Bipolar Disorder Therapists in Custer County, SD

I work with individuals and couples of all ages (4 and up) struggling with depression, anxiety, bipolar disorder, autism spectrum disorder, trauma, and many other life issues.
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.
I work with individuals and couples of all ages (4 and up) struggling with depression, anxiety, bipolar disorder, autism spectrum disorder, trauma, and many other life issues.
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.

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.
Online Therapists

Enso Mental Health, LLC
Licensed Professional Counselor, MA, LPC-MH, QMHP, NCC
2 Endorsed
Spearfish, SD 57783
I'm Shannon Howard, at Ensō Mental Health. I am excited to meet you where you are & assist in your journey in whatever way I can. I believe therapy can be an amazing tool in helping create the life that you deserve to have. I employ a wide range of skills, & I truly believe that the foundation of therapy is based on a solid therapeutic relationship. My passion is working with women who have been through trauma & are experiencing difficulty functioning in the present moment.
I'm Shannon Howard, at Ensō Mental Health. I am excited to meet you where you are & assist in your journey in whatever way I can. I believe therapy can be an amazing tool in helping create the life that you deserve to have. I employ a wide range of skills, & I truly believe that the foundation of therapy is based on a solid therapeutic relationship. My passion is working with women who have been through trauma & are experiencing difficulty functioning in the present moment.

Anxious, Depressed, Burned Out or Tired of Feeling Emotionally Exhausted? I use kindness, honesty and humor to connect with people and help identify meaningful changes aligned with their values, in the shortest time possible. Best Life Solutions exists to help people learn to love their lives and listen to their internal messages. I am committed to providing a safe, confidential environment for people who are professionals in difficult careers including: mental health, education, nursing, law enforcement and community safety to name a few. If your work with others is impacting you, I invite you to reach out.
Anxious, Depressed, Burned Out or Tired of Feeling Emotionally Exhausted? I use kindness, honesty and humor to connect with people and help identify meaningful changes aligned with their values, in the shortest time possible. Best Life Solutions exists to help people learn to love their lives and listen to their internal messages. I am committed to providing a safe, confidential environment for people who are professionals in difficult careers including: mental health, education, nursing, law enforcement and community safety to name a few. If your work with others is impacting you, I invite you to reach out.

I am a Licensed Professional Counselor-Mental Health (LPC-MH) in South Dakota and a Licensed Mental Health Counselor (LMHC) in Washington. Currently, I am based in South Dakota, where I offer telehealth services to clients aged 15 and older, addressing a range of concerns including anxiety, depression, stress, trauma, and LGBTQ+ issues.
I am a Licensed Professional Counselor-Mental Health (LPC-MH) in South Dakota and a Licensed Mental Health Counselor (LMHC) in Washington. Currently, I am based in South Dakota, where I offer telehealth services to clients aged 15 and older, addressing a range of concerns including anxiety, depression, stress, trauma, and LGBTQ+ issues.

Empathetic therapist offering compassion and healing; helping to build resilience through skill building, trauma work, and self-discovery. I provide a safe, non-judgmental space for individuals to explore and process behaviors, thoughts, and feelings that can lead to isolation, anger, relationship strain, anxiety, panic, depression, self-harm, and suicidal ideations. With a strengths-based approach, empowering clients to reclaim a sense of control and restore self-confidence. Specializing in trauma, religious trauma, borderline personality, anxiety, depression, sexual health, postpartum, LGBTQIA+ support, EMDR, CBT, and DBT trained.
Empathetic therapist offering compassion and healing; helping to build resilience through skill building, trauma work, and self-discovery. I provide a safe, non-judgmental space for individuals to explore and process behaviors, thoughts, and feelings that can lead to isolation, anger, relationship strain, anxiety, panic, depression, self-harm, and suicidal ideations. With a strengths-based approach, empowering clients to reclaim a sense of control and restore self-confidence. Specializing in trauma, religious trauma, borderline personality, anxiety, depression, sexual health, postpartum, LGBTQIA+ support, EMDR, CBT, and DBT trained.

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.

