accept who you are as well as an opportunity to change the parts that aren’t working for you.

I work with young (18+) adults navigating anxiety, depression, sexual trauma, ADHD, autism, and understanding health relationships.
I specialize in sex therapy, CBT, trauma recovery, and healthy relationship building. I enjoy getting to know my clients and helping them explore avenues that best suit their needs. I love working with neurodivergent people, the LGBTQIA+ community, and those experiencing anxiety and depressive symptoms.
I work with young (18+) adults navigating anxiety, depression, sexual trauma, ADHD, autism, and understanding health relationships.
I specialize in sex therapy, CBT, trauma recovery, and healthy relationship building. I enjoy getting to know my clients and helping them explore avenues that best suit their needs. I love working with neurodivergent people, the LGBTQIA+ community, and those experiencing anxiety and depressive symptoms.

I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
Psychological evaluations / assessments can be utilized to determine eligibility for specific services or accommodations in school or the workplace. They may be required by a court order or in legal/forensic cases. Also, a psychological evaluation may be needed in cases involving professional licensing boards, child custody matters, and immigration.
I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
Psychological evaluations / assessments can be utilized to determine eligibility for specific services or accommodations in school or the workplace. They may be required by a court order or in legal/forensic cases. Also, a psychological evaluation may be needed in cases involving professional licensing boards, child custody matters, and immigration.

“The good life is a process, not a state of being. It is a direction, not a destination.” Carl Rogers My personal philosophy of counseling is to be a guide or facilitator of each client’s journey of self-exploration, self-understanding, and self-awareness. I believe the client is the expert in their own life story and can successfully solve problems, change, meet challenges, and heal with the support from counseling. I believe that every client is unique in their situations and in the issues brought to counseling.
“The good life is a process, not a state of being. It is a direction, not a destination.” Carl Rogers My personal philosophy of counseling is to be a guide or facilitator of each client’s journey of self-exploration, self-understanding, and self-awareness. I believe the client is the expert in their own life story and can successfully solve problems, change, meet challenges, and heal with the support from counseling. I believe that every client is unique in their situations and in the issues brought to counseling.

Counseling is a compassionate, honest, thoughtful conversation where the client feels deeply heard and understood. Individual meaning and wellness come from the complex web of interactions, relationships, and social processes. In a safe and confidential environment, clients can unburden their stress, pain, and suffering without fear of judgment or criticism. Clients are encouraged to think outside the box to find unique solutions to life’s problems.
Counseling is a compassionate, honest, thoughtful conversation where the client feels deeply heard and understood. Individual meaning and wellness come from the complex web of interactions, relationships, and social processes. In a safe and confidential environment, clients can unburden their stress, pain, and suffering without fear of judgment or criticism. Clients are encouraged to think outside the box to find unique solutions to life’s problems.

Emily A Hamling
Pre-Licensed Professional, LPC-SUP, MS, NCC
Rapid City, SD 57702
Waitlist for new clients
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy and Motivational Interviewing are my primary treatment modalities while also integrating different techniques based on your individual needs.
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy and Motivational Interviewing are my primary treatment modalities while also integrating different techniques based on your individual needs.

Are you looking for a solution focused therapist? We will set goals together, establish priorities, and work on building positive individual and/or family change. I will guide you in the therapy process towards a more fulfilling life, free of excessive worry and sadness, with relationships that are healthier and more satisfying.
Are you looking for a solution focused therapist? We will set goals together, establish priorities, and work on building positive individual and/or family change. I will guide you in the therapy process towards a more fulfilling life, free of excessive worry and sadness, with relationships that are healthier and more satisfying.

Mary Schweitzer
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Rapid City, SD 57701
Waitlist for new clients
"Be the change you wish to see in the world," by Mahatma Gandhi.
I approach every individual and situation with a very open, accepting, and loving mind. I will help guide you through any past, present, or future events you would like to explore further. Life can be difficult to navigate, and I believe we all have the strength to grow and change to live a more fulfilling life. I will meet you where you are and walk alongside you to where you would like to be.
"Be the change you wish to see in the world," by Mahatma Gandhi.
I approach every individual and situation with a very open, accepting, and loving mind. I will help guide you through any past, present, or future events you would like to explore further. Life can be difficult to navigate, and I believe we all have the strength to grow and change to live a more fulfilling life. I will meet you where you are and walk alongside you to where you would like to be.

