Find a therapist in South Dakota

Therapy in South Dakota: finding the right fit

South Dakota has 4+ licensed mental health professionals in Sioux Falls. By listings, South Dakota ranks 44th of 48 states in the directory.

On online sessions, South Dakota is above the national figure: 25% of listed therapists offer them, against 6% overall. Session fees across South Dakota's guides run $80–$200; the middle of our city guides nationally is $90–$200.

Not sure where to start? Describe what's been going on in a sentence or two, and FindSupport shows licensed therapists in South Dakota whose focus areas fit.

Session costs across South Dakota

The city guides for South Dakota list typical session costs from $80 in Rapid City to $200 in Sioux Falls.

Rapid City is the gateway to Mount Rushmore and the Black Hills; its city guide covers local therapists and costs in more detail.

Who can see you online in South Dakota

Online therapy in South Dakota follows where you are, not where the therapist is: during a video session, the therapist needs a license that covers South Dakota. Anyone licensed in South Dakota can see you by video anywhere in the state.

If a profile doesn't name the license, ask for it before the first session. A licensed therapist will tell you the type and number, and you can confirm it with the South Dakota licensing board.

People near the edge of South Dakota often look at therapists in Iowa, Minnesota, or Montana too. That works for in-person visits across the border, but for video sessions from home the therapist still needs a South Dakota license.

Cities with therapists in South Dakota

City guides for South Dakota: Sioux Falls (4+ therapists). More city guides: Rapid City. Open a city's guide for its listings, the specialties profiles name there, and local fees.

Living outside these cities? A therapist licensed in South Dakota can still see you online.

South Dakota city by city

All 4 therapists listed in South Dakota are in Sioux Falls. Rapid City has a city guide but no local listings yet.

How many offer video sessions differs by city: 1 of 4 in Sioux Falls.

In Sioux Falls, 1 mentions couples. The focus area its profiles name most often is anxiety.

South Dakota next to its neighbors

Across South Dakota's borders, Iowa has 31 in 3 cities (most in Cedar Rapids); Minnesota has 72 in 3 cities (most in Saint Paul); Montana has 69 in 3 cities (most in Bozeman); North Dakota has 25 in 3 cities (most in Fargo); Nebraska has 15 in 2 cities (most in Lincoln). South Dakota itself has 4 listed therapists in 1 city.

North Dakota has the highest online share among them (20% of its listings), compared with 25% in South Dakota. Typical fees in their city guides range from $70 (North Dakota) to $250 (Montana), next to $80–$200 in South Dakota.

Crossing the South Dakota border for an office visit works; for video sessions taken at home, the licensing rule above still applies.

Specialties and local concerns in South Dakota

South Dakota's listings lean toward anxiety, depression, and trauma (25%, 25%, 25% of profiles). The national order starts with anxiety, relationship issues, and depression. The city guides describe different local concerns. In Rapid City: seasonal depression from harsh winters, rural isolation, and limited access to care. In Sioux Falls: balancing work in the healthcare and finance sectors with rural and Native American cultural values.

25% of South Dakota's listed therapists say they see couples, which is where to start for marriage counseling. Of all South Dakota profiles, 25% work with families.