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Outpatient Therapy and Treatment

Help is just a phone call away. Contact Behavioral Health Navigation for non-emergent matters, open Monday through Friday 8 AM – 6 PM, to ask questions on services available to you.

605-322-5142 View Providers

Everyone needs support, even short term, for coping with life’s pressures. Managing your mental health is within your power with the right practices and healthy coping. Positive changes take shape when the decisions we make day to day align with our core values and motivations. When you don’t know where to start or how to pick up where you last left off with your behavioral health journey, turn to Avera Behavioral Health.

Defining Your Care Team

Rely on our experienced team of professionals to support you through each step of treatment. Your behavioral health care team may include:

  • Therapists
  • Psychiatrists
  • Counselors
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Navigating the Path to Emotional Wellness

At Avera Behavioral Health, we offer outpatient treatment and counseling in a variety of formats for many types of emotional and behavioral struggles. Your behavioral health team can provide counseling during times of stress, grief and loss.

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Types of Counseling & Therapy

Age & Lifestyle

  • Individual: Your decision to make incremental positive changes now leads to beneficial outcomes later.
  • Family: Nourish and develop better relationships within your family through counseling and therapy focused on communication and the role family relationships can play in each member’s mental health.
  • Adolescent/Teen: Focus on developing healthy relationships with both family members and peers to grow into healthy adults.
  • Marriage: Work through differences and learn how to stop repeating dysfunctional patterns to build a healthier marriage relationship.
  • Prepare-Enrich™: Discover this assessment tool for both married and unmarried couples who better want to understand and improve their relationship. The assessment is reviewed with a trained facilitator in session.
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Therapy Methods

  • Neuropsychology: Clinical neuropsychology is a special profession that focuses on brain functioning. A clinical neuropsychologist has expertise in how behavior and skills are related to brain structures and systems. Brain function is evaluated by objectively testing memory and thinking skills.
  • Cognitive Behavioral Therapy (CBT): Effective psychotherapy treatment that focuses on the link between your thoughts, feelings and behaviors. CBT seeks to help you replace unhelpful thinking and behavioral patterns with more helpful ones.
  • Chemical Dependency Counseling: Therapeutic treatment to advise patients who suffer from alcoholism, drug addiction or other substance-related behavioral health issues.
  • Dialectical Behavior Therapy (DBT): Skills-based training, such as mindfulness, interpersonal effectiveness, emotional regulation and distress tolerance to help individuals cope with stress and improve mental wellness.
  • Grief: Supportive counseling and coping skill development for patients dealing with emotions and experiences related to a loss of a loved one.
  • Employee Assistance Programs (EAP): Company-sponsored approach providing immediate, confidential and resources for employees with work-related issues.

EMDR

Eye Movement Desensitization and Reprocessing (EMDR): This treatment helps patients with post-traumatic stress disorder (PTSD) heal from distressing life experiences and trauma. The American Psychiatric Association, the World Health Organization and the U.S. Department of Defense recognize EMDR as an effective form of treatment.

EMDR helps patients with extreme traumatic events, such as war or abuse, and everyday problems ranging from public speaking and phobias like fear of snakes and spiders. It also can also help patients overcome memories that create low self-esteem, feelings of powerlessness and other problems. During EMDR, you follow a specific light pattern while recalling the traumatic event.

This innovative treatment works by:

  • Allowing you to access, process and resolve traumatic memories and other negative life experiences.
  • Helping reframe negative beliefs and relieving emotional distress.
  • Reducing vivid, unwanted, repeated recollections of traumatic events.

EMDR treatment is offered at Avera Medical Group Behavioral Health in Sioux Falls, SD. A referral from your doctor is required.

ECT

Electroconvulsive Therapy (ECT): An effective way to treat patients with major depression, bipolar disorder and schizoaffective disorder to improve symptoms. ECT can often produce positive outcomes more quickly than medication alone. It works by producing changes in brain chemistry through a medically induced and professionally monitored seizure.

Patients who receive ECT as their primary treatment generally experience 80-90% improvement in mood, motivation, interest, energy and sleep patterns. Professionals are highly trained to use electrical current to produce a closely supervised, medically induced seizure. Here’s how this quick, safe and proven treatment works.

  • You begin by receiving sedation for comfort and relaxation. While you’re asleep, medical professionals constantly supervise you during the session.
  • An anesthesiologist and a nurse anesthetist monitor patients to ensure safety.
  • Each ECT session generally lasts around two hours, depending upon recovery time. For acute situations, your doctor likely will recommend a minimum of six sessions.
  • Once you complete your sessions, your doctor may recommend follow-up visits available when you need them to continue feeling well without interrupting your life and activities.

Ask your psychiatrist if you might be a candidate for ECT and whether a referral to Avera Behavioral Health Center is right for you. ECT is offered at Avera Behavioral Health in Sioux Falls, SD. To learn more about this treatment, call 605-322-5950.