Enso Mental Health, LLC
Licensed Professional Counselor, MS, LPC-MH, QMHP, NCC
3 Endorsed
Spearfish, SD 57783
I'm Jessica Ruzicka at Ensō Mental Health. I value a diverse set of skills & believe being authentic & vulnerable can lead to the foundation within the therapeutic relationship. My approach to therapy is within the person-centered & humanistic approach, viewing the whole person, within their uniqueness, growth, & capabilities. I have worked extensively with families, children & adolescents within my career & seek out the importance of the child-parent relationship. Play therapy is a passion & set of skills I value while working with children & families. Focusing within Perinatal & Postpartum Mental Health is also a passion of mine.
I'm Jessica Ruzicka at Ensō Mental Health. I value a diverse set of skills & believe being authentic & vulnerable can lead to the foundation within the therapeutic relationship. My approach to therapy is within the person-centered & humanistic approach, viewing the whole person, within their uniqueness, growth, & capabilities. I have worked extensively with families, children & adolescents within my career & seek out the importance of the child-parent relationship. Play therapy is a passion & set of skills I value while working with children & families. Focusing within Perinatal & Postpartum Mental Health is also a passion of mine.

I have been a social worker for 30 years. The basis of our profession is to start where the client is. No matter what the issue we can start the process together. I've also said that relating to my clients and establishing a therapeutic relationship is more important than anything else I know. I have a wide range of skills, am approachable and easy to talk with about anything. My passion is working with others who want to improve their life circumstances. I can offer support, guidance and another perspective in what you can control to make the necessary changes. I am strength based and build on what you already have going well.
I have been a social worker for 30 years. The basis of our profession is to start where the client is. No matter what the issue we can start the process together. I've also said that relating to my clients and establishing a therapeutic relationship is more important than anything else I know. I have a wide range of skills, am approachable and easy to talk with about anything. My passion is working with others who want to improve their life circumstances. I can offer support, guidance and another perspective in what you can control to make the necessary changes. I am strength based and build on what you already have going well.

With 10+ 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. 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.
With 10+ 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. 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 am dedicated to guiding individuals through their personal journeys of healing and self-discovery. I am excited to offer my skills and compassion to help clients overcome life’s challenges. By fostering an environment of trust and openness, I work collaboratively with my clients to uncover hidden patterns, confront painful memories, and build resilience. This process promotes long-term growth and self-empowerment.
I am dedicated to guiding individuals through their personal journeys of healing and self-discovery. I am excited to offer my skills and compassion to help clients overcome life’s challenges. By fostering an environment of trust and openness, I work collaboratively with my clients to uncover hidden patterns, confront painful memories, and build resilience. This process promotes long-term growth and self-empowerment.

Enso Mental Health, LLC
Licensed Professional Counselor, MS, NCC, LPC-
1 Endorsed
Spearfish, SD 57783
I'm Ashley Siebrasse at Ensō Mental Health, and I value a holistic approach to counseling and will consider all aspects of a person in our work together. I am committed to providing a safe and judgment free space to reflect and grow through all of life’s experiences.
I'm Ashley Siebrasse at Ensō Mental Health, and I value a holistic approach to counseling and will consider all aspects of a person in our work together. I am committed to providing a safe and judgment free space to reflect and grow through all of life’s experiences.

Individuals seek therapy for a variety of reasons. Parents may be looking for assistance for their child as they are demonstrating behaviors. Couples may be struggling to communicate in their marriage. Individuals going through a divorce may need parent coordination to assist them in coordinating visitation. Each situation requires a therapist who is understanding and willing to see how they are being impacted individually. Clients are seeking help and wanting results.
Individuals seek therapy for a variety of reasons. Parents may be looking for assistance for their child as they are demonstrating behaviors. Couples may be struggling to communicate in their marriage. Individuals going through a divorce may need parent coordination to assist them in coordinating visitation. Each situation requires a therapist who is understanding and willing to see how they are being impacted individually. Clients are seeking help and wanting results.

