Couples Counseling
Work with an expert therapist to restore connection and strengthen your relationship. Every relationship requires nurturing, and for couples in South Dakota, online support can make it easier to stay consistent. Whether things just got complicated, or it’s been awhile, we can help restore communication & trust. Our couples therapists bring a fresh perspective so you can rediscover the love & commitment needed for a thriving relationship.
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Understanding the landscape of mental health care access and the challenges
couples face across the state.
These statistics reveal South Dakota's couples therapy access strain across South Dakota. In South Dakota, the mental illness prevalence rate is 24.9 percent among adults, and 230,243 residents are experiencing mental illness from Sioux Falls to Pine Ridge. Even when people recognize they need support, access does not reliably follow need: 18.2 percent of adults who needed mental health care did not receive it. Capacity constraints show up in the workforce numbers as well, with 234.4 mental health providers per 100,000 residents available to serve a population spread across 77,116 square miles. Shortages are not limited to a few pockets; 82.02% of South Dakota's 66 counties are designated Mental Health Professional Shortage Areas. For two-partner households seeking specialized relationship support, these system-wide constraints translate into delays, limited choice, and difficulty finding consistent appointment times that work for two schedules split between Black Hills tourism shifts and Sioux Falls credit card hub jobs. Geography intensifies the practical burden of getting help. South Dakota has 12.0 people per square mile, and that low density contributes to longer travel requirements and fewer nearby options for ongoing care from Brookings to Aberdeen. Couples face average 45 mile distances to reach qualified clinicians, turning a single appointment into a 90 mile round trip that can take 2 plus hours over rural roads. The average wait time for therapy in South Dakota is 8 to 12 weeks, stalling progress when relationship conflict is active and both partners need timely support. Costs stack on top of time barriers: at a gas price of $3.30 per gallon, the 90 mile round trip costs $11.88 per session, or $617.76 annually for weekly therapy, a meaningful add-on even with a median household income of $72,421. When winter storms close I-90 between Sioux Falls and Rapid City for weeks, missed sessions and disrupted continuity become more likely, especially for couples balancing Pine Ridge community jobs and Brookings ag-research schedules outside the larger hubs.
UNDERSTANDING THE CHALLENGE
South Dakota's 924,669 residents spread across 77,116 square miles create severe access barriers for couples therapy. With 82.02% of South Dakota's 66 counties designated Mental Health Professional Shortage Areas and just 234.4 providers per 100,000 residents, two partners face average 45 mile distances to reach qualified therapists in Sioux Falls, Rapid City, Aberdeen, or Brookings. At South Dakota's gas price of $3.30/gallon, the 90 mile round trip costs $11.88 per session, or $617.76 annually for weekly therapy, a real expense for couples splitting time between Black Hills tourism work and Sioux Falls credit card hub jobs. Winter storms close I-90 between Rapid City and Sioux Falls for weeks at a time, and the 10 week average wait time compounds these barriers. For South Dakota's median household income of $72,421, these travel costs add significantly to the national average couples therapy rate of $175 to $300/session, especially when one partner works a Pine Ridge community job and the other a Brookings ag-research role.
With 12.0 people per square mile across South Dakota's 66 counties, 230,243 South Dakota residents experiencing mental illness are isolated from care, and 18.2% of those who need treatment cannot access it. The 90 mile round trip to providers in Sioux Falls or Rapid City over rural roads means two partners must sacrifice 2 plus hours and $11.88 per visit from South Dakota's median household income of $72,421, a real strain for a couple splitting time between a Black Hills tourism job and a Sioux Falls financial sector schedule. Winter storms close I-90 and US-83 for weeks, cutting off access entirely. South Dakota's agricultural economy compounds the problem: dawn-to-dusk corn, soybean, and cattle schedules near Aberdeen and Brookings conflict directly with standard therapy hours, and couples therapy requires both partners to attend regularly, multiplying the scheduling burden when one works a Pierre government job and the other manages a Missouri River Valley ranch.
For South Dakota's 230,243 residents needing mental health care across 77,116 square miles, Grouport eliminates the 90 mile round trips, $617.76 in annual travel costs, and 10 week waitlists that make traditional couples therapy inaccessible from Sioux Falls to Rapid City. South Dakota couples connect with licensed therapists via secure video from a Black Hills cabin or a Brookings family kitchen, with no winter storm risks on I-90, no 2 hour drives to Sioux Falls, and no scheduling around corn and cattle work demands. Therapists match within 24 to 48 hours versus South Dakota's 10 week average. At $114 per session on average ($492 per month), which is 50 to 60% below the national average of $175 to $300 per session, South Dakota couples save $617.76 annually in eliminated fuel costs alone while accessing care that 234.4 providers per 100,000 residents cannot deliver across 66 counties.