I believe in a holistic, person-centered approach to wellness, one that honors the complexity of each individual and takes into account the full spectrum of who you are—physical, mental, emotional, and spiritual. In my work, I strive to create a safe, collaborative space where we can explore your experiences and challenges together, tailoring strategies that evolve as you do. Every person is unique, and I’m committed to an approach that’s as individualized as you are.
I strive to help clients achieve their goals and heal from issues that may be interfering with personal growth and fulfilling relationships with themselves and others
I believe in a holistic, person-centered approach to wellness, one that honors the complexity of each individual and takes into account the full spectrum of who you are—physical, mental, emotional, and spiritual. In my work, I strive to create a safe, collaborative space where we can explore your experiences and challenges together, tailoring strategies that evolve as you do. Every person is unique, and I’m committed to an approach that’s as individualized as you are.
I strive to help clients achieve their goals and heal from issues that may be interfering with personal growth and fulfilling relationships with themselves and others

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.

Psychotherapy is a personal, intimate journey towards self-understanding and self-acceptance in the company of a curious, non-judgmental, empathetic guide. My hope is to gain a better understanding of you, your beliefs and how I can best support you. We'll look at patterns; what's worked and what hasn't and to create new, authentic ways to navigate life in a healthy, authentic way.
Psychotherapy is a personal, intimate journey towards self-understanding and self-acceptance in the company of a curious, non-judgmental, empathetic guide. My hope is to gain a better understanding of you, your beliefs and how I can best support you. We'll look at patterns; what's worked and what hasn't and to create new, authentic ways to navigate life in a healthy, authentic way.

Black Hills Psychology was formed to provide a comprehensive range of behavioral health services within one group practice. As a team of experienced and licensed psychologists, therapists, and medication providers, we offer a wide range of specialties and approaches to care for individuals of all ages. At Black Hills Psychology, you can be rest assured that you will be provided with the best care possible by a professional who is skilled to help you with the specific issues you are seeking to address. Each professional at our clinic has completed training and gained additional practical experience in their own areas of expertise.
Black Hills Psychology was formed to provide a comprehensive range of behavioral health services within one group practice. As a team of experienced and licensed psychologists, therapists, and medication providers, we offer a wide range of specialties and approaches to care for individuals of all ages. At Black Hills Psychology, you can be rest assured that you will be provided with the best care possible by a professional who is skilled to help you with the specific issues you are seeking to address. Each professional at our clinic has completed training and gained additional practical experience in their own areas of expertise.

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.

I work with adults and couples who are facing painful impasses in their lives. When we encounter overwhelming problems that seem irresolvable, we may feel that life as we know it is over. And in fact, it is. The feeling that our life has become unlivable is a sign that we are ready to transcend our current way of living and pursue a richer one, marked by greater authenticity and love. This sort of self-transcendence is a possibility for anyone willing to listen to the call, including those who have an interest in practicing therapy in continuity with their religious faith.
I work with adults and couples who are facing painful impasses in their lives. When we encounter overwhelming problems that seem irresolvable, we may feel that life as we know it is over. And in fact, it is. The feeling that our life has become unlivable is a sign that we are ready to transcend our current way of living and pursue a richer one, marked by greater authenticity and love. This sort of self-transcendence is a possibility for anyone willing to listen to the call, including those who have an interest in practicing therapy in continuity with their religious faith.

The word "therapist" has Greek origins that describe an individual who tends to the needs of others and assists in healing.
When I imagine my ideal client, I imagine a person who is seeking a partner on their healing journey - one who is ready to be in the driver's seat with me serving as their GPS. My ideal client is willing to choose their destination (aka "goal") and provide feedback along the way to ensure that satisfactory progress is made. My favorite part of therapy is when a client is able to recognize their own healing and progress and announces they've reached their destination.
The word "therapist" has Greek origins that describe an individual who tends to the needs of others and assists in healing.
When I imagine my ideal client, I imagine a person who is seeking a partner on their healing journey - one who is ready to be in the driver's seat with me serving as their GPS. My ideal client is willing to choose their destination (aka "goal") and provide feedback along the way to ensure that satisfactory progress is made. My favorite part of therapy is when a client is able to recognize their own healing and progress and announces they've reached their destination.

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.

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.