I work with teens, adults, and couples to help navigate challenges as you journey through what it means to be the best version of yourself. When we are up against confusing or difficult circumstances, we are left with a choice to embrace and face the storm or turn our backs, letting it fester. I’m here to walk alongside you, offering support and guidance as we face that storm together—whatever it may be. Recognizing challenges is not a sign of weakness but a readiness for growth and self-transformation. Therapy provides a safe, supportive space to explore this process and work toward lasting change with your best interests at heart.
I work with teens, adults, and couples to help navigate challenges as you journey through what it means to be the best version of yourself. When we are up against confusing or difficult circumstances, we are left with a choice to embrace and face the storm or turn our backs, letting it fester. I’m here to walk alongside you, offering support and guidance as we face that storm together—whatever it may be. Recognizing challenges is not a sign of weakness but a readiness for growth and self-transformation. Therapy provides a safe, supportive space to explore this process and work toward lasting change with your best interests at heart.

My ideal client is exploring change and considering what it may look like. Whether that is change in their relationships, lifestyle, career, family life, social life, etc... They recognize that a change needs to happen. Their goal is to decrease stress from the current behavior that continues to go on and they desire to find a different way to deal with issues that come up in life. They know what needs to change and the thought of doing something different is scary and overwhelming.
My ideal client is exploring change and considering what it may look like. Whether that is change in their relationships, lifestyle, career, family life, social life, etc... They recognize that a change needs to happen. Their goal is to decrease stress from the current behavior that continues to go on and they desire to find a different way to deal with issues that come up in life. They know what needs to change and the thought of doing something different is scary and overwhelming.

I am licensed in South Dakota with over 15 years of professional work experience. 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! Most of my experience is working with teens and adolescents but I am open to working with adult women as well.
I am licensed in South Dakota with over 15 years of professional work experience. 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! Most of my experience is working with teens and adolescents but I am open to working with adult women as well.
ADHD Therapists
When should I seek treatment for ADHD?
You should seek treatment for ADHD if you consistently have difficulty with attention, hyperactivity, or impulsivity that interferes with your daily life. Symptoms of ADHD include the inability to sustain attention during tasks, difficulty organizing tasks and activities, being easily distracted, frequent fidgeting or squirming, and talking or interrupting excessively. If these symptoms interfere with your career, academics, or relationships—for example, consistently failing to complete professional projects on time—you should seek an evaluation for ADHD.
How does treatment for ADHD work?
Effective treatment for ADHD often consists of medication, behavioral therapy, and lifestyle changes. Stimulant medications such as Adderall and Ritalin work by altering levels of neurotransmitters in the brain; higher levels of dopamine and norepinephrine are known to improve attention and focus. Therapy works by helping people with ADHD understand the condition, discuss their areas of difficulty, and develop behavioral strategies to manage their symptoms. In some cases, modifying one’s diet and exercise can also help improve symptoms.
Are there specific medications for ADHD?
Medications to treat ADHD are generally stimulants, the most common are Adderall and Ritalin. There are two categories of stimulants: Amphetamines include Adderall, Dyanavel, Vyvanse, and Dexedrine, and methylphenidates include Ritalin, Concerta, Daytrana, Focalin, Quillichew, Quillivant, and Metadate. Non-stimulants and antidepressants may be used as an alternative if stimulants aren’t effective or viable for a particular patient.
How long does treatment for ADHD take?
It’s tough to give an exact time frame because everyone varies. In terms of medications, stimulants begin to work very soon after you take them, generally within the hour. It may take time to identify the right medication and dosage, but the medication itself is fast-acting. In terms of therapy, it takes time to develop skills and put them into practice, but you will likely see improvements within a few weeks or months.