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Therapists in Spearfish,

We are proud to feature top rated therapists in Spearfish. We encourage you to review each profile to find your best match.
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Dr. Stephanie Vaughn

Psychologist, Psy.D., DBT-LBC™
I'm the owner of PSYCHē, PLLC, a behavioral health consulting firm dedicated to providing our clients with the most effective, personable, and solid network of therapists in the country. We are a private network of expert therapists specializing in hand-selecting top psychologists and counselors across multiple states. Our goal is to match clients with their perfect therapist. As a seasoned Cognitive Behavioral Therapy therapist (CBT) and Linehan Board Certified Dialectical Behavior Therapist (DBT-LBC™), I believe it is my job to not only provide great care to MY clients, but also to rigorously vet therapists who see the clients I can't.  
16 Years Experience
Online in Spearfish,

Dr. Derek Turesky

Psychologist, Ph.D.
Are you feeling overwhelmed by stress, anxiety, or life transitions? You don’t have to navigate this alone. As a PhD-level psychologist with over 14 years of experience, I specialize in helping individuals regain clarity, confidence, and control over their lives. Using scientifically backed therapies like Acceptance and Commitment Therapy (ACT) and Mindfulness-Based techniques, I tailor each session to your unique needs. Whether you’re struggling with self-doubt, career challenges, or deep emotional pain, I provide a compassionate, solution-focused approach to help you move forward. I work exclusively with adults and young adults via online therapy for convenience and accessibility. My goal is to create a supportive, judgment-free space where you feel truly heard and empowered. Reach out today—let’s take the first step toward your healing together  
14 Years Experience
Online in Spearfish, (Online Only)

Karen Baumstark, Ph.D.

Psychologist, Ph.D., CMHIMP, CTACC
In searching for a therapist, you are taking the first step in what could be the most important journey of your life. It is definitely possible to make important, lasting improvements in your life and levels of happiness, satisfaction, and success. Therapy is often an effective way to attain these goals. With almost 40 years of experience working as a counselor and then a psychologist, I am well-qualified to help you identify what is standing in the way of increased life satisfaction, and help you effectively work towards your goals. People often get stuck in old patterns that make them unhappy, want to change them, but don't know how. I work together with my clients to understand how old patterns in thought, feeling, and behavior got established, and then explore how best to change those patterns. I enjoy doing longer term, deeper work with clients, to create significant, meaningful, and lasting change. I often employ a holistic approach, exploring personal history, thoughts, feelings, behaviors, and relationship history and issues, as well as issues including medical history, self-care habits, and experiences of spirituality. I view the therapy relationship as a partnership, respecting the pace and timing that the client requires.  
36 Years Experience
Online in Spearfish,

Dr. Stéphanie Gamache, PhD

Hypnotherapist, PhD
Something in you knows that what you're carrying runs deeper than the presenting problem. Many of the people I work with are thoughtful, capable, and outwardly composed-yet internally they live with anxiety, depression, chronic tension or pain, relentless self-criticism, or a sense that something essential is blocked, muted, or just out of reach. These struggles may surface in mood, in the body, in behavior, or in relationships-including sexuality and intimacy-but they are rarely contained to any one area. They tend to reflect deeper emotional and relational patterns formed early in life, often before language, that continue to shape how a person approaches closeness, vulnerability, agency, pleasure, and self-expression. My work centers on how early experience shapes the capacity for self-regulation, desire, connection, and meaning throughout life-and particularly on how people come to know what they need and want, how they learn to express or inhibit those impulses, and what happens when these capacities become conflicted, constricted, or difficult to sustain. I integrate psychoanalytic hypnotherapy, somatic awareness, and clinical sexology within a reflective, depth-oriented process. Hypnosis functions as a central clinical tool-creating conditions for deeper internal contact with emotional, bodily, and unconscious experience that can be difficult to reach through conversation alone. The aim is not only relief from symptoms, but the development of a more coherent and compassionate relationship with one's inner life: sensations, emotions, impulses, and desires. This work is oriented toward lasting psychological change-and toward greater freedom in how one relates to oneself, one's body, and one's capacity for connection, authenticity, and vitality. It is best suited to those ready to move beyond symptom management toward something more fundamental.  
7 Years Experience
Online in Spearfish, (Online Only)

Clear Path Counseling and Wellness Center

Licensed Professional Counselor, MA. LPC
Life can feel overwhelming when anxiety, trauma, stress, relationship problems, or difficult life transitions begin affecting your emotional well-being and daily life. Therapy provides a safe and supportive space to better understand yourself, heal from past experiences, reduce emotional distress, and create a more meaningful, balanced, and fulfilling life. Many people seek counseling for anxiety, depression, trauma, PTSD, overwhelming emotions, relationship or family issues, grief, burnout, low self-esteem, or simply feeling stuck and disconnected from themselves. Brad provides trauma-informed counseling and EMDR therapy to help clients identify and resolve the deeper issues contributing to emotional pain, unhealthy patterns, and ongoing stress. Together, you will explore current struggles and past experiences to better understand what may be keeping you feeling overwhelmed, unhappy, or unable to move forward. The goal of therapy is not only symptom relief, but meaningful and lasting healing that helps you regain clarity, confidence, peace, and emotional balance. Brad takes a holistic and personalized approach to therapy, recognizing that every person’s experiences, needs, and healing process are unique. His counseling style is warm, compassionate, interactive, and non-judgmental, helping clients feel genuinely supported, understood, and empowered throughout the therapeutic process. Using EMDR therapy (Eye Movement Desensitization and Reprocessing), trauma-focused counseling, and holistic therapeutic approaches, Brad helps clients process unresolved trauma, strengthen emotional resilience, increase self-awareness, and develop healthier ways of coping and relating. Therapy focuses on helping clients break unhealthy patterns, reconnect with their inner strengths, and move beyond the pain of the past so they can live with greater purpose, freedom, and fulfillment. Healing and positive change are possible. No issue is too small or too overwhelming to address in therapy. With the right support, you can reduce stress, restore hope, build resilience, and create the life and relationships you truly want. Virtual counseling and online EMDR therapy sessions are available, providing private and convenient access to professional trauma-focused therapy from the comfort of your home.  
28 Years Experience
Online in Spearfish, (Online Only)

Spearfish, South Dakota therapists Statistics

Therapists in Spearfish, South Dakota average 17 years of experience and charge around $211 per session. 100% offer online sessions. The most commonly treated issues are Anxiety or Fears (82%), Depression (68%), and Stress (52%).

Average years in practice

17 Years Experience

Average cost per session

$211

Accept insurance

36%

Offer sliding scale

33%

Gender ID

64% Female
33% Male
2% Non-Binary
1% Gender Fluid

Session Type

57% In Person and Online
43% Online Only

Top Specialties

82% Anxiety or Fears
68% Depression
52% Stress
49% Trauma and PTSD
45% Self Esteem
42% Loss or Grief
40% Social Anxiety

Ages Served

94% Adult
62% Young Adult
49% Senior
39% Teen
16% Children

Client Focus

51% Women
34% Men
34% LGBTQ+
24% Military / Veterans
18% Christian