Therapists for Teens and Adolescents in Spearfish, SD
With over a decade of experience in various mental health related roles, I specialize in working with teens, young adults, and adults struggling with codependency, or with life's big transitions; from starting college, going through a divorce, stepping into independence, adjusting to an empty nest, and more!
Are you feeling stuck in patterns that no longer serve you? Do you struggle with people pleasing and unhealthy relationships, or feel like you have trouble finding your voice? Together, we'll work to untangle those patterns and reconnect with your sense of self, so you can build a life that feels peaceful, aligned, and true to who you are. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
With over a decade of experience in various mental health related roles, I specialize in working with teens, young adults, and adults struggling with codependency, or with life's big transitions; from starting college, going through a divorce, stepping into independence, adjusting to an empty nest, and more!
Are you feeling stuck in patterns that no longer serve you? Do you struggle with people pleasing and unhealthy relationships, or feel like you have trouble finding your voice? Together, we'll work to untangle those patterns and reconnect with your sense of self, so you can build a life that feels peaceful, aligned, and true to who you are. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
By working with ages from adolescents and pre- teens to adults, I can be that bridge to fill the gap of unanswered questions and thoughts that our minds have attached to.
First, I want to thank you for being here. The first step is, as we say in the therapy world, the hardest, and by giving yourself that ounce of opportunity you unknowingly have already started your healing journey. Whether you are here because of past trauma, current life circumstances, or attempting to navigate the day to day, know you found the space to create the life you want to live.
It is my goal to make therapy a little less intimidating, as we know life is hard on its own. Instead, this is a journey to overcome, manage, and most importantly empower yourself to know you are no longer a victim to what you have lived.
By working with ages from adolescents and pre- teens to adults, I can be that bridge to fill the gap of unanswered questions and thoughts that our minds have attached to.
First, I want to thank you for being here. The first step is, as we say in the therapy world, the hardest, and by giving yourself that ounce of opportunity you unknowingly have already started your healing journey. Whether you are here because of past trauma, current life circumstances, or attempting to navigate the day to day, know you found the space to create the life you want to live.
It is my goal to make therapy a little less intimidating, as we know life is hard on its own. Instead, this is a journey to overcome, manage, and most importantly empower yourself to know you are no longer a victim to what you have lived.
I support children, teens, and adults through EMDR, Play Therapy, and DBT.
I believe therapy meets you exactly where you are—no matter the chapter. My work is grounded in respect, empathy, and collaboration. I create a space where you can feel seen, heard, and supported as you explore identity, navigate life transitions, or work through grief, anxiety, or trauma. I’ve supported clients from diverse backgrounds, including LGBTQ+ and neurodivergent individuals. Whether online or in person, I walk alongside you—not ahead—as you move toward growth, healing, and self-understanding.
I support children, teens, and adults through EMDR, Play Therapy, and DBT.
I believe therapy meets you exactly where you are—no matter the chapter. My work is grounded in respect, empathy, and collaboration. I create a space where you can feel seen, heard, and supported as you explore identity, navigate life transitions, or work through grief, anxiety, or trauma. I’ve supported clients from diverse backgrounds, including LGBTQ+ and neurodivergent individuals. Whether online or in person, I walk alongside you—not ahead—as you move toward growth, healing, and self-understanding.
There are no shortages of changes or challenges that come along with the human experience. Self-doubt, depression, anxiety, and grief are just some of the struggles that might show up from time to time as we move through our days. Other times, life just gets a little out of focus and off balance, leaving us feeling lost and unsure about where we're at and where we're headed. As your therapist, I can help you find your way back to a path that takes your out of survival mode and instead has you thriving, meeting your goals, and feeling excited about your future again.
There are no shortages of changes or challenges that come along with the human experience. Self-doubt, depression, anxiety, and grief are just some of the struggles that might show up from time to time as we move through our days. Other times, life just gets a little out of focus and off balance, leaving us feeling lost and unsure about where we're at and where we're headed. As your therapist, I can help you find your way back to a path that takes your out of survival mode and instead has you thriving, meeting your goals, and feeling excited about your future again.
