Therapy & counseling

Psychotherapy Services in South Dakota, North Dakota & Iowa

Talking with the right person, in a space that feels safe, can change how you carry everything else. Our therapists offer evidence-based psychotherapy for adults and teens, in person at six clinics 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 psychotherapy

A space to be heard, and real tools to move forward

Psychotherapy, often called talk therapy, is structured, confidential work with a trained therapist. Together you make sense of what you are feeling and why, and you build practical skills to handle it differently. It is not just venting, it is evidence-based care with a direction.

Our therapists draw on proven approaches like cognitive behavioral therapy and dialectical behavior therapy, matched to you rather than a script. Because MWI Health brings therapy and psychiatry under one roof, your care can stay therapy-only or coordinate with medication management, whatever fits your situation best.

We offer psychotherapy across South Dakota, North Dakota, and Iowa, so you can meet in person close to home or from your own living room by secure telehealth. No referral is required, and most people are seen without a long wait.

What therapy helps with

Support for what you are carrying

Therapy meets a wide range of concerns. If what you are facing is not listed, reach out anyway and we will help you find the right starting point.

AnxietyDepressionTrauma and PTSDOCDGrief and lossStress and burnoutRelationship strainLife transitionsSelf-esteem

Our approach

How therapy works at MWI Health

Therapy and psychiatric care under one roof, coordinated by a team that communicates about your care.

1. First session and goalsYour first visit is about being heard. We learn what brought you in and what you want to be different, then set goals together.
2. Matched to the right approachWe pair you with a therapist and an evidence-based method, such as CBT or DBT, that fits your goals rather than a one-size plan.
3. Regular sessionsYou meet on a schedule that works for you, in person or by telehealth, building skills and momentum session over session.
4. Coordinated careIf medication could help, your therapist and our psychiatric providers coordinate so your whole plan works together.

Where to find care

Psychotherapy across our clinics

Therapy 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

Therapy is supported by a board-certified psychiatrist and Chief Medical Officer, with an experienced clinical 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

Psychotherapy questions, answered

Psychotherapy, or talk therapy, is structured work with a trained therapist to understand and change the thoughts, feelings, and patterns behind what you are struggling with. It is confidential, evidence-based, and tailored to your goals.

Our therapists use evidence-based approaches, including cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), matched to what you need. Care can also be coordinated with psychiatry and medication management when that is helpful.

Therapy can help with anxiety, depression, trauma and PTSD, OCD, grief, stress, relationship strain, life transitions, and more. If you are unsure whether therapy is the right fit, our team can help you figure that out.

No. Many people work with a therapist without any medication. Because we offer both therapy and psychiatry, we can combine them or keep your care therapy-only, based on what is right for you.

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 therapy for patients located in South Dakota, North Dakota, and Iowa, so you can meet with your therapist from home.

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

In a crisis

If you need help now

Therapy is ongoing, scheduled care, not emergency care. If you are in crisis or thinking about harming yourself, reach out to one of these free resources right away. If you are already an MWI Health patient, you can also contact your provider's office during business hours.

  • Call or text 988988 Suicide & Crisis Lifeline, available 24/7 anywhere in the US
  • Text HOME to 741741Crisis Text Line, free 24/7 support by text message
  • Call 911For a medical emergency or immediate danger to yourself or others
  • Call 1-800-662-4357SAMHSA National Helpline for mental health and substance use, 24/7

Talk to someone who can help

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

PsychotherapyMWI Health
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