First responder care

First Responder Mental Health in South Dakota, North Dakota & Iowa

The job asks a lot of the people who run toward the emergency. Our psychiatric team offers confidential mental health care built around the realities first responders face, in person or by secure telehealth.

Board-certified psychiatric care Serving SD, ND & Iowa New patients welcome, no referral needed In-person & telehealth

Support for first responders

Care that understands the weight of the work

Police, fire, EMS, and dispatch see things most people never will, often on repeat. Over time that exposure adds up, and the culture of pushing through can make it hard to ask for help. Reaching out is not weakness. It is maintenance.

At MWI Health, we treat the conditions first responders most often carry, including trauma and PTSD, anxiety, depression, sleep problems, and substance use. Care is confidential and built around demanding, unpredictable schedules.

Our providers serve South Dakota, North Dakota, and Iowa, so you can meet in person or by telehealth. No referral is required, and most people are seen without a long wait.

Signs & symptoms

When it may be time to reach out

If several of these have stuck around after tough calls or a hard stretch, talking with a provider can help.

Trouble sleeping or nightmaresIntrusive memories of callsIrritability or angerFeeling numb or detachedDrinking or using more to copeAnxiety or panicPulling away from peopleDifficulty concentratingPersistent low mood

Our approach

How we support first responders

Psychiatry and therapy under one roof, coordinated by a team that communicates about your care.

1. Confidential evaluationWe start with a private conversation to understand what you are carrying and what would help.
2. Trauma-informed therapyTherapy with licensed clinicians helps you process difficult calls and cumulative stress.
3. Medication managementWhen medication can help with sleep, anxiety, or mood, our providers manage it carefully.
4. Flexible, confidential careWe work around shift schedules and keep your care confidential, in person or by telehealth.

Where to find care

First responder care across our clinics

Confidential care for first responders is available at all six MWI Health locations, plus secure telehealth for patients in South Dakota, North Dakota, and Iowa.

South Dakota

Sioux Falls

4308 S Arway Drive
Sioux Falls, SD 57106
Mon–Fri, 8:00am–5:00pm
South Dakota

Downtown Sioux Falls

317 North Main Avenue, Suite 100
Sioux Falls, SD 57104
Mon–Fri, 8:00am–5:00pm
South Dakota

Rapid City

2620 Jackson Blvd, Suite G
Rapid City, SD 57702
Mon–Fri, 8:00am–5:00pm
South Dakota

Yankton

311 Cedar St
Yankton, SD 57078
Mon–Fri, 8:00am–5:00pm
Iowa

West Des Moines

3737 Woodland Avenue, Suite 410
West Des Moines, IA 50266
Mon–Thu, 8:00am–7:00pm
Fri, 8:00am–5:00pm
North Dakota

Fargo

1120 28th Avenue N, Suite A
Fargo, ND 58102
Mon–Thu, 8:00am–6:00pm
Fri, 8:00am–12:00pm

Why MWI Health

A local team built around you

Board-certified psychiatry

Led by a board-certified psychiatrist and Chief Medical Officer, with an experienced provider team.

Prompt availability

New patients welcome with no referral needed, so you are not waiting months to be seen.

Care in one place

Therapy and psychiatric care coordinated by one team that talks to each other about your plan.

In-person or telehealth

See us at one of our clinics or from home by secure telehealth across SD, ND, and IA.

Coverage

Insurance accepted

We accept most major plans and verify your benefits before your first visit.

AetnaBlue Cross Blue ShieldCignaUnitedHealthcareHumanaMedicareand more, verified before your visit

Good to know

First responder mental health questions, answered

Yes. Your care and your information are kept confidential, in line with health privacy laws.

No referral is needed. You can reach out directly and we will help you get scheduled.

We treat the conditions first responders most often face, including trauma and PTSD, anxiety, depression, sleep problems, and substance use concerns.

Yes. We offer flexible scheduling and secure telehealth so care fits demanding, changing hours.

Yes. We offer secure video visits for patients located in South Dakota, North Dakota, and Iowa.

We accept most major insurance plans and verify your benefits before your first visit.

Clay J. Pavlis, MD, Chief Medical Officer of MWI Health

Medically reviewed

Reviewed by Clay J. Pavlis, MD

Board-certified psychiatrist and Chief Medical Officer of MWI Health.

Meet Dr. Pavlis Last reviewed August 2026

If you need help now

Support is available right away

MWI Health provides scheduled outpatient care and is not an emergency service. If you or someone you love is in crisis, reach out to one of these free, confidential resources.

  • 988 Suicide & Crisis LifelineCall or text 988, any time, day or night.
  • Crisis Text LineText HOME to 741741.
  • EmergencyIf there is immediate danger, call 911.

Confidential support, built around your schedule

Our team is accepting new patients across South Dakota, North Dakota, and Iowa, in person and by telehealth. No referral needed.

First Responder Mental HealthMWI Health
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