Therapists for Adults in Spearfish, SD
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.
I am an active and engaged Licensed Marriage & Family Therapist who works best with patients ready to do real, transformative work. I rely on my ability to read emotional and relational patterns to help clients move beyond coping and into deeper understanding and healing. My style is compassionate, honest, and direct. If you are motivated to address root issues rather than staying on the surface, we may be a strong fit. I am best suited for patients who are ready to do the deeper work required for real transformation.
I am an active and engaged Licensed Marriage & Family Therapist who works best with patients ready to do real, transformative work. I rely on my ability to read emotional and relational patterns to help clients move beyond coping and into deeper understanding and healing. My style is compassionate, honest, and direct. If you are motivated to address root issues rather than staying on the surface, we may be a strong fit. I am best suited for patients who are ready to do the deeper work required for real transformation.
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.
The people who show up to therapy are dealing with real and heavy things. Anxiety that follows you everywhere. Depression that makes ordinary life feel impossible. Relationship issues that paralyze you. Whatever brought you here, I'd like to help. Above all, I value real conversations. The kind where you don't have to filter yourself.
And beyond the clinical work, I believe that real change also happens outside of the therapy room — in the way you sleep, move, eat, connect, and take care of yourself day to day. Lifestyle isn't separate from mental health. It's deeply intertwined with it, and I pay attention to the whole picture.
The people who show up to therapy are dealing with real and heavy things. Anxiety that follows you everywhere. Depression that makes ordinary life feel impossible. Relationship issues that paralyze you. Whatever brought you here, I'd like to help. Above all, I value real conversations. The kind where you don't have to filter yourself.
And beyond the clinical work, I believe that real change also happens outside of the therapy room — in the way you sleep, move, eat, connect, and take care of yourself day to day. Lifestyle isn't separate from mental health. It's deeply intertwined with it, and I pay attention to the whole picture.
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.
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.
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.
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.
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 also work with adults and couples, and strive to offer a person-centered approach to counseling that is strength based and unique to each client.
Are you ready to explore ways to embrace positive change, improve your relationships, and become empowered to become the best version of yourself? I'm ready to help you do just that! I'd love the opportunity to walk beside you on your journey to self-fulfillment. 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 also work with adults and couples, and strive to offer a person-centered approach to counseling that is strength based and unique to each client.
Are you ready to explore ways to embrace positive change, improve your relationships, and become empowered to become the best version of yourself? I'm ready to help you do just that! I'd love the opportunity to walk beside you on your journey to self-fulfillment. 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.
Is anxiety keeping you from living and enjoying your life in the ways you used to or the ways you’d like to? Maybe it’s excessive worry about the future, ruminating over what you said or did that day, avoiding decisions and trying new things, or being unable to focus on anything besides how you look or what you ate. Anxiety can look different for everyone, but it is often rooted in self-doubt, past experiences, and chronic stress. When left unaddressed, these symptoms can rob us of the opportunity to truly live and enjoy our lives.
Is anxiety keeping you from living and enjoying your life in the ways you used to or the ways you’d like to? Maybe it’s excessive worry about the future, ruminating over what you said or did that day, avoiding decisions and trying new things, or being unable to focus on anything besides how you look or what you ate. Anxiety can look different for everyone, but it is often rooted in self-doubt, past experiences, and chronic stress. When left unaddressed, these symptoms can rob us of the opportunity to truly live and enjoy our lives.
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.
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.
Change takes time and can be very difficult, especially without direction or a starting point. My role as your therapist is to assist you in finding a starting place, help you understand where you are on your journey, process pain that holds you back, and encourage you to persevere to achieve the changes you desire in your life and your relationships. My hope for you is that you will be able to find joy and excitement in the process, no matter how challenging it may be at times. I'm also part of All-Terrain Behavior Health Group. If I'm not available, a colleague may be.
Change takes time and can be very difficult, especially without direction or a starting point. My role as your therapist is to assist you in finding a starting place, help you understand where you are on your journey, process pain that holds you back, and encourage you to persevere to achieve the changes you desire in your life and your relationships. My hope for you is that you will be able to find joy and excitement in the process, no matter how challenging it may be at times. I'm also part of All-Terrain Behavior Health Group. If I'm not available, a colleague may be.