I have enjoyed counseling and mentoring others in their counseling skills for several years in a variety of settings. Whether you are young or older and experiencing depression, anxiety, loss, assault/violence, alcohol and other drug abuse issues, trauma, etc, I have proven ways to provide support towards your improved functioning. With my specialized trauma training and experience, I assure that any history of trauma is addressed as/if wanted and that support is uniquely addressed surrounding all aspects of pain. I accept many insurances as well as self-pay clients and welcome all ages, persons and questions.
I have enjoyed counseling and mentoring others in their counseling skills for several years in a variety of settings. Whether you are young or older and experiencing depression, anxiety, loss, assault/violence, alcohol and other drug abuse issues, trauma, etc, I have proven ways to provide support towards your improved functioning. With my specialized trauma training and experience, I assure that any history of trauma is addressed as/if wanted and that support is uniquely addressed surrounding all aspects of pain. I accept many insurances as well as self-pay clients and welcome all ages, persons and questions.
My background includes working in residential youth treatment, a domestic violence shelter, community mental health and private practice.
Starting therapy can feel intimidating and I aim to make that first step feel more comfortable. I meet clients where they are and adapt my approach to what they need as individuals. I truly enjoy watching clients grow in resilience and confidence, and its incredibly meaningful to see them begin to fully embrace themselves. I enjoy working with clients who are exploring the "why" behind their patterns and want to better understand themselves. I am especially passionate about the lived experience of neurodivergence, as well as supporting those who struggle with suicidal ideation, an experience that is more common than many realize.
My background includes working in residential youth treatment, a domestic violence shelter, community mental health and private practice.
Starting therapy can feel intimidating and I aim to make that first step feel more comfortable. I meet clients where they are and adapt my approach to what they need as individuals. I truly enjoy watching clients grow in resilience and confidence, and its incredibly meaningful to see them begin to fully embrace themselves. I enjoy working with clients who are exploring the "why" behind their patterns and want to better understand themselves. I am especially passionate about the lived experience of neurodivergence, as well as supporting those who struggle with suicidal ideation, an experience that is more common than many realize.
I specialize in working with Perinatal Mental Health population while utilizing play based therapy while support children and teens.
You deserve a supportive, genuine connection built on trust and respect. This is a place where your authenticity and vulnerability are deeply valued—because I believe they are the keys to a strong healing foundation. My approach is rooted in seeing you as a unique individual with the inherent potential for growth and well-being. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
I specialize in working with Perinatal Mental Health population while utilizing play based therapy while support children and teens.
You deserve a supportive, genuine connection built on trust and respect. This is a place where your authenticity and vulnerability are deeply valued—because I believe they are the keys to a strong healing foundation. My approach is rooted in seeing you as a unique individual with the inherent potential for growth and well-being. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
Our diverse team allows us to offer specialized care across the lifespan, from teens navigating modern stress to adults and couples breaking old, painful cycles.
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.
Our diverse team allows us to offer specialized care across the lifespan, from teens navigating modern stress to adults and couples breaking old, painful cycles.
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 am Jeri Fowler a counselor at Transformations Mental Health. Seeking therapy requires courage, and I understand the importance of finding a therapist you can trust. My approach is grounded in honesty, transparency, and a commitment to the client's wellbeing.
I am Jeri Fowler a counselor at Transformations Mental Health. Seeking therapy requires courage, and I understand the importance of finding a therapist you can trust. My approach is grounded in honesty, transparency, and a commitment to the client's wellbeing.
Children, teen, adult, couple, or family, my proven, unique, modern approach works through unresolved emotions of past relationships that affect who we are, the decisions we make, behaviors we have, reactions we have, relationships we seek and even relationships we avoid that keep us from being who we want to be.
Anxiety, depression, bipolar, trauma, adjustment disorders, and all mental health issues with focus on healing unresolved emotions from past relationships making him very unique in approach and success. David also helps clients to hone coping skills, daily living, and general health throughout the process until healing makes them obsolete.
