If your thoughts, emotions or behaviors are interfering with your daily life — relationships, work, sleep or physical health — it may be time to talk with a professional. You don’t need to be in crisis to reach out. Early support often leads to better outcomes.

Although most of our patients are referred to us, you do not need a referral.

Call (605) 755-7200 or fill out the contact form below. If you or someone you know is in crisis, call or text 988 to reach the Suicide and Crisis Lifeline.

Both psychiatrists and psychologists specialize in mental health, but their training, approach and scope of practice differ in important ways.

A psychiatrist is a medical doctor (M.D. or D.O.) who completed medical school followed by a residency in psychiatry. Because they are physicians, psychiatrists can diagnose mental health conditions, prescribe and manage medications, and provide medically complex care for conditions such as severe depression, bipolar disorder, schizophrenia and more.

A psychologist typically holds a doctoral degree in psychology (Ph.D. or Psy.D.) and specializes in talk therapy, behavioral interventions and psychological testing. In most states, psychologists do not prescribe medication.

At Monument Health’s Behavioral Health Center, our team includes psychiatrists — physicians who can provide comprehensive psychiatric evaluation, diagnosis and medication management alongside your broader care plan.

Inpatient service is for individuals who need 24-hour support in a structured, supervised setting — typically during a mental health crisis or when symptoms require intensive stabilization.

Outpatient service allows you to receive regular therapy and treatment while continuing to live at home, with appointment schedules built around your routine.

Monument Health’s Behavioral Health services are available for patients of all ages — children, adolescents, adults and older adults. Treatment plans are tailored to the unique needs of each age group.

Our team provides evaluation, diagnosis and treatment for a wide range of conditions, including depression, anxiety, bipolar disorder, PTSD, schizophrenia, ADHD, eating disorders, substance use disorders, grief and adjustment disorders, and more.

Psychiatry and medication management are offered. Counseling and therapy are separate.

Depression in teenagers doesn’t always look the way adults expect. While sadness is one sign, it often shows up as irritability, anger or hostility instead. Other signs to watch for include:

• Frequent crying or emotional outbursts
• Withdrawal from friends, family or activities they once enjoyed
• Declining school performance or loss of motivation
• Changes in eating or sleeping habits
• Restlessness, agitation or an inability to concentrate
• Expressions of worthlessness or guilt
• Unexplained physical complaints, such as headaches or stomachaches

If your teen is showing several of these signs consistently, reach out to a health care provider. Early intervention makes a difference. If you believe your teen may be in crisis, call or text 988 or go to your nearest Emergency Room.

Suicide warning signs are not always obvious, but knowing what to look for can save a life. Take any of the following seriously — even if it seems like an offhand comment or minor behavior change:

Things you might hear:

• Direct or indirect talk about wanting to die or not wanting to be here anymore
• Statements like “I’d be better off dead,” “I wish I could disappear forever” or “There’s no way out”
• Romanticizing death or expressing that others would be better off without them

Things you might notice:

• Writing, drawing or creating content centered on death or dying
• Giving away meaningful or prized possessions
• Saying goodbye to people in a way that feels final or out of character
• Reckless behavior or a pattern of accidents resulting in injury
• Researching or seeking access to weapons, medications or other means of self-harm

What to do: If you notice these signs in someone, don’t wait. Ask them directly if they’re thinking about suicide — being straightforward does not put the idea in their head, and it gives them permission to be honest. Stay with them and help connect them to support.

Call or text 988, go to your nearest Emergency Room or call 911 if there is immediate danger.

If you’re concerned that someone may be struggling or thinking about suicide, your instinct to act matters. Here’s how to show up for them:

Take notice. Pay attention to changes in behavior, mood or speech. Something as simple as asking “Are you okay?” signals that you see them and that they’re not invisible to you.

Be present. You don’t need to have all the answers. Saying “I’ve noticed something seems different — can you tell me how you’re feeling?” opens the door without putting them on the defensive.

Ask directly. Don’t be afraid to use the word suicide. Asking someone directly if they’re thinking about ending their life does not plant the idea or encourage them to act — it gives them permission to be honest and lets them know it’s safe to tell you the truth.

Get help — and stay. Don’t leave them alone. Help them take the next step together: “Let’s go to the Emergency Room together,” “Let’s make a safety plan together,” or “Would you be willing to call 988 with me?” Staying with them while they access support is one of the most important things you can do.

Follow up. Check in after the crisis moment has passed. Let them know you’re still there and that you’re following through — not just showing up once. Continued connection is part of the support.

Monument Health accepts most major insurance plans. Contact your insurance provider to confirm your Behavioral Health benefits, or call our team at (605) 755-7200 for assistance.

Your first visit is typically a conversation with a provider to better understand your history, symptoms and goals. From there, your care team will evaluation and work with you to develop a treatment plan.

Treatment length varies widely depending on the individual, the condition being treated and the type of care. Some people benefit from a short course of therapy; others need ongoing support. Your care team will help set realistic expectations and adjust the plan as you progress.