

Whether you're addressing alcohol use disorder, opioid dependence, or other substance misuse, Headway provides accessible addiction counseling in Sioux Falls through 30 providers. Sessions support dual diagnosis treatment and recovery goals with talk therapy and medication management available.
Are you struggling with anxiety, relationship, or addiction issues? I specialize in all three of those. With my 20 years of experience I can help you get the change and relief you are looking for. Most of my clients start to feel better within a couple of sessions. Therapy can be short or long term and I will work with you on a plan that works best for you and your needs. Some of my other experience includes, depression, mood disorders, couples/family issues, major life changes, grief, divorce, domestic violence, parenting, trauma, and adjustments to adult children.
Outside of my work as a therapist, I enjoy spending time outdoors, riding my horses, and being with my family. These activities help me stay grounded and connected to what matters most in life. I value balance, authenticity, and meaningful relationships, and I bring those same values into my work with clients. I strive to create a welcoming, supportive environment where clients feel comfortable being themselves and working toward their goals.
If you've been told your anxiety, exhaustion, or emotional shifts are "just stress" or "just aging" — and something in you knows it's more than that — you're in the right place. I'm Kristal, a licensed therapist with over 15 years of experience supporting people through life's most challenging transitions. That career — rooted in crisis intervention, child welfare, and working alongside people experiencing homelessness — built in me a deep capacity to sit with complexity, pain, and change without flinching. That foundation now drives my specialized work with women navigating perimenopause and menopause. I bring both clinical expertise and lived experience to this work. I've walked this road myself — which means when you show up, you will be genuinely seen and heard, perhaps in a way you haven't been in a long time.
Check me out on the Grit to Growth Podcast: https://www.youtube.com/watch?v=mTvAK4pRlkM
With over 25 years of experience as a Licensed Clinical Social Worker, I specialize in supporting individuals navigating grief and loss, life transitions, chronic illness, trauma (including first responders), aging-related concerns, and members of the agricultural and farming communities.
I provide telehealth services across multiple states, I’m here to support you on your journey toward healing and growth.
Hi! I am Adriane Cox, a Licensed Clinical Social Worker and founder of Cox Mental Health and Wellness. I work with adults experiencing anxiety, depression, trauma, post-traumatic stress disorder, life transitions and chronic pain.


Headway makes it easier to find support for overcoming addiction — from finding the right provider, to understanding costs, to scheduling with ease.
Finding addiction therapists in Sioux Falls starts with knowing what kind of support fits your needs. Addiction care can include support for alcohol use, drug use, substance use patterns, gambling, or other behavioral concerns. As you compare therapists, look for experience with approaches like motivational interviewing, cognitive behavioral therapy for substance use, harm reduction, or coordination with medication-supported care. Some people may also work with a prescriber as part of their care team.
In a mid-size city like Sioux Falls, local options may include both in-person therapy and virtual appointments across South Dakota. Virtual care can expand your choices if you want more scheduling options or a therapist with specific addiction experience. As you narrow your search, review whether each therapist is accepting new patients, offers appointment times that fit your schedule, and provides a free phone consultation. Reading therapist bios can also show how they describe their approach, including whether they use a nonjudgmental, harm reduction-informed framework.
Therapy in Sioux Falls can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs. Headway helps you find therapists who accept a wide range of insurance plans, see your estimated out-of-pocket cost before booking, and compare profiles in one place. You can browse therapists, review specialties and availability, and book directly when you’re ready.
If you or someone you know is experiencing severe withdrawal symptoms — especially from alcohol or benzodiazepines — talk to a medical provider or seek emergency care before starting outpatient therapy. If you or someone you know is struggling with addiction or substance use and is in a crisis, immediately reach out to:
* 988 Suicide & Crisis Lifeline — call or text 988 * SAMHSA National Helpline — 1-800-662-HELP (4357), free, confidential, 24/7 * Crisis Text Line — text HOME to 741741
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