OCD care

OCD Treatment in South Dakota, North Dakota & Iowa

Obsessive thoughts and compulsions can take over hours of your day. Our psychiatric team offers evidence-based OCD treatment that helps you take that time back, in person or by secure telehealth across our region.

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

Understanding OCD

Breaking the loop of obsessions and compulsions

OCD is a cycle. Unwanted thoughts, images, or urges create anxiety, and compulsions are the things people do to make that anxiety go away, at least for a moment. The relief never lasts, so the cycle repeats and often grows.

This is treatable. At MWI Health, OCD care begins with a careful evaluation, then a plan that may combine evidence-based psychotherapy, medication management, or both. We build it around your specific symptoms and adjust it as you make progress.

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

Signs & symptoms

What OCD can look like

OCD takes many forms. If obsessions or compulsions are taking up significant time or causing distress, treatment can help.

Intrusive, unwanted thoughtsFear of contaminationChecking and recheckingNeed for symmetry or orderRepeating ritualsSeeking reassuranceCounting or mental ritualsTime-consuming routinesDistress when routines are interrupted

Our approach

How we treat OCD at MWI Health

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

1. Comprehensive evaluationWe start by understanding your symptoms and how OCD affects your day so care is built around you.
2. Evidence-based therapyStructured psychotherapy with licensed clinicians helps you respond to obsessions differently and reduce compulsions over time.
3. Medication managementWhen medication can help, our psychiatric providers manage it carefully and adjust as you respond.
4. Coordinated, ongoing careYour providers stay in touch with each other, and with you, so your plan keeps pace with your progress.

Where to find care

OCD treatment across our clinics

OCD care is available at these 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

OCD treatment questions, answered

Care usually begins with an evaluation, then a plan that may combine evidence-based psychotherapy, medication management, or both, adjusted over time based on how you respond.

OCD is thought to come from a mix of genetic, biological, and environmental factors, including differences in the brain circuits that regulate thoughts and behavior. It is not caused by personal weakness, and it responds well to treatment.

OCD is very treatable. Many people greatly reduce the frequency and intensity of obsessions and compulsions with evidence-based therapy, medication, or both, and go on to function well day to day. Ongoing care helps maintain those gains.

Several medications can help with OCD, most often certain antidepressants. Our psychiatric providers review your history and recommend an approach that fits you, adjusting as needed.

No referral is needed. You can request an appointment directly and we will help you get scheduled, often without a long wait.

Many new patients are seen without a long wait. Request an appointment and we will help you get scheduled at the location or telehealth option that works best for you.

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

OCD care is available at all six MWI Health clinics: Sioux Falls, Downtown Sioux Falls, Rapid City, and Yankton in South Dakota, West Des Moines in Iowa, and Fargo in North Dakota, plus telehealth.

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

Take back the time OCD has been taking

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

OCD TreatmentMWI Health
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