Hello, I am here to help and look forward to working with you. No matter what's happening in your life right now we can figure it out! Let's work together on identifying what's going well, what's not and how life can improve. I am down-to-earth, experienced, easy to talk to, and offer a safe respectful place to heal and explore challenges. Sometimes, seeing a problem from a different perspective is all it takes! Find me here! https://loree-siegfried.clientsecure.me/ Licensed in South Dakota, Colorado, Missouri, Montana, Michigan, and Minnesota.
Hello, I am here to help and look forward to working with you. No matter what's happening in your life right now we can figure it out! Let's work together on identifying what's going well, what's not and how life can improve. I am down-to-earth, experienced, easy to talk to, and offer a safe respectful place to heal and explore challenges. Sometimes, seeing a problem from a different perspective is all it takes! Find me here! https://loree-siegfried.clientsecure.me/ Licensed in South Dakota, Colorado, Missouri, Montana, Michigan, and Minnesota.
Hi. My name is Sarah Allbright. I am a Licensed Marriage & Family Therapist at PATH. I strive to provide a safe space for clients and highlight strengths to help create opportunities for growth. I view the client as the expert and my ability to offer support, empathy and an unbiased perspective as key to therapy. I enjoy collaborating with client's during transition and facing life challenges as well as as treating disorders including anxiety, depression, OCD, PTSD and Bipolar.
Hi. My name is Sarah Allbright. I am a Licensed Marriage & Family Therapist at PATH. I strive to provide a safe space for clients and highlight strengths to help create opportunities for growth. I view the client as the expert and my ability to offer support, empathy and an unbiased perspective as key to therapy. I enjoy collaborating with client's during transition and facing life challenges as well as as treating disorders including anxiety, depression, OCD, PTSD and Bipolar.
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.
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.
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.
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.
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See More Therapists FAQ - About Adult Counseling
Why should adults see a therapist?
Adults may benefit from therapy for a wide range of reasons—whether it’s managing symptoms of a diagnosed mental health condition like anxiety or depression, navigating life transitions, coping with grief or trauma, or simply seeking support during a challenging life period. Many adults find that therapy helps them build healthier coping skills and better process their emotions, which may lead to better relationships and reduced stress. It’s important to note that, unlike psychiatrists or primary care physicians, therapists do not prescribe psychiatric medication. However, they will often work alongside prescribing clinicians to ensure coordinated care and can provide behavioral therapy as an important addition to psychiatric medication. Mental health concerns can look different in adulthood than in childhood or adolescence, so finding a therapist with expertise working with adult clients is important. Conditions like major depressive disorder (MDD), generalized anxiety disorder (GAD), bipolar disorder, and post-traumatic stress disorder (PTSD), for instance, may present or resurface differently in adulthood than in childhood or adolescence. Adult-specific stressors, such as job strain, caregiving responsibilities, relationship challenges, financial stress, or identity transitions, can also influence the onset and type of symptoms an individual experiences. Adult-focused therapists, therefore, are trained to understand these complexities and tailor care accordingly.
How do I know if a therapist is the right fit for me?
When seeking care, it’s important to understand a therapist’s treatment specialties and their overall approach to treatment . Some therapists focus on common adult conditions like anxiety or depression, while others specialize in areas such as trauma, substance use disorders, or obsessive-compulsive disorder. It’s also important to consider a therapist’s training when seeking care. Therapists hold various licenses depending on their training and state requirements. Common therapy credentials include Licensed Clinical Social Workers (LCSWs), Licensed Mental Health Counselors (LMHCs), Licensed Professional Counselors (LPCs), and Licensed Marriage and Family Therapists (LMFTs). Psychologists (PhD or PsyD) receive additional doctoral-level training and may focus on assessments or more specialized therapeutic approaches. All of these professionals can provide talk therapy but do not prescribe medication. When searching for a therapist, consider their credentials and training background to ensure a good fit.
How do I find a therapist who sees adults?
Psychology Today’s online directory allows you to search specifically for therapists who work with adults. Each provider profile includes key information such as clinical specialties, therapeutic approaches, licensure, accepted insurance plans, languages spoken, and session fees. Reviewing these details can help you determine whether a particular provider aligns with your needs and can indicate whether they are a good match for adult clients.