Children, teen, adult, couple, or family, my proven, unique, modern approach works through unresolved emotions of past relationships that affect who we are, the decisions we make, behaviors we have, reactions we have, relationships we seek and even relationships we avoid that keep us from being who we want to be.
Anxiety, depression, bipolar, trauma, adjustment disorders, and all mental health issues with focus on healing unresolved emotions from past relationships making him very unique in approach and success. David also helps clients to hone coping skills, daily living, and general health throughout the process until healing makes them obsolete.
I believe in creating a judgment-free space where you can feel and speak in a way that builds trust and acceptance. It is my goal to help you uncover wounds and get on a path of healing.
I am licensed in South Dakota and Wyoming. I have an extensive background working with all ages, including individuals, couples, families and community outreach programs. I have worked with diverse populations ranging from rural to urban and various struggles including trauma, grief, addiction, anxiety, depression and relationship issues.
I believe in creating a judgment-free space where you can feel and speak in a way that builds trust and acceptance. It is my goal to help you uncover wounds and get on a path of healing.
I am licensed in South Dakota and Wyoming. I have an extensive background working with all ages, including individuals, couples, families and community outreach programs. I have worked with diverse populations ranging from rural to urban and various struggles including trauma, grief, addiction, anxiety, depression and relationship issues.
Shannon Howard
Licensed Professional Counselor, MA, LPC-MH, QMHP, NCC
2 Endorsed
Spearfish, SD 57783
I work with adults and older teens.
If you have experienced trauma and are finding it difficult to function and feel present in your daily life, you have found the right therapist! I am dedicated to meeting you right where you are and helping you move forward. I believe that a supportive therapeutic relationship is the foundational tool that will help you access the life you deserve to have. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
I work with adults and older teens.
If you have experienced trauma and are finding it difficult to function and feel present in your daily life, you have found the right therapist! I am dedicated to meeting you right where you are and helping you move forward. I believe that a supportive therapeutic relationship is the foundational tool that will help you access the life you deserve to have. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
Michele M Clodfelder
Licensed Professional Counselor, MS, LPC-MH, EAP
1 Endorsed
Spearfish, SD 57783
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.
Are you looking for a safe space where your thoughts and feelings are heard without judgment? Together, we’ll navigate the complexities you’re facing and unravel the knots that might feel overwhelming to you right now. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
Are you looking for a safe space where your thoughts and feelings are heard without judgment? Together, we’ll navigate the complexities you’re facing and unravel the knots that might feel overwhelming to you right now. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
I specialize in supporting older adults as they navigate changing health, increasing care needs, and the loss of independence. I also work with caregivers of aging parents—especially those supporting a loved one with dementia—who often carry exhaustion, guilt, grief, and deep love all at once. My approach is grounded in compassion, respect, and a steady presence. Whether you are an older adult facing new challenges or a caregiver trying to hold everything together, you don’t have to walk this path alone. Together, we’ll honor the realities of aging, and find support that feels both sustainable and hopeful.
I specialize in supporting older adults as they navigate changing health, increasing care needs, and the loss of independence. I also work with caregivers of aging parents—especially those supporting a loved one with dementia—who often carry exhaustion, guilt, grief, and deep love all at once. My approach is grounded in compassion, respect, and a steady presence. Whether you are an older adult facing new challenges or a caregiver trying to hold everything together, you don’t have to walk this path alone. Together, we’ll honor the realities of aging, and find support that feels both sustainable and hopeful.
Now accepting new clients!
Sometimes the patterns of life no longer serve us well - maybe relationships have started feeling distant, there are fewer breaks from the buzz of anxiety, or the voice of your self-critic is getting louder. You deserve meaningful connection, to know what it is to feel grounded, and self-compassion. Counseling offers time set apart to pause, connect, and grow into new ways of thriving. Together, we’ll gently explore the stories and relationships that have shaped you and identify and sharpen your strengths that have been there all along.
Now accepting new clients!
Sometimes the patterns of life no longer serve us well - maybe relationships have started feeling distant, there are fewer breaks from the buzz of anxiety, or the voice of your self-critic is getting louder. You deserve meaningful connection, to know what it is to feel grounded, and self-compassion. Counseling offers time set apart to pause, connect, and grow into new ways of thriving. Together, we’ll gently explore the stories and relationships that have shaped you and identify and sharpen your strengths that have been there all along.
Have you ever been looking for something that seems out of reach, and then celebrated once you've reached what you were striving for? Or have you ever experienced a moment of great insight or understanding where suddenly everything makes sense?
Those are both examples of what it is to have an "epiphany".
Epiphany Mental Health was founded to provide space for you to reflect and explore where you are on life's journey and a partner to help guide you towards your desired destination.
Have you ever been looking for something that seems out of reach, and then celebrated once you've reached what you were striving for? Or have you ever experienced a moment of great insight or understanding where suddenly everything makes sense?
Those are both examples of what it is to have an "epiphany".
Epiphany Mental Health was founded to provide space for you to reflect and explore where you are on life's journey and a partner to help guide you towards your desired destination.
You've spent decades showing up for everyone else. And now — somewhere in your 30s, 40s, or 50s — something has shifted. Your sleep is fractured. Emotions feel out of sync. Your focus slips in ways that scare you. Your sense of self feels blurry.
No one prepared you for this. Maybe doctors have told you it's "just stress" or "just aging." But what you're experiencing has a neurological explanation. Perimenopause and menopause change your brain, not just your body. That's not weakness. That's biology meeting an unsupported life transition.
You've spent decades showing up for everyone else. And now — somewhere in your 30s, 40s, or 50s — something has shifted. Your sleep is fractured. Emotions feel out of sync. Your focus slips in ways that scare you. Your sense of self feels blurry.
No one prepared you for this. Maybe doctors have told you it's "just stress" or "just aging." But what you're experiencing has a neurological explanation. Perimenopause and menopause change your brain, not just your body. That's not weakness. That's biology meeting an unsupported life transition.
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.
Accepting New Clients!
You’ve been through a lot — and maybe lately, it’s starting to feel like too much. Whether you're managing the effects of chronic illness, grieving a loved one, or simply trying to keep your head above water, you deserve a space where you feel seen, heard, and supported. That’s what I offer: a compassionate, nonjudgmental space to explore your story, gain insight, and take steps toward healing and balance.
Accepting New Clients!
You’ve been through a lot — and maybe lately, it’s starting to feel like too much. Whether you're managing the effects of chronic illness, grieving a loved one, or simply trying to keep your head above water, you deserve a space where you feel seen, heard, and supported. That’s what I offer: a compassionate, nonjudgmental space to explore your story, gain insight, and take steps toward healing and balance.
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See More Therapists FAQ - Teenage and Adolescent Therapists
What does therapy for teenagers look like?
When a therapist works with a teenager, the pair will talk about what the teen is struggling with and explore solutions, which may involve interpersonal skills, coping strategies, medication, or lifestyle changes related to sleep, diet, and exercise. Different therapists employ different modalities, but most involve a combination of conversation and skill building.
How long does therapy for teenagers generally take to work?
There’s variability in teenagers’ experiences and challenges; some may begin to improve from therapy within a few weeks while others may take several months or longer. Teens can discuss their progress with their therapist periodically to assess how they’re improving and any changes to the treatment plan that could potentially accelerate that progress.
How do you encourage a teenager to go to therapy?
It’s helpful to express your concern and love while framing therapy as an opportunity to explore a tool that could help improve their life; just like they practice baseball or dance, now they can practice their emotional skills. Give your teen control over the process where you can—maybe by weighing in on choice of therapist and signaling that therapy involves confidentiality, so a parent need not know all that is discussed in sessions.
How do you prepare teens for therapy?
You can prepare your teenager for therapy by describing what the process will look like and setting expectations for timeline, if requested. You can explain that the first session may begin with an assessment phase, that they can describe their experiences but that the therapist will ask questions too, and that it may take time to feel comfortable opening up. Ask how they’re feeling about the process and answer any questions calmly and supportively.