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Cognitive Behavioral Therapy in South Dakota

Clear your mind. Regain your strength.


Are you constantly battling self-doubt, anxiety, or emotional exhaustion? You’re not alone—and there are practical, effective tools to help. At Shiloh Hill Counseling, we offer online Cognitive Behavioral Therapy (CBT) to adults across South Dakota, helping you identify the mental habits that hold you back and replace them with clarity, confidence, and control.


Whether you’re facing anxiety, depression, grief, perfectionism, or ADHD, CBT can help you break free from patterns that keep you stuck and start living with more purpose.


What Is CBT?

Cognitive Behavioral Therapy (CBT) is a goal-oriented, evidence-based therapy that teaches you how to change your thought patterns so you can feel and function better. It’s based on the principle that our thoughts shape our emotions and behaviors—and by learning how to shift those thoughts, we can change our experience of life.

CBT is especially effective for:

  • Anxiety, panic, and chronic worry
  • Depression and low self-esteem
  • Grief and emotional overwhelm
  • ADHD and mental clutter
  • Perfectionism and burnout
  • Life transitions and stress management


What CBT Looks Like at Shiloh Hill Counseling

At Shiloh Hill Counseling, CBT is a collaborative and customized experience. You won’t be handed a list of generic strategies. Instead, we’ll walk through the process together, helping you:

  • Understand how your thoughts affect your emotions and actions
  • Reframe negative beliefs and thinking traps
  • Learn new ways to manage stress, anxiety, and decision-making
  • Practice tools between sessions so change sticks
  • Gain insight and confidence to face life’s challenges


Why Choose Shiloh Hill Counseling for CBT in South Dakota?

Led by Adria Hagg, LCSW, our practice is grounded in over a decade of clinical experience and a deep understanding of the unique stressors that adults in rural and urban South Dakota face. From busy professionals to adults navigating major life changes, we offer a space to feel heard, supported, and empowered.

Here’s what we offer:

  • 100% secure online therapy throughout South Dakota
  • Private pay therapy with no insurance limitations or diagnosis labels
  • We do accept Sanford, Quest, Aetna and offer OON superbills 
  • Expertise in anxiety, grief, burnout, ADHD, and more
  • Personalized care for high-functioning adults and professionals
  • Flexible scheduling and compassionate support

Is CBT Right for You?

CBT may be the right fit if you’re:

  • Tired of repeating the same emotional patterns
  • Struggling with racing thoughts or constant worry
  • Wanting structure and tools to feel more in control
  • Looking for therapy that focuses on practical, lasting change

You don’t have to keep managing it all alone. CBT gives you tools to take control back—step by step.


Start CBT Therapy in South Dakota Today

If you’re ready to reduce stress, change the way you think, and improve your emotional well-being, Cognitive Behavioral Therapy at Shiloh Hill Counseling can help.

Reach out today to schedule and learn more about how CBT can support you—right from the comfort of your home in South Dakota.

Shiloh Hill Counseling

Online CBT and therapy services for adults in South Dakota, Michigan, Colorado, Florida, and New Mexico.