Online couples therapy reduces access barriers for South Dakota two-partner households by removing the need for long-distance driving during Black Hills and Missouri River Valley winter storms, making scheduling easier for agricultural work hours near Aberdeen and Brookings, and allowing couples to begin care quickly even when in-person options in Sioux Falls and Rapid City have long waits. Video-based sessions also help residents in smaller communities like Pierre or near Pine Ridge maintain privacy while still receiving consistent support together for relationship stress, communication difficulties, and conflict resolution.
South Dakota's couples therapy access barriers are shaped by statewide provider scarcity and long delays. With 82.02% of the state's 66 counties designated Mental Health Professional Shortage Areas and only 234.4 mental health providers per 100,000 residents, two-partner households in Sioux Falls, Rapid City, Aberdeen, and Brookings have limited options for specialized relationship care. The average wait time for therapy in South Dakota is 8 to 12 weeks, difficult to navigate when conflict is active and both partners need coordinated scheduling around Black Hills tourism work or Sioux Falls credit card hub jobs. These constraints are reflected in unmet need, with 18.2 percent of adults who needed mental health care not receiving it.
Grouport provides South Dakota couples with therapy at $114 per session on average ($492/month), compared with the national average of $175 to $300 per session and $757 to $1,299 per month. That pricing difference matters in a state where access is already constrained by an 8 to 12 week average wait time and 82.02% of the state's 66 counties designated as Mental Health Professional Shortage Areas. When two-partner households in Sioux Falls, Rapid City, or Brookings are forced to choose between affordability and availability, delays and inconsistent care become more likely, especially when both partners must attend regularly around Black Hills tourism shifts or credit card hub schedules.
At $114 per session on average ($492 per month), Grouport's couples therapy is priced 50 to 60% below the national average of $175 to $300 per session. For South Dakota's median household income of $72,421, that per-session cost represents 0.16% of annual income per session, compared with 0.24% to 0.41% at national average rates. In a system where South Dakota has 234.4 mental health providers per 100,000 residents and 82.02% of the state is designated as a shortage area, cost is only one part of the decision for two-partner households; the ability to start care without an 8 to 12 week delay can determine whether couples in Sioux Falls or Aberdeen get support while problems are still manageable. When 18.2 percent of adults who needed mental health care did not receive it, affordability and timely access become tightly linked for residents trying to secure consistent relationship support.
Beyond session fees, South Dakota's rural geography creates substantial barriers to traditional couples therapy. With an average distance of 45 miles to reach qualified professionals in Sioux Falls or Rapid City, two-partner households face a 90 mile round trip per session. At current fuel costs of $3.30 per gallon, this adds approximately $12 in gas expenses per visit. Over a year of weekly therapy, South Dakota couples would drive 4,680 miles and spend $618 on fuel alone, separate from the therapy fee. The 2 plus hour drive time per visit also creates indirect costs, including time away from Black Hills tourism work and reduced flexibility for scheduling sessions both partners can attend together. Winter storms across I-90 can make travel dangerous or impossible for weeks, increasing the risk of missed appointments even when a couple is committed to showing up consistently.
South Dakota's 10 week average wait time for couples therapy means 70 days without professional support while relationship conflict may escalate. In a state where 82.02% of counties are shortage areas, that delay is often paired with limited choice and fewer appointment times that work for two schedules split between Sioux Falls financial sector hours and Black Hills tourism shifts. Grouport eliminates this wait with therapist matching in 24 to 48 hours, allowing South Dakota couples to begin structured support sooner and maintain continuity without relying on long-distance travel to Rapid City or Aberdeen.
Choose the right service you are looking for and then simply sign up for a plan.
We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24 hours - 72 hours)
Meet weekly with your therapist for 45-minute video sessions for consistent care with real results.
Every couple faces challenges that test their relationship. It can happen early on or after years in a relationship. No matter the circumstance, couples counseling offers unbiased support and structure in a comfortable setting. You’ll learn conflict-resolution strategies, identify recurring patterns, while building a healthier, stronger, loving relationship.
Marriage is work, and it’s normal to need outside trusted guidance. Marriage counseling will allow you and your spouse to tackle these issues head on. Sessions will help you identify the root of your problems and come up with effective strategies to address them on a routine basis. Having this open communication and weekly time to just hone in on your marriage, will allow your relationship to thrive.
The days leading up to a wedding can be stressful. Premarital counseling can help you prior to getting married, but also prepare you both for married life. Premarital counseling allows you to start your lives together on a solid footing. Having this dynamic going into a marriage, will allow for the open communication and relevant skills so that you continually invest in a successful marriage.
Check out how our services have helped our members see life-changing results
Sarah