Our providers work with a wide range of emotional and behavioral issues providing services from depression and grief counseling to parenting support, couples counseling, and beyond. We offer a highly personalized approach tailored to each client’s individual needs in a comfortable and supportive atmosphere. Our goal is to help each individual attain the personal growth they seek.
Our providers work with a wide range of emotional and behavioral issues providing services from depression and grief counseling to parenting support, couples counseling, and beyond. We offer a highly personalized approach tailored to each client’s individual needs in a comfortable and supportive atmosphere. Our goal is to help each individual attain the personal growth they seek.

Accepting new clients and I offer a FREE video consultation. Telehealth and in person appointments available. I work with individuals (adults) no matter their gender, sexuality, or spiritual beliefs.
I draw from a variety of evidence-based practices to create a tailored approach for each individual and their situation. If you have a desire to heal from trauma and unprocessed/upsetting memories, improve relationships, or are looking for healing and tools to cope with grief, anxiety, and depression, I would love to partner with you on your journey.
Accepting new clients and I offer a FREE video consultation. Telehealth and in person appointments available. I work with individuals (adults) no matter their gender, sexuality, or spiritual beliefs.
I draw from a variety of evidence-based practices to create a tailored approach for each individual and their situation. If you have a desire to heal from trauma and unprocessed/upsetting memories, improve relationships, or are looking for healing and tools to cope with grief, anxiety, and depression, I would love to partner with you on your journey.

I get it, being overwhelmed, worried about everything and just plain tired of life is an issue we will experience at some point in our lives. I can help. Anxiety pushing you to do more - then you realize no matter what you do it's not enough. I can help. Every phase of our life means we are relearning the same lesson, different situation. I can help. Feeling stuck and not seeing any way out of a situation can be paralyzing. I can help. Grief true deep grief, not understanding how to move through it. I can help. ANGER all the time, easily irritated? I can help. Give me a chance I can help.
I get it, being overwhelmed, worried about everything and just plain tired of life is an issue we will experience at some point in our lives. I can help. Anxiety pushing you to do more - then you realize no matter what you do it's not enough. I can help. Every phase of our life means we are relearning the same lesson, different situation. I can help. Feeling stuck and not seeing any way out of a situation can be paralyzing. I can help. Grief true deep grief, not understanding how to move through it. I can help. ANGER all the time, easily irritated? I can help. Give me a chance I can help.

I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
Bipolar Disorder Therapists
What is the most successful approach to treating bipolar disorder?
Living with bipolar disorder can be challenging, and a number of therapies have been found effective in providing support to patients as they gain the skills to understand and manage the disorder. Family-focused therapy is often helpful for children and teens (the majority of cases develop before age 19); it aims to minimize mood cycling by improving family communication and reducing conflict. It also helps young people navigate the developmental challenges the disorder can create. Cognitive and behavioral therapy (CBT) and variants such as Dialectical behavior therapy (DBT)help patients manage the thoughts and feelings that influence bipolar mood swings as well as develop specific behavioral strategies to counteract them.
What happens in therapy for bipolar disorder?
Because the patterns of mood switching and its triggers differ for each person and can change over time, mood tracking or monitoring becomes a basic way patients learn about the nature of their condition. One of the most common features of therapy is finding a workable method of mood monitoring, in which patients track their daily activities and rate their moods, then use the findings to adjust routines accordingly. Patients learn ways of handling the many stresses that arise in life so that they do not trigger mood swings.
What kinds of problems does therapy help with?
Like many other mental health disorders, BPD is heavily influenced by stress; therapy provides skills for coping with stressors of all kinds. Therapy is extremely important for helping individuals identify the situations that may trigger mood switching, so that mood swings can be prevented. Therapy may especially target recognition of the early stages of mood change so that they can be managed. In addition, therapy helps patients deal with the significant amount of turbulence the disorder can create in relationships and in work life.
What is the goal of therapy for bipolar disorder?
Therapy helps patients set up their lives to maintain stability so that their mood isn’t constantly threatened by daily events. Perhaps the first task of therapy is to educate people about the nature of the disorder. At the same time, a primary goal of therapy is to enhance adherence to drug treatment. Extended periods of mood stability can prompt patients to discontinue medication, triggering relapse, while the early phases of manic episodes can feel so energizing that patients stop medication, ushering in full-blown mania and the altered self-perception that can lead to destructive behaviors. Another major goal of therapy is to understand one’s mood patterns so as to minimize both the frequency and intensity of mood cycling.