Anxiety and depression therapists and psychiatrists in Sioux Falls, SD

I'm a Licensed Professional Counselor based in South Dakota, and I work exclusively via telehealth — which means I can see clients from anywhere in the state, whether you're in Sioux Falls, a reservation community, or a town with one stoplight. I have a background in school counseling, which means I understand how kids think, how families work, and how what happens at school follows everyone home. I work with people of all ages — from young children to seniors — including military families, new and expecting mothers, adults carrying old trauma, and anyone somewhere in the middle of a hard season. I tend to be warm but direct. I won't waste your time dancing around what's actually going on.

With 10+ yrs. as a licensed therapist and 15+ yrs. working in the human services field, I have assisted many individuals, couples, and families through life’s challenges. I have extensive experience working in a variety of settings. Settings have included private practice, non-profit organizations, in-home therapy, therapeutic group homes, and juvenile & adult detention centers.

If you’re feeling overwhelmed by anxiety, stuck in painful relationship patterns, carrying the effects of trauma, or facing a life transition that feels hard to manage, therapy can be a place to exhale. I work with adults who want support making sense of what they’re going through and finding practical ways to feel more grounded, understood, and in control. I also support clients navigating family dynamics, including experiences related to autism, adoption, and complex relationships.

I am a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to delivering personalized, evidence-based support to individuals of all ages. I have over 13 years of experience in healthcare, and I hold degrees in both Sociology and Nursing. I have a strong desire to make a meaningful difference in mental health care.

Feeling overwhelmed, anxious, or stuck? You don’t have to face it alone. I help individuals navigate life’s challenges, manage difficult emotions, and build a life that feels more balanced and meaningful. I recognize that seeking support can be one of the hardest steps to take – I strive to make our space feel safe, nonjudgmental, and empower you to be your authentic self. I specialize in working with adolescents, adults and older adults experiencing anxiety, depression, stress, grief and loss, end of life concerns, relationship challenges, low self-esteem, or simply struggling to cope with life's demands. If you’re ready to feel more like yourself again, I’d be honored to walk alongside you. Schedule a session when you’re ready.

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.

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

Some pain doesn't get easier with time. It just gets more familiar.

I work with people who have been carrying something heavy for a long time: survivors of childhood neglect and trauma, people navigating the aftermath of sexual, physical, emotional, or religious violence, and those whose sense of self has been fractured by relational or spiritual betrayal. I also work with Veterans living with PTSD, depression, and substance use, and with thoughtful professionals seeking deep, ongoing therapy to work through disrupted beliefs or a life that has lost its meaning. My practice is open to people across the full lifespan, including children and adolescents.