"It’s helped our family improve communication, control anger, and it’s helped my husband and I parent better. I’m forever grateful for bringing our family even closer together."
Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."
Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"
Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."
Benjamin

"Adam is helping me to approach my anxieties from a different perspective. So I’m working on developing this awareness and not be too fearful about it."
Charlotte

“Group therapy depends on the facilitator and the participants. This particular one is great for both.”
Melanie

“I love getting another perspective on an issue from another participant. It changes my whole thought process and really helps me see things clearly. I like Grouport because there is no pressure to discuss your problems. During my good weeks, I usually have a similar problem to someone else in the group that's in the back of my mind. They bring that problem to life when they talk about their own situations. We always come to a solution for these negative thoughts or emotions.”
Julia

“Ability to discuss my issues openly in front of others and get feedback that I can use in the future” , “Wonderful opportunity and great pricing! Happy to have found Grouport :)”
Martha

“Liked working with Matthew the therapist. His insight and familiarity with the materials was really helpful. He was welcoming and happy to help.”
Megan

“I look forward to seeing the same group of people every week and helping each other out.”
Allison

“I’ve always found group therapy to be helpful. It’s good to hear likeminded people.”
Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”
Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”
Barbara

“Human interactions. My ability to fit into a social context and be able to observe, function , and respond, to others in a more conscious way. To be aware of my feelings (reactions) to the dynamics in the group and feel comfortable expressing my feelings.”
Kelly

“It's difficult for me to stay motivated to practice DBT and this group helps me. It helps me focus and practice DBT skills for an hour. I'm unable to do this on my own. And it's nice to be around a group of people for support.”
Trevor

“The group gives me something to work towards, and provides other outlooks you normally wouldn't consider.”
Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”
Daniel

“It works well, it’s pretty effortless. I’m able to express my struggles and concerns to a group, and get practical feedback.”
Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”
Judy

“I’m enjoying the group and learning some new things. It’s a relaxed atmosphere and a place to share listen and learn. Group is great as is the therapist! Highly recommend!”
Ross

“It’s been a useful forum for the family to meet and discuss problems with communication. Previously, people in my family were hesitant to really be honest, and this forum allows for that.”
Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”
Phoebe

“I’ve always found group therapy to be helpful. It’s good to hear likeminded people.”

Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.
FIND YOUR MATCH$123/session
billed at $492/month
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