Groups

Trained mental health professionals facilitate therapy for groups with similar struggles and life experiences. A referral from your doctor is required to join a support group. These group sessions are offered at Avera Medical Group Behavioral Health Clinic on S Cliff Ave near 33rd Street in Sioux Falls:

  • STEPPs, STAIRWAYS & STRIDES™
  • Dialectical Behavior Therapy Skills
  • Adolescent Outpatient Group
  • Postpartum (4th Trimester) Group
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Mental Health Therapy FAQ

New to behavioral health services? To help you get started, here are some commonly asked questions regarding counseling services.

What should I expect when seeing a therapist?

Therapists and counselors are health care professionals who specialize in addressing behavioral health issues. These clinicians provide a safe and comfortable environment to explore personal problems. Therapy is meant to help with behavioral, emotional or relationship struggles. Speaking to a well-trained person offering understanding, compassion and perspective can go a long way toward helping you work through what’s been weighing on you.

Your designated therapist or counselor will have experience in working with other individuals who share similar issues. They may offer information such as tools, handouts and homework as well as provide evidence-based techniques appropriate and proven to treat your unique situation.

How do I choose the right therapist for me?

Trust and comfort are important to any relationship. The same is true when choosing your behavioral health provider. To determine if a clinician is a good fit for you, ask questions like the following:

  • What is your training, and what certifications and or degrees do you hold?
  • How long have you been a therapist? Are you currently licensed?
  • How much experience do you have in working with individuals with my problems?
  • What is the cost for my sessions, and what does my insurance cover for each session?
  • What specific type(s) of therapy do you recommend for my condition? What kinds of treatment or therapy do you think will help me?
  • What type of approach do you usually use and is it evidence-based?
  • What other treatments might help me with my problems?
  • How do you establish goals and determine if I am making progress?
  • How will you determine my diagnosis?
  • If I need medication, how will you be able to help?
  • How many sessions do you anticipate it will take to see noticeable improvements?

If therapy isn’t working, what should I do?

Consider how you will know if therapy is working for you. Maybe you’re not comfortable with your current therapist or counselor after two or three sessions. If your clinician doesn’t seem like the right fit, let them know you want a second opinion with your treatment. They are ethically mandated to provide you with referrals to other providers if the sessions are not productive. You have the right to bring this up at your appointment for discussion.

What is the difference between CBT and DBT?

Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) are both evidence-based approaches recognized widely as treatments for certain mental conditions. Both are forms of cognitive therapy yet differ in technique depending on specific populations and problems.

The main difference between CBT and DBT is the approach to treatment. CBT focuses on thinking and behavioral patterns, while DBT focuses how you interact with yourself, others and the world.

  • Cognitive Behavior Therapy: Known as the gold standard of psychotherapy treatment for its effectiveness. CBT focuses on the link between your thoughts, feelings and behaviors and seeks to help you replace unhelpful thinking and behavioral patterns with more helpful ones. This form of cognitive therapy is incredibly effective when treating depression, anxiety, obsessive compulsive disorder (OCD), phobias, panic disorder, post-traumatic stress disorder (PTSD), chronic pain and sleeping issues.
  • Dialectical Behavior Therapy: First developed in the early 1990s to treat individuals with borderline personality disorder. DBT uses skills-based training, such as mindfulness, interpersonal effectiveness, emotional regulation and distress tolerance to help improve well-being. Today, this form of cognitive therapy is most effective when treating borderline personality disorder, self-harm or chronic thoughts of suicide.

Every therapy approach has strengths and weaknesses, thus CBT and/or DBT may not be suitable for everyone, even if the presenting symptoms suggest otherwise. You and your therapist can discuss other evidence-based approaches to therapy that may resolve your problems.

Where can I find a neuropsychologist?

Avera Medical Group Behavioral Health in Sioux Falls, SD offers neuropsychological testing with areas of specific interest being traumatic brain injury, learning, memory and attention disorders and geriatric neuropsychology. If you have any questions about seeing a neuropsychologist, please call the clinic at 605-322-5700.

Start with a Confidential Assessment

We offer private evaluations for suicide thoughts, depression and anxiety to determine the best course of treatment. If you suspect a mental health problem, don’t hesitate. Please call our 24-hour urgent care line.

605-322-4065

Warning Signs

Warning signs of behavior that can show a developing problem can include the following:

  • Acting withdrawn, sad or overly anxious
  • Extreme difficulty interacting with friends and/or siblings
  • Substantial mood swings
  • Persistent drop in school or work performance
  • Change in sleeping and/or eating patterns
  • Increased or persistent use of alcohol or drugs
  • Persistent aggressive behavior
  • Threats to self or others
  • Hallucinations, paranoia or delusion

Ask the Question

See warning signs of suicide? Turn to Avera for immediate suicide prevention help, resources and toolkits. Learn More

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Help for Your Mental Health

Trust our compassionate providers for confidential care. For non-emergent mental health concerns, contact Behavioral Health Navigation, open Monday through Friday, 8 AM – 6 PM, to ask questions on services available to you.

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If you suspect someone is having a mental health crisis: