🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 37 (from laksa174)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa037.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical, ml_categories_json AS ml_categories_json, ml_types_json AS ml_types_json, ml_intent_types_json AS ml_intent_types_json, meta_language AS meta_language, attrs_author AS attrs_author, ifNull(toUnixTimestamp(attrs_publish_time), 0) AS attrs_publish_time, ifNull(toUnixTimestamp(attrs_original_publish_time), 0) AS attrs_original_publish_time, ifNull(attrs_is_republished, 0) AS attrs_is_republished, ifNull(attrs_nr_words, 0) AS attrs_nr_words, ifNull(attrs_boilerpipe_nr_words, 0) AS attrs_boilerpipe_nr_words, ifNull(body_ext_links_number, 0) AS body_ext_links_number, ifNull(body_int_links_number, 0) AS body_int_links_number, ifNull(meta_nofollow, 0) AS meta_nofollow, ifNull(meta_noarchive, 0) AS meta_noarchive, ifNull(props_was_rendered, 0) AS props_was_rendered, ifNull(src_redirect, \'\') AS src_redirect, ifNull(download_time_msec, 0) AS download_time_msec, ifNull(download_ttfb_msec, 0) AS download_ttfb_msec, ifNull(download_size, 0) AS download_size FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://ensomh.com/\')), getAhrefsUnparsedNoserviceFromURL(\'https://ensomh.com/\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/ensomh.com\/","crawl_time":1776330074,"first_indexed_time":1588374930,"http_code":200,"src_unparsed":"com,ensomh!\/ s443","src_root_hash":"6859304656334396637","history_drop_reason":null,"meta_title":"Adult, Child and Couples Therapy and Counseling | Spearfish SD","meta_descriptions":["Ensō Mental Health in Spearfish, SD, offers a wide range of therapy services, including individual, couples, family, and specialized therapies"],"attrs_boilerpipe_text":"Transform Your Life with\nTherapy at Ensō Mental Health\nIndividual Therapy\nCouples Therapy\nTeen Therapy\nChildren (Play Therapy)\nGroups\nFamily Therapy\nWhat to expect from our counseling\nAnxiety Therapy\nAre anxiety and stress interfering with your daily activities and relationships?  Therapy at Ensō Mental Health can help!\nLearn More\nDepression Therapy\nAre you feeling sad, low motivation, or even having suicidal thoughts?  Call us at Ensō Mental Health to find out how we can help!\nLearn More\nDisordered Eating Counseling\nDo you struggle with body image, or find yourself obsessing over food, your weight, or exercise?  Contact us at Ensō Mental Health to find out how we can help!\nLearn More\nGrief & Loss Therapy\nHave you experienced a loss that has left you struggling to recover or find meaning moving forward?  Let us help you heal with our compassionate therapists at Ensō Mental Health.\nLearn More\nMaternal & Postpartum Therapy\nAre you entering into or emerging from the journey of motherhood and finding it difficult to navigate?  Call us to schedule with our specialized therapists who can help at Ensō Mental Health.\nLearn More\nMens’ Issues\nAre you a man who is experiencing pressure or stress related to the unique societal expectations of masculinity?  We can help at Ensō Mental Health - call us to schedule.\nLearn More\nSexual Health & Intimacy Issues\nDo you want to improve intimacy in your relationship or find sex to be painful or difficult?  Our professional therapists at Ensō Mental Health are equipped to help you find ways to thrive.\nLearn More\nParenting Issues Counseling and Therapy\nAre you a parent and having difficulty with the demands of raising your children?  Our experienced therapists at Ensō Mental Health are here to support you and offer guidance to help your relationship with your kids become fun again!\nLearn More\nContact us today\nBilling Questions? Need to find the right therapist for you?\nWant to schedule an appointment?\nWhat clients say about us\nShannon is truly amazing! She helped me through really stressful and difficult times of my life. She gave me amazing tools to improve relationships with others and learning to care for myself. Shannon is very caring and loving. Shannon’s guidance to move onto the next chapter of my life is a huge blessing!\nAbsolutely AMAZING.! Joanna is a great Therapist. She manage to know exactly what is happening in my head when I don’t even know it. She have been helping me to heal myself, showing me how to do it. Super professional and super nice and sweet person. Excellent in her job. I don’t have more than very good things to say about her. Mental health is as important as physical Health. (Specially now in the middle of the pandemic) I absolutely recommend her. Really. 20 stars if I could.\nThis is the best counseling service I have ever worked with. I see Heather for “regular” therapy and I had the pleasure of working with Shannon for EMDR for trauma processing. Both of these ladies are amazing, intelligent, and so compassionate. My quality of life has improved and they both helped equip me with coping skills I use every day. Their online portal is really easy to use and I have also utilized their telehealth during bad weather. If you’re hesitant about reaching out, don’t be. I highly recommend.\nWhat Is An Ensō?\nEnsō, meaning ‘circular form’ in Japanese, and is a form of art as meditation, symbolizing perfection in imperfection – especially when drawn as an incomplete circle.  Usually a person draws the ensō in one fluid, expressive stroke, and once the ensō is drawn, it isn’t changed.  It reflects the character of its creator and the context of its creation in a brief period of time – perfectly capturing that moment.\nEnsō represents our belief that all people are both a work in progress, and perfectly imperfect all at once.\nThe ensō captures our approach in therapy to meet you right where you are, even in the midst of where you want to go.  \nOur Team\nJoAnna Prewitt\nOutpatient Therapist \/ Executive Director \/ Owner\nMeet JoAnna\nJess Rear\nSenior Client Care Coordinator\nMeet Jess","attrs_markdown":"[![Enso Mental Health](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/enso_logo_200.jpg)](https:\/\/ensomh.com\/)\n\n[Call (605) 519-5850](tel:605-519-5850)\n\n[Text (605) 519-5850](sms:605-519-5850)\n\n[Make Appointment](https:\/\/www.therapyportal.com\/p\/ensomh\/)\n\n- [Home](https:\/\/ensomh.com\/)\n- [Meet Our Staff](https:\/\/ensomh.com\/meet-our-staff\/)\n- [Services](https:\/\/ensomh.com\/services\/)\n  - [Individual Therapy](https:\/\/ensomh.com\/services\/individual-therapy\/)\n  - [Couples Therapy](https:\/\/ensomh.com\/services\/couples-therapy\/)\n  - [Adolescent & Teen Therapy](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n  - [Children (Play Therapy)](https:\/\/ensomh.com\/services\/children-play-therapy\/)\n  - [Therapy Workshops and Group Therapy](https:\/\/ensomh.com\/services\/groups\/)\n  - [Family Therapy](https:\/\/ensomh.com\/services\/family-therapy\/)\n  - [Strength-Based Clinical Supervision & Consultation](https:\/\/ensomh.com\/services\/clinical-supervision\/)\n- [What We Treat](https:\/\/ensomh.com\/specialties\/)\n  - [Anxiety Therapy](https:\/\/ensomh.com\/specialties\/anxiety\/)\n  - [Depression Therapy](https:\/\/ensomh.com\/specialties\/depression-therapy\/)\n  - [Post Traumatic Stress Disorder PTSD Therapy](https:\/\/ensomh.com\/specialties\/post-traumatic-stress-disorder\/)\n  - [Relationships and Couples](https:\/\/ensomh.com\/specialties\/relationships-and-couples\/)\n  - [Disordered Eating Counseling](https:\/\/ensomh.com\/specialties\/disordered-eating\/)\n  - [Grief & Loss Therapy](https:\/\/ensomh.com\/specialties\/grief-loss\/)\n  - [Maternal & Postpartum Therapy](https:\/\/ensomh.com\/specialties\/maternal-postpartum\/)\n  - [Mens’ Issues](https:\/\/ensomh.com\/specialties\/mens-issues\/)\n  - [Life Transitions & Aging Counseling](https:\/\/ensomh.com\/specialties\/life-transitions-aging\/)\n  - [Behavioral Issues & Learning Disorders in Children](https:\/\/ensomh.com\/specialties\/behavioral-issues-learning-disorders-in-children\/)\n  - [Sexual Health & Intimacy Issues](https:\/\/ensomh.com\/specialties\/sexual-health-intimacy-issues\/)\n  - [Parenting Issues Counseling and Therapy](https:\/\/ensomh.com\/specialties\/parenting-issues\/)\n- [How We Treat](https:\/\/ensomh.com\/how-we-treat\/)\n  - [Cognitive Behavior Therapy (CBT)](https:\/\/ensomh.com\/how-we-treat\/cognitive-behavior-therapy-cbt\/)\n  - [Dialectical Behavior Therapy (DBT)](https:\/\/ensomh.com\/how-we-treat\/dialectical-behavior-therapy-dbt\/)\n  - [Internal Family Systems (IFS)](https:\/\/ensomh.com\/how-we-treat\/internal-family-systems-ifs\/)\n  - [Gottman Method Therapy](https:\/\/ensomh.com\/how-we-treat\/gottman-method\/)\n  - [Eye Movement Desensitization & Reprocessing (EMDR)](https:\/\/ensomh.com\/how-we-treat\/eye-movement-desensitization-reprocessing-emdr\/)\n  - [Trauma Informed Supportive Therapy](https:\/\/ensomh.com\/how-we-treat\/trauma-informed-supportive-therapy\/)\n  - [Play Therapy](https:\/\/ensomh.com\/how-we-treat\/play-therapy\/)\n  - [Child Parent Relationship Therapy (CPRT)](https:\/\/ensomh.com\/how-we-treat\/child-parent-relationship-therapy-cprt\/)\n  - [Sexual Wellness Therapy](https:\/\/ensomh.com\/sexual-wellness-therapy\/)\n- [FAQ](https:\/\/ensomh.com\/faq\/)\n- [Join Our Team](https:\/\/ensomh.com\/join-our-team\/)\n- [Blog](https:\/\/ensomh.com\/blog\/)\n- [Make Appointment](https:\/\/www.therapyportal.com\/p\/ensomh\/)\n- [Contact Us](https:\/\/ensomh.com\/contact-us\/)\n  - [New Client Inquiry](https:\/\/ensomh.com\/contact-us\/contact-new-client-inquiry\/)\n  - [Provider Referral Form](https:\/\/ensomh.com\/contact-us\/contact-provider-referral-form\/)\n\n[Make Appointment](https:\/\/www.therapyportal.com\/p\/ensomh\/)\n\nDedicated to Providing You with Competent, Compassionate Mental Health Care\\!\n\n[Call (605) 519-5850](tel:605-519-5850) [Make an Appointment](https:\/\/www.therapyportal.com\/p\/ensomh\/)\n\nText (605) 519-5850\n\n![]() ![Ensō Mental Health]() ![slide]()\n\n### Transform Your Life with  Therapy at Ensō Mental Health\n[![individual](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)![individual](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/individual_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![Individual Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)\n\n![Individual Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/individual_blue.svg)\n#### Individual Therapy\n[Learn More](https:\/\/ensomh.com\/services\/individual-therapy\/)\n\n[![couples](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)![couples](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/couples_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![couples](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)\n\n![couples](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/couples_blue.svg)\n#### Couples Therapy\n[Learn More](https:\/\/ensomh.com\/services\/couples-therapy\/)\n\n[![teen purple](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)![teen purple](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/teen_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![Teen Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)\n\n![Teen Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/teen_blue.svg)\n#### Teen Therapy\n[Learn More](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n[![Children](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)![Children](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/children_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![children](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)\n\n![children](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/children_blue.svg)\n#### Children (Play Therapy)\n[Learn More](https:\/\/ensomh.com\/services\/children-play-therapy\/)\n\n[![Groups](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)![Groups](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/groups_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![Groups](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)\n\n![Groups](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/groups_blue.svg)\n#### Groups\n[Learn More](https:\/\/ensomh.com\/services\/groups\/)\n\n[![Family Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)![Family Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/family_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![family](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)\n\n![family](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/family_blue.svg)\n#### Family Therapy\n[Learn More](https:\/\/ensomh.com\/services\/family-therapy\/)\n\n### What to expect from our counseling\nWhat We Treat\n\nHow We Treat\n\nWhat We Treat\n\n[![Anxiety Treatment](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Anxiety Treatment](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Anxiety_Treatment-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/anxiety\/)\n\n#### [Anxiety Therapy](https:\/\/ensomh.com\/specialties\/anxiety\/)\nAre anxiety and stress interfering with your daily activities and relationships? Therapy at Ensō Mental Health can help\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/anxiety\/)\n\n[![Depression Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Depression Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Depression_Therapy-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/depression-therapy\/)\n\n#### [Depression Therapy](https:\/\/ensomh.com\/specialties\/depression-therapy\/)\nAre you feeling sad, low motivation, or even having suicidal thoughts? Call us at Ensō Mental Health to find out how we can help\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/depression-therapy\/)\n\n[![Post Traumatic Stress Disorder](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Post Traumatic Stress Disorder](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Post_Traumatic_Stress_Disorder-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/post-traumatic-stress-disorder\/)\n\n#### [Post Traumatic Stress Disorder PTSD Therapy](https:\/\/ensomh.com\/specialties\/post-traumatic-stress-disorder\/)\nHave you been through something traumatic and struggling to return to feeling like your \"normal\" self? We can help with trauma informed therapy at Ensō Mental Health\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/post-traumatic-stress-disorder\/)\n\n[![Couples therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Couples therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Relationships_and_Couples-1024x683.jpg)](https:\/\/ensomh.com\/specialties\/relationships-and-couples\/)\n\n#### [Relationships and Couples](https:\/\/ensomh.com\/specialties\/relationships-and-couples\/)\nAre you struggling in one or more of your relationships? Learn how therapy at Ensō Mental Health can help.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/relationships-and-couples\/)\n\n[![Disordered Eating Counseling](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20678'%3E%3C\/svg%3E)![Disordered Eating Counseling](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/Disordered_Eating-1024x678.jpg)](https:\/\/ensomh.com\/specialties\/disordered-eating\/)\n\n#### [Disordered Eating Counseling](https:\/\/ensomh.com\/specialties\/disordered-eating\/)\nDo you struggle with body image, or find yourself obsessing over food, your weight, or exercise? Contact us at Ensō Mental Health to find out how we can help\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/disordered-eating\/)\n\n[![Grief loss therapy and counseling](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20684'%3E%3C\/svg%3E)![Grief loss therapy and counseling](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Grief_Loss-1024x684.jpeg)](https:\/\/ensomh.com\/specialties\/grief-loss\/)\n\n#### [Grief & Loss Therapy](https:\/\/ensomh.com\/specialties\/grief-loss\/)\nHave you experienced a loss that has left you struggling to recover or find meaning moving forward? Let us help you heal with our compassionate therapists at Ensō Mental Health.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/grief-loss\/)\n\n[![Maternal Postpartum Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Maternal Postpartum Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Maternal_and_Postpartum-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/maternal-postpartum\/)\n\n#### [Maternal & Postpartum Therapy](https:\/\/ensomh.com\/specialties\/maternal-postpartum\/)\nAre you entering into or emerging from the journey of motherhood and finding it difficult to navigate? Call us to schedule with our specialized therapists who can help at Ensō Mental Health.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/maternal-postpartum\/)\n\n[![Grief and Loss Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Grief and Loss Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Mens_Issues-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/mens-issues\/)\n\n#### [Mens’ Issues](https:\/\/ensomh.com\/specialties\/mens-issues\/)\nAre you a man who is experiencing pressure or stress related to the unique societal expectations of masculinity? We can help at Ensō Mental Health - call us to schedule.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/mens-issues\/)\n\n[![Life Transitions & Aging](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Life Transitions & Aging](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Life_Transitions_Aging-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/life-transitions-aging\/)\n\n#### [Life Transitions & Aging Counseling](https:\/\/ensomh.com\/specialties\/life-transitions-aging\/)\nAre you in the midst of a major life transition and feeling overwhelmed or struggling with the change? Reach out to us at Ensō Mental Health for support today\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/life-transitions-aging\/)\n\n[![Behavioral Issues & Learning Disorders in Children](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Behavioral Issues & Learning Disorders in Children](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Behavioral_Issues_Learning_Disorders_in_Children-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/behavioral-issues-learning-disorders-in-children\/)\n\n#### [Behavioral Issues & Learning Disorders in Children](https:\/\/ensomh.com\/specialties\/behavioral-issues-learning-disorders-in-children\/)\nIs your child struggling with difficulty concentrating, disruptive behaviors, or communication challenges at school or home? Our specialized child therapists at Ensō Mental Health can help\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/behavioral-issues-learning-disorders-in-children\/)\n\n[![Sexual Health & Intimacy Issues](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20684'%3E%3C\/svg%3E)![Sexual Health & Intimacy Issues](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Sexual_Health_and_Intimacy_Issues-1024x684.jpeg)](https:\/\/ensomh.com\/specialties\/sexual-health-intimacy-issues\/)\n\n#### [Sexual Health & Intimacy Issues](https:\/\/ensomh.com\/specialties\/sexual-health-intimacy-issues\/)\nDo you want to improve intimacy in your relationship or find sex to be painful or difficult? Our professional therapists at Ensō Mental Health are equipped to help you find ways to thrive.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/sexual-health-intimacy-issues\/)\n\n[![Parenting Issues](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20684'%3E%3C\/svg%3E)![Parenting Issues](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Parenting_Issues-1024x684.jpeg)](https:\/\/ensomh.com\/specialties\/parenting-issues\/)\n\n#### [Parenting Issues Counseling and Therapy](https:\/\/ensomh.com\/specialties\/parenting-issues\/)\nAre you a parent and having difficulty with the demands of raising your children? Our experienced therapists at Ensō Mental Health are here to support you and offer guidance to help your relationship with your kids become fun again\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/parenting-issues\/)\n\nHow We Treat\n\n[![CBT Cognitive Behavior Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![CBT Cognitive Behavior Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/CBT-1-1024x683.jpg)](https:\/\/ensomh.com\/how-we-treat\/cognitive-behavior-therapy-cbt\/)\n\n#### [Cognitive Behavior Therapy (CBT)](https:\/\/ensomh.com\/how-we-treat\/cognitive-behavior-therapy-cbt\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/cognitive-behavior-therapy-cbt\/)\n\n[![DBT Dialectical Behavior Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![DBT Dialectical Behavior Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/DBT-1024x683.jpg)](https:\/\/ensomh.com\/how-we-treat\/dialectical-behavior-therapy-dbt\/)\n\n#### [Dialectical Behavior Therapy (DBT)](https:\/\/ensomh.com\/how-we-treat\/dialectical-behavior-therapy-dbt\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/dialectical-behavior-therapy-dbt\/)\n\n[![IFS Internal Family Systems](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![IFS Internal Family Systems](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/Internal_Family_Systems-1024x683.jpg)](https:\/\/ensomh.com\/how-we-treat\/internal-family-systems-ifs\/)\n\n#### [Internal Family Systems (IFS)](https:\/\/ensomh.com\/how-we-treat\/internal-family-systems-ifs\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/internal-family-systems-ifs\/)\n\n[![Gottman Method for Couples Therapy Spearfish, SD](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Gottman Method for Couples Therapy Spearfish, SD](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/GOTTMAN-1024x683.jpg)](https:\/\/ensomh.com\/how-we-treat\/gottman-method\/)\n\n#### [Gottman Method Therapy](https:\/\/ensomh.com\/how-we-treat\/gottman-method\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/gottman-method\/)\n\n[![EMDR Therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![EMDR Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/EMDR-1024x683.jpg)](https:\/\/ensomh.com\/how-we-treat\/eye-movement-desensitization-reprocessing-emdr\/)\n\n#### [Eye Movement Desensitization & Reprocessing (EMDR)](https:\/\/ensomh.com\/how-we-treat\/eye-movement-desensitization-reprocessing-emdr\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/eye-movement-desensitization-reprocessing-emdr\/)\n\n[![Trauma Informed therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Trauma Informed therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/TRAUMA_INFORMED_THERAPY-1024x683.jpg)](https:\/\/ensomh.com\/how-we-treat\/trauma-informed-supportive-therapy\/)\n\n#### [Trauma Informed Supportive Therapy](https:\/\/ensomh.com\/how-we-treat\/trauma-informed-supportive-therapy\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/trauma-informed-supportive-therapy\/)\n\n[![Play therapy](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20683'%3E%3C\/svg%3E)![Play therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/Play_therapy-1024x683.jpg)](https:\/\/ensomh.com\/how-we-treat\/play-therapy\/)\n\n#### [Play Therapy](https:\/\/ensomh.com\/how-we-treat\/play-therapy\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/play-therapy\/)\n\n[![Child Parent Relationship Therapy (CPRT)](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%20684'%3E%3C\/svg%3E)![Child Parent Relationship Therapy (CPRT)](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/Parent_child_interaction_therapy-jpg-1024x684.jpg)](https:\/\/ensomh.com\/how-we-treat\/child-parent-relationship-therapy-cprt\/)\n\n#### [Child Parent Relationship Therapy (CPRT)](https:\/\/ensomh.com\/how-we-treat\/child-parent-relationship-therapy-cprt\/)\n[Learn More](https:\/\/ensomh.com\/how-we-treat\/child-parent-relationship-therapy-cprt\/)\n\n#### Contact us today\nBilling Questions? Need to find the right therapist for you?  \n Want to schedule an appointment?\n\n[Call (605) 519-5850](tel:605-519-5850)\n\n[Text (605) 519-5850](sms:605-519-5850)\n\n[Make Appointment](https:\/\/www.therapyportal.com\/p\/ensomh\/)\n### What clients say about us\nShannon is truly amazing! She helped me through really stressful and difficult times of my life. She gave me amazing tools to improve relationships with others and learning to care for myself. Shannon is very caring and loving. Shannon’s guidance to move onto the next chapter of my life is a huge blessing\\!\n\nAbsolutely AMAZING.! Joanna is a great Therapist. She manage to know exactly what is happening in my head when I don’t even know it. She have been helping me to heal myself, showing me how to do it. Super professional and super nice and sweet person. Excellent in her job. I don’t have more than very good things to say about her. Mental health is as important as physical Health. (Specially now in the middle of the pandemic) I absolutely recommend her. Really. 20 stars if I could.\n\nThis is the best counseling service I have ever worked with. I see Heather for “regular” therapy and I had the pleasure of working with Shannon for EMDR for trauma processing. Both of these ladies are amazing, intelligent, and so compassionate. My quality of life has improved and they both helped equip me with coping skills I use every day. Their online portal is really easy to use and I have also utilized their telehealth during bad weather. If you’re hesitant about reaching out, don’t be. I highly recommend.\n\n### What Is An Ensō?\nEnsō, meaning ‘circular form’ in Japanese, and is a form of art as meditation, symbolizing perfection in imperfection – especially when drawn as an incomplete circle. Usually a person draws the ensō in one fluid, expressive stroke, and once the ensō is drawn, it isn’t changed. It reflects the character of its creator and the context of its creation in a brief period of time – perfectly capturing that moment.\n\nEnsō represents our belief that all people are both a work in progress, and perfectly imperfect all at once.\n\nThe ensō captures our approach in therapy to meet you right where you are, even in the midst of where you want to go.\n\n![Ensō](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%201024%201024'%3E%3C\/svg%3E)\n\n![Ensō](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/enso_circle.svg)\n\n### Our Team\n[![Brecken Wilkinson](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![Brecken Wilkinson](https:\/\/ensomh.com\/wp-content\/uploads\/2025\/08\/Brecken-green-background-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/brecken-wilkinson\/)\n\n#### Brecken Wilkinson\nOutpatient Therapist\n\n[Meet Brecken](https:\/\/ensomh.com\/our-staff\/brecken-wilkinson\/)\n\n[![haley stein](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![haley stein](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Haley-Green-background-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/haley-stein\/)\n\n#### Haley Stein\nOutpatient Therapist\n\n[Meet Haley](https:\/\/ensomh.com\/our-staff\/haley-stein\/)\n\n[![tristan](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![tristan](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Tristan-green-background-1-best-1-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/tristan-schneck\/)\n\n#### Tristan Schneck\nOutpatient Therapist\n\n[Meet Tristan](https:\/\/ensomh.com\/our-staff\/tristan-schneck\/)\n\n[![jessica](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![jessica](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Jessica-green-background-3-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/jessica-ruzicka\/)\n\n#### Jessica Ruzicka\nOutpatient Therapist\n\n[Meet Jessica](https:\/\/ensomh.com\/our-staff\/jessica-ruzicka\/)\n\n[![Heather Janvrin](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![Heather Janvrin](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Heather-Green-background-1-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/heather-janvrin\/)\n\n#### Heather Janvrin\nOutpatient Therapist\n\n[Meet Heather](https:\/\/ensomh.com\/our-staff\/heather-janvrin\/)\n\n[![Shannon Howard](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![Shannon Howard](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Shannon_Howard-800x800.jpg)](https:\/\/ensomh.com\/our-staff\/shannon-howard\/)\n\n#### Shannon Howard\nOutpatient Therapist\n\n[Meet Shannon](https:\/\/ensomh.com\/our-staff\/shannon-howard\/)\n\n[![Katy Davis](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![Katy Davis](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Katy-green-background-3-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/katy-davis\/)\n\n#### Katy Davis\nClinical Supervisor\n\n[Meet Katy](https:\/\/ensomh.com\/our-staff\/katy-davis\/)\n\n[![JoAnna](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![JoAnna](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Untitled-design.zip-1-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/joanna-prewitt\/)\n\n#### JoAnna Prewitt\nOutpatient Therapist \/ Executive Director \/ Owner\n\n[Meet JoAnna](https:\/\/ensomh.com\/our-staff\/joanna-prewitt\/)\n\n[![brady](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20800%20800'%3E%3C\/svg%3E)![brady](https:\/\/ensomh.com\/wp-content\/uploads\/2025\/08\/Brady-green-background-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/brady-umberger2\/)\n\n#### Brady Umberger\nClient Care Coordinator\n\n[Meet Brady](https:\/\/ensomh.com\/our-staff\/brady-umberger2\/)\n\n[![jess rear](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20721%20800'%3E%3C\/svg%3E)![jess rear](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Headshot_-_Jess_Rear-721x800.jpeg)](https:\/\/ensomh.com\/our-staff\/jess-rear\/)\n\n#### Jess Rear\nSenior Client Care Coordinator\n\n[Meet Jess](https:\/\/ensomh.com\/our-staff\/jess-rear\/)\n\n[![madison](data:image\/svg+xml,%3Csvg%20xmlns='http:\/\/www.w3.org\/2000\/svg'%20viewBox='0%200%20733%20800'%3E%3C\/svg%3E)![madison](https:\/\/ensomh.com\/wp-content\/uploads\/2026\/01\/Maddy_Howard-Headshot1-1-1-733x800.jpg)](https:\/\/ensomh.com\/our-staff\/madison-howard-2\/)\n\n#### Madison Howard\nBilling Coordinator\n\n[Meet Madison](https:\/\/ensomh.com\/our-staff\/madison-howard-2\/)\n\n#### Contact us today\nBilling Questions? Need to find the right therapist for you?  \n Want to schedule an appointment?\n\n[Call (605) 519-5850](tel:605-519-5850)\n\n[Text (605) 519-5850](sms:605-519-5850)\n\n[Make Appointment](https:\/\/www.therapyportal.com\/p\/ensomh\/)\n\n###### Location\n[717 N 5th St  Spearfish, SD 57783](https:\/\/maps.app.goo.gl\/Zt6HbXRxHwr63qHaA)\n\n[(605) 519-5850](tel:605-519-5850)\n\n[(605) 519-5850](sms:605-519-5850)\n\n[(605) 656-0560](https:\/\/ensomh.com\/)\n\n###### Hours\nMonday 8:00 am – 5:00 pm  \n Tuesday 8:00 am – 7:00 pm  \n Wednesday 8:00 am – 5:00 pm  \n Thursday 8:00 am – 7:00 pm  \n Friday 8:00 am – 3:00 pm  \n Saturday 8:00 am – 12:00 pm  \n All other days\/hours by appointment only\n\n###### Services\n- [Individual Therapy](https:\/\/ensomh.com\/services\/individual-therapy\/)\n- [Couples Therapy](https:\/\/ensomh.com\/services\/couples-therapy\/)\n- [Adolescent & Teen Therapy](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n- [Children (Play Therapy)](https:\/\/ensomh.com\/services\/children-play-therapy\/)\n- [Therapy Workshops and Group Therapy](https:\/\/ensomh.com\/services\/groups\/)\n- [Family Therapy](https:\/\/ensomh.com\/services\/family-therapy\/)\n- [Strength-Based Clinical Supervision & Consultation](https:\/\/ensomh.com\/services\/clinical-supervision\/)\n###### Follow Us\n\nCopyright © 2026 Ensō Mental Health, LLC – All Rights Reserved. [Therapy Website Design by Art Binaire](https:\/\/www.artbinaire.com\/)\n\nMenu","attrs_readable_markdown":"### Transform Your Life with  Therapy at Ensō Mental Health\n[![individual](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/individual_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![Individual Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/individual_blue.svg)\n#### Individual Therapy\n\n[![couples](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/couples_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![couples](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/couples_blue.svg)\n#### Couples Therapy\n\n[![teen purple](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/teen_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![Teen Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/teen_blue.svg)\n#### Teen Therapy\n\n[![Children](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/children_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![children](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/children_blue.svg)\n#### Children (Play Therapy)\n\n[![Groups](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/groups_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![Groups](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/groups_blue.svg)\n#### Groups\n\n[![Family Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/family_purple.svg)](https:\/\/ensomh.com\/services\/adolescent-teen-therapy\/)\n\n![family](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/family_blue.svg)\n#### Family Therapy\n\n### What to expect from our counseling\n[![Anxiety Treatment](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Anxiety_Treatment-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/anxiety\/)\n\n#### [Anxiety Therapy](https:\/\/ensomh.com\/specialties\/anxiety\/)\nAre anxiety and stress interfering with your daily activities and relationships? Therapy at Ensō Mental Health can help\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/anxiety\/)\n\n[![Depression Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Depression_Therapy-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/depression-therapy\/)\n\n#### [Depression Therapy](https:\/\/ensomh.com\/specialties\/depression-therapy\/)\nAre you feeling sad, low motivation, or even having suicidal thoughts? Call us at Ensō Mental Health to find out how we can help\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/depression-therapy\/)\n\n[![Disordered Eating Counseling](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/08\/Disordered_Eating-1024x678.jpg)](https:\/\/ensomh.com\/specialties\/disordered-eating\/)\n\n#### [Disordered Eating Counseling](https:\/\/ensomh.com\/specialties\/disordered-eating\/)\nDo you struggle with body image, or find yourself obsessing over food, your weight, or exercise? Contact us at Ensō Mental Health to find out how we can help\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/disordered-eating\/)\n\n[![Grief loss therapy and counseling](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Grief_Loss-1024x684.jpeg)](https:\/\/ensomh.com\/specialties\/grief-loss\/)\n\n#### [Grief & Loss Therapy](https:\/\/ensomh.com\/specialties\/grief-loss\/)\nHave you experienced a loss that has left you struggling to recover or find meaning moving forward? Let us help you heal with our compassionate therapists at Ensō Mental Health.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/grief-loss\/)\n\n[![Maternal Postpartum Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Maternal_and_Postpartum-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/maternal-postpartum\/)\n\n#### [Maternal & Postpartum Therapy](https:\/\/ensomh.com\/specialties\/maternal-postpartum\/)\nAre you entering into or emerging from the journey of motherhood and finding it difficult to navigate? Call us to schedule with our specialized therapists who can help at Ensō Mental Health.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/maternal-postpartum\/)\n\n[![Grief and Loss Therapy](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Mens_Issues-1024x683.jpeg)](https:\/\/ensomh.com\/specialties\/mens-issues\/)\n\n#### [Mens’ Issues](https:\/\/ensomh.com\/specialties\/mens-issues\/)\nAre you a man who is experiencing pressure or stress related to the unique societal expectations of masculinity? We can help at Ensō Mental Health - call us to schedule.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/mens-issues\/)\n\n[![Sexual Health & Intimacy Issues](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Sexual_Health_and_Intimacy_Issues-1024x684.jpeg)](https:\/\/ensomh.com\/specialties\/sexual-health-intimacy-issues\/)\n\n#### [Sexual Health & Intimacy Issues](https:\/\/ensomh.com\/specialties\/sexual-health-intimacy-issues\/)\nDo you want to improve intimacy in your relationship or find sex to be painful or difficult? Our professional therapists at Ensō Mental Health are equipped to help you find ways to thrive.\n\n[Learn More](https:\/\/ensomh.com\/specialties\/sexual-health-intimacy-issues\/)\n\n[![Parenting Issues](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Parenting_Issues-1024x684.jpeg)](https:\/\/ensomh.com\/specialties\/parenting-issues\/)\n\n#### [Parenting Issues Counseling and Therapy](https:\/\/ensomh.com\/specialties\/parenting-issues\/)\nAre you a parent and having difficulty with the demands of raising your children? Our experienced therapists at Ensō Mental Health are here to support you and offer guidance to help your relationship with your kids become fun again\\!\n\n[Learn More](https:\/\/ensomh.com\/specialties\/parenting-issues\/)\n\n#### Contact us today\nBilling Questions? Need to find the right therapist for you?  \n Want to schedule an appointment?\n### What clients say about us\nShannon is truly amazing! She helped me through really stressful and difficult times of my life. She gave me amazing tools to improve relationships with others and learning to care for myself. Shannon is very caring and loving. Shannon’s guidance to move onto the next chapter of my life is a huge blessing\\!\n\nAbsolutely AMAZING.! Joanna is a great Therapist. She manage to know exactly what is happening in my head when I don’t even know it. She have been helping me to heal myself, showing me how to do it. Super professional and super nice and sweet person. Excellent in her job. I don’t have more than very good things to say about her. Mental health is as important as physical Health. (Specially now in the middle of the pandemic) I absolutely recommend her. Really. 20 stars if I could.\n\nThis is the best counseling service I have ever worked with. I see Heather for “regular” therapy and I had the pleasure of working with Shannon for EMDR for trauma processing. Both of these ladies are amazing, intelligent, and so compassionate. My quality of life has improved and they both helped equip me with coping skills I use every day. Their online portal is really easy to use and I have also utilized their telehealth during bad weather. If you’re hesitant about reaching out, don’t be. I highly recommend.\n\n### What Is An Ensō?\nEnsō, meaning ‘circular form’ in Japanese, and is a form of art as meditation, symbolizing perfection in imperfection – especially when drawn as an incomplete circle. Usually a person draws the ensō in one fluid, expressive stroke, and once the ensō is drawn, it isn’t changed. It reflects the character of its creator and the context of its creation in a brief period of time – perfectly capturing that moment.\n\nEnsō represents our belief that all people are both a work in progress, and perfectly imperfect all at once.\n\nThe ensō captures our approach in therapy to meet you right where you are, even in the midst of where you want to go.\n\n![Ensō](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/enso_circle.svg)\n\n### Our Team\n[![Brecken Wilkinson](https:\/\/ensomh.com\/wp-content\/uploads\/2025\/08\/Brecken-green-background-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/brecken-wilkinson\/)\n\n[![haley stein](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Haley-Green-background-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/haley-stein\/)\n\n[![tristan](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Tristan-green-background-1-best-1-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/tristan-schneck\/)\n\n[![jessica](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Jessica-green-background-3-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/jessica-ruzicka\/)\n\n[![Heather Janvrin](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Heather-Green-background-1-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/heather-janvrin\/)\n\n[![Shannon Howard](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Shannon_Howard-800x800.jpg)](https:\/\/ensomh.com\/our-staff\/shannon-howard\/)\n\n[![Katy Davis](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Katy-green-background-3-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/katy-davis\/)\n\n[![JoAnna](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Untitled-design.zip-1-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/joanna-prewitt\/)\n\n#### JoAnna Prewitt\nOutpatient Therapist \/ Executive Director \/ Owner\n\n[Meet JoAnna](https:\/\/ensomh.com\/our-staff\/joanna-prewitt\/)\n\n[![brady](https:\/\/ensomh.com\/wp-content\/uploads\/2025\/08\/Brady-green-background-800x800.jpeg)](https:\/\/ensomh.com\/our-staff\/brady-umberger2\/)\n\n[![jess rear](https:\/\/ensomh.com\/wp-content\/uploads\/2024\/07\/Headshot_-_Jess_Rear-721x800.jpeg)](https:\/\/ensomh.com\/our-staff\/jess-rear\/)\n\n#### Jess Rear\nSenior Client Care Coordinator\n\n[Meet Jess](https:\/\/ensomh.com\/our-staff\/jess-rear\/)\n\n[![madison](https:\/\/ensomh.com\/wp-content\/uploads\/2026\/01\/Maddy_Howard-Headshot1-1-1-733x800.jpg)](https:\/\/ensomh.com\/our-staff\/madison-howard-2\/)","meta_canonical":null,"ml_categories_json":"{\"\/Health\":997,\"\/Health\/Mental_Health\":989,\"\/Health\/Mental_Health\/Counseling_Services\":970}","ml_types_json":"{\"\/Core_Page\":910,\"\/Core_Page\/Services_Page\":907}","ml_intent_types_json":"{\"Commercial\":527,\"Transactional\":423,\"Informational\":319}","meta_language":"en-us","attrs_author":null,"attrs_publish_time":1774993593,"attrs_original_publish_time":1588374930,"attrs_is_republished":1,"attrs_nr_words":"1259","attrs_boilerpipe_nr_words":"696","body_ext_links_number":8,"body_int_links_number":52,"meta_nofollow":0,"meta_noarchive":0,"props_was_rendered":0,"src_redirect":"","download_time_msec":831,"download_ttfb_msec":790,"download_size":40028}

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Adult, Child and Couples Therapy and Counseling | Spearfish SD

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Ensō Mental Health in Spearfish, SD, offers a wide range of therapy services, including individual, couples, family, and specialized therapies

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Transform Your Life with Therapy at Ensō Mental Health Individual Therapy Couples Therapy Teen Therapy Children (Play Therapy) Groups Family Therapy What to expect from our counseling Anxiety Therapy Are anxiety and stress interfering with your daily activities and relationships? Therapy at Ensō Mental Health can help! Learn More Depression Therapy Are you feeling sad, low motivation, or even having suicidal thoughts? Call us at Ensō Mental Health to find out how we can help! Learn More Disordered Eating Counseling Do you struggle with body image, or find yourself obsessing over food, your weight, or exercise? Contact us at Ensō Mental Health to find out how we can help! Learn More Grief & Loss Therapy Have you experienced a loss that has left you struggling to recover or find meaning moving forward? Let us help you heal with our compassionate therapists at Ensō Mental Health. Learn More Maternal & Postpartum Therapy Are you entering into or emerging from the journey of motherhood and finding it difficult to navigate? Call us to schedule with our specialized therapists who can help at Ensō Mental Health. Learn More Mens’ Issues Are you a man who is experiencing pressure or stress related to the unique societal expectations of masculinity? We can help at Ensō Mental Health - call us to schedule. Learn More Sexual Health & Intimacy Issues Do you want to improve intimacy in your relationship or find sex to be painful or difficult? Our professional therapists at Ensō Mental Health are equipped to help you find ways to thrive. Learn More Parenting Issues Counseling and Therapy Are you a parent and having difficulty with the demands of raising your children? Our experienced therapists at Ensō Mental Health are here to support you and offer guidance to help your relationship with your kids become fun again! Learn More Contact us today Billing Questions? Need to find the right therapist for you? Want to schedule an appointment? What clients say about us Shannon is truly amazing! She helped me through really stressful and difficult times of my life. She gave me amazing tools to improve relationships with others and learning to care for myself. Shannon is very caring and loving. Shannon’s guidance to move onto the next chapter of my life is a huge blessing! Absolutely AMAZING.! Joanna is a great Therapist. She manage to know exactly what is happening in my head when I don’t even know it. She have been helping me to heal myself, showing me how to do it. Super professional and super nice and sweet person. Excellent in her job. I don’t have more than very good things to say about her. Mental health is as important as physical Health. (Specially now in the middle of the pandemic) I absolutely recommend her. Really. 20 stars if I could. This is the best counseling service I have ever worked with. I see Heather for “regular” therapy and I had the pleasure of working with Shannon for EMDR for trauma processing. Both of these ladies are amazing, intelligent, and so compassionate. My quality of life has improved and they both helped equip me with coping skills I use every day. Their online portal is really easy to use and I have also utilized their telehealth during bad weather. If you’re hesitant about reaching out, don’t be. I highly recommend. What Is An Ensō? Ensō, meaning ‘circular form’ in Japanese, and is a form of art as meditation, symbolizing perfection in imperfection – especially when drawn as an incomplete circle. Usually a person draws the ensō in one fluid, expressive stroke, and once the ensō is drawn, it isn’t changed. It reflects the character of its creator and the context of its creation in a brief period of time – perfectly capturing that moment. Ensō represents our belief that all people are both a work in progress, and perfectly imperfect all at once. The ensō captures our approach in therapy to meet you right where you are, even in the midst of where you want to go. Our Team JoAnna Prewitt Outpatient Therapist / Executive Director / Owner Meet JoAnna Jess Rear Senior Client Care Coordinator Meet Jess

Markdown

[![Enso Mental Health](https://ensomh.com/wp-content/uploads/2024/07/enso_logo_200.jpg)](https://ensomh.com/) [Call (605) 519-5850](tel:605-519-5850) [Text (605) 519-5850](sms:605-519-5850) [Make Appointment](https://www.therapyportal.com/p/ensomh/) - [Home](https://ensomh.com/) - [Meet Our Staff](https://ensomh.com/meet-our-staff/) - [Services](https://ensomh.com/services/) - [Individual Therapy](https://ensomh.com/services/individual-therapy/) - [Couples Therapy](https://ensomh.com/services/couples-therapy/) - [Adolescent & Teen Therapy](https://ensomh.com/services/adolescent-teen-therapy/) - [Children (Play Therapy)](https://ensomh.com/services/children-play-therapy/) - [Therapy Workshops and Group Therapy](https://ensomh.com/services/groups/) - [Family Therapy](https://ensomh.com/services/family-therapy/) - [Strength-Based Clinical Supervision & Consultation](https://ensomh.com/services/clinical-supervision/) - [What We Treat](https://ensomh.com/specialties/) - [Anxiety Therapy](https://ensomh.com/specialties/anxiety/) - [Depression Therapy](https://ensomh.com/specialties/depression-therapy/) - [Post Traumatic Stress Disorder PTSD Therapy](https://ensomh.com/specialties/post-traumatic-stress-disorder/) - [Relationships and Couples](https://ensomh.com/specialties/relationships-and-couples/) - [Disordered Eating Counseling](https://ensomh.com/specialties/disordered-eating/) - [Grief & Loss Therapy](https://ensomh.com/specialties/grief-loss/) - [Maternal & Postpartum Therapy](https://ensomh.com/specialties/maternal-postpartum/) - [Mens’ Issues](https://ensomh.com/specialties/mens-issues/) - [Life Transitions & Aging Counseling](https://ensomh.com/specialties/life-transitions-aging/) - [Behavioral Issues & Learning Disorders in Children](https://ensomh.com/specialties/behavioral-issues-learning-disorders-in-children/) - [Sexual Health & Intimacy Issues](https://ensomh.com/specialties/sexual-health-intimacy-issues/) - [Parenting Issues Counseling and Therapy](https://ensomh.com/specialties/parenting-issues/) - [How We Treat](https://ensomh.com/how-we-treat/) - [Cognitive Behavior Therapy (CBT)](https://ensomh.com/how-we-treat/cognitive-behavior-therapy-cbt/) - [Dialectical Behavior Therapy (DBT)](https://ensomh.com/how-we-treat/dialectical-behavior-therapy-dbt/) - [Internal Family Systems (IFS)](https://ensomh.com/how-we-treat/internal-family-systems-ifs/) - [Gottman Method Therapy](https://ensomh.com/how-we-treat/gottman-method/) - [Eye Movement Desensitization & Reprocessing (EMDR)](https://ensomh.com/how-we-treat/eye-movement-desensitization-reprocessing-emdr/) - [Trauma Informed Supportive Therapy](https://ensomh.com/how-we-treat/trauma-informed-supportive-therapy/) - [Play Therapy](https://ensomh.com/how-we-treat/play-therapy/) - [Child Parent Relationship Therapy (CPRT)](https://ensomh.com/how-we-treat/child-parent-relationship-therapy-cprt/) - [Sexual Wellness Therapy](https://ensomh.com/sexual-wellness-therapy/) - [FAQ](https://ensomh.com/faq/) - [Join Our Team](https://ensomh.com/join-our-team/) - [Blog](https://ensomh.com/blog/) - [Make Appointment](https://www.therapyportal.com/p/ensomh/) - [Contact Us](https://ensomh.com/contact-us/) - [New Client Inquiry](https://ensomh.com/contact-us/contact-new-client-inquiry/) - [Provider Referral Form](https://ensomh.com/contact-us/contact-provider-referral-form/) [Make Appointment](https://www.therapyportal.com/p/ensomh/) Dedicated to Providing You with Competent, Compassionate Mental Health Care\! [Call (605) 519-5850](tel:605-519-5850) [Make an Appointment](https://www.therapyportal.com/p/ensomh/) Text (605) 519-5850 ![]() ![Ensō Mental Health]() ![slide]() ### Transform Your Life with Therapy at Ensō Mental Health [![individual](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E)![individual](https://ensomh.com/wp-content/uploads/2024/08/individual_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![Individual Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E) ![Individual Therapy](https://ensomh.com/wp-content/uploads/2024/08/individual_blue.svg) #### Individual Therapy [Learn More](https://ensomh.com/services/individual-therapy/) [![couples](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E)![couples](https://ensomh.com/wp-content/uploads/2024/08/couples_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![couples](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E) ![couples](https://ensomh.com/wp-content/uploads/2024/08/couples_blue.svg) #### Couples Therapy [Learn More](https://ensomh.com/services/couples-therapy/) [![teen purple](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E)![teen purple](https://ensomh.com/wp-content/uploads/2024/08/teen_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![Teen Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E) ![Teen Therapy](https://ensomh.com/wp-content/uploads/2024/08/teen_blue.svg) #### Teen Therapy [Learn More](https://ensomh.com/services/adolescent-teen-therapy/) [![Children](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E)![Children](https://ensomh.com/wp-content/uploads/2024/08/children_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![children](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E) ![children](https://ensomh.com/wp-content/uploads/2024/08/children_blue.svg) #### Children (Play Therapy) [Learn More](https://ensomh.com/services/children-play-therapy/) [![Groups](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E)![Groups](https://ensomh.com/wp-content/uploads/2024/08/groups_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![Groups](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E) ![Groups](https://ensomh.com/wp-content/uploads/2024/08/groups_blue.svg) #### Groups [Learn More](https://ensomh.com/services/groups/) [![Family Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E)![Family Therapy](https://ensomh.com/wp-content/uploads/2024/08/family_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![family](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E) ![family](https://ensomh.com/wp-content/uploads/2024/08/family_blue.svg) #### Family Therapy [Learn More](https://ensomh.com/services/family-therapy/) ### What to expect from our counseling What We Treat How We Treat What We Treat [![Anxiety Treatment](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Anxiety Treatment](https://ensomh.com/wp-content/uploads/2024/07/Anxiety_Treatment-1024x683.jpeg)](https://ensomh.com/specialties/anxiety/) #### [Anxiety Therapy](https://ensomh.com/specialties/anxiety/) Are anxiety and stress interfering with your daily activities and relationships? Therapy at Ensō Mental Health can help\! [Learn More](https://ensomh.com/specialties/anxiety/) [![Depression Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Depression Therapy](https://ensomh.com/wp-content/uploads/2024/07/Depression_Therapy-1024x683.jpeg)](https://ensomh.com/specialties/depression-therapy/) #### [Depression Therapy](https://ensomh.com/specialties/depression-therapy/) Are you feeling sad, low motivation, or even having suicidal thoughts? Call us at Ensō Mental Health to find out how we can help\! [Learn More](https://ensomh.com/specialties/depression-therapy/) [![Post Traumatic Stress Disorder](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Post Traumatic Stress Disorder](https://ensomh.com/wp-content/uploads/2024/07/Post_Traumatic_Stress_Disorder-1024x683.jpeg)](https://ensomh.com/specialties/post-traumatic-stress-disorder/) #### [Post Traumatic Stress Disorder PTSD Therapy](https://ensomh.com/specialties/post-traumatic-stress-disorder/) Have you been through something traumatic and struggling to return to feeling like your "normal" self? We can help with trauma informed therapy at Ensō Mental Health\! [Learn More](https://ensomh.com/specialties/post-traumatic-stress-disorder/) [![Couples therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Couples therapy](https://ensomh.com/wp-content/uploads/2024/07/Relationships_and_Couples-1024x683.jpg)](https://ensomh.com/specialties/relationships-and-couples/) #### [Relationships and Couples](https://ensomh.com/specialties/relationships-and-couples/) Are you struggling in one or more of your relationships? Learn how therapy at Ensō Mental Health can help. [Learn More](https://ensomh.com/specialties/relationships-and-couples/) [![Disordered Eating Counseling](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20678'%3E%3C/svg%3E)![Disordered Eating Counseling](https://ensomh.com/wp-content/uploads/2024/08/Disordered_Eating-1024x678.jpg)](https://ensomh.com/specialties/disordered-eating/) #### [Disordered Eating Counseling](https://ensomh.com/specialties/disordered-eating/) Do you struggle with body image, or find yourself obsessing over food, your weight, or exercise? Contact us at Ensō Mental Health to find out how we can help\! [Learn More](https://ensomh.com/specialties/disordered-eating/) [![Grief loss therapy and counseling](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20684'%3E%3C/svg%3E)![Grief loss therapy and counseling](https://ensomh.com/wp-content/uploads/2024/07/Grief_Loss-1024x684.jpeg)](https://ensomh.com/specialties/grief-loss/) #### [Grief & Loss Therapy](https://ensomh.com/specialties/grief-loss/) Have you experienced a loss that has left you struggling to recover or find meaning moving forward? Let us help you heal with our compassionate therapists at Ensō Mental Health. [Learn More](https://ensomh.com/specialties/grief-loss/) [![Maternal Postpartum Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Maternal Postpartum Therapy](https://ensomh.com/wp-content/uploads/2024/07/Maternal_and_Postpartum-1024x683.jpeg)](https://ensomh.com/specialties/maternal-postpartum/) #### [Maternal & Postpartum Therapy](https://ensomh.com/specialties/maternal-postpartum/) Are you entering into or emerging from the journey of motherhood and finding it difficult to navigate? Call us to schedule with our specialized therapists who can help at Ensō Mental Health. [Learn More](https://ensomh.com/specialties/maternal-postpartum/) [![Grief and Loss Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Grief and Loss Therapy](https://ensomh.com/wp-content/uploads/2024/07/Mens_Issues-1024x683.jpeg)](https://ensomh.com/specialties/mens-issues/) #### [Mens’ Issues](https://ensomh.com/specialties/mens-issues/) Are you a man who is experiencing pressure or stress related to the unique societal expectations of masculinity? We can help at Ensō Mental Health - call us to schedule. [Learn More](https://ensomh.com/specialties/mens-issues/) [![Life Transitions & Aging](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Life Transitions & Aging](https://ensomh.com/wp-content/uploads/2024/07/Life_Transitions_Aging-1024x683.jpeg)](https://ensomh.com/specialties/life-transitions-aging/) #### [Life Transitions & Aging Counseling](https://ensomh.com/specialties/life-transitions-aging/) Are you in the midst of a major life transition and feeling overwhelmed or struggling with the change? Reach out to us at Ensō Mental Health for support today\! [Learn More](https://ensomh.com/specialties/life-transitions-aging/) [![Behavioral Issues & Learning Disorders in Children](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Behavioral Issues & Learning Disorders in Children](https://ensomh.com/wp-content/uploads/2024/07/Behavioral_Issues_Learning_Disorders_in_Children-1024x683.jpeg)](https://ensomh.com/specialties/behavioral-issues-learning-disorders-in-children/) #### [Behavioral Issues & Learning Disorders in Children](https://ensomh.com/specialties/behavioral-issues-learning-disorders-in-children/) Is your child struggling with difficulty concentrating, disruptive behaviors, or communication challenges at school or home? Our specialized child therapists at Ensō Mental Health can help\! [Learn More](https://ensomh.com/specialties/behavioral-issues-learning-disorders-in-children/) [![Sexual Health & Intimacy Issues](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20684'%3E%3C/svg%3E)![Sexual Health & Intimacy Issues](https://ensomh.com/wp-content/uploads/2024/07/Sexual_Health_and_Intimacy_Issues-1024x684.jpeg)](https://ensomh.com/specialties/sexual-health-intimacy-issues/) #### [Sexual Health & Intimacy Issues](https://ensomh.com/specialties/sexual-health-intimacy-issues/) Do you want to improve intimacy in your relationship or find sex to be painful or difficult? Our professional therapists at Ensō Mental Health are equipped to help you find ways to thrive. [Learn More](https://ensomh.com/specialties/sexual-health-intimacy-issues/) [![Parenting Issues](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20684'%3E%3C/svg%3E)![Parenting Issues](https://ensomh.com/wp-content/uploads/2024/07/Parenting_Issues-1024x684.jpeg)](https://ensomh.com/specialties/parenting-issues/) #### [Parenting Issues Counseling and Therapy](https://ensomh.com/specialties/parenting-issues/) Are you a parent and having difficulty with the demands of raising your children? Our experienced therapists at Ensō Mental Health are here to support you and offer guidance to help your relationship with your kids become fun again\! [Learn More](https://ensomh.com/specialties/parenting-issues/) How We Treat [![CBT Cognitive Behavior Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![CBT Cognitive Behavior Therapy](https://ensomh.com/wp-content/uploads/2024/07/CBT-1-1024x683.jpg)](https://ensomh.com/how-we-treat/cognitive-behavior-therapy-cbt/) #### [Cognitive Behavior Therapy (CBT)](https://ensomh.com/how-we-treat/cognitive-behavior-therapy-cbt/) [Learn More](https://ensomh.com/how-we-treat/cognitive-behavior-therapy-cbt/) [![DBT Dialectical Behavior Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![DBT Dialectical Behavior Therapy](https://ensomh.com/wp-content/uploads/2024/08/DBT-1024x683.jpg)](https://ensomh.com/how-we-treat/dialectical-behavior-therapy-dbt/) #### [Dialectical Behavior Therapy (DBT)](https://ensomh.com/how-we-treat/dialectical-behavior-therapy-dbt/) [Learn More](https://ensomh.com/how-we-treat/dialectical-behavior-therapy-dbt/) [![IFS Internal Family Systems](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![IFS Internal Family Systems](https://ensomh.com/wp-content/uploads/2024/08/Internal_Family_Systems-1024x683.jpg)](https://ensomh.com/how-we-treat/internal-family-systems-ifs/) #### [Internal Family Systems (IFS)](https://ensomh.com/how-we-treat/internal-family-systems-ifs/) [Learn More](https://ensomh.com/how-we-treat/internal-family-systems-ifs/) [![Gottman Method for Couples Therapy Spearfish, SD](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Gottman Method for Couples Therapy Spearfish, SD](https://ensomh.com/wp-content/uploads/2024/08/GOTTMAN-1024x683.jpg)](https://ensomh.com/how-we-treat/gottman-method/) #### [Gottman Method Therapy](https://ensomh.com/how-we-treat/gottman-method/) [Learn More](https://ensomh.com/how-we-treat/gottman-method/) [![EMDR Therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![EMDR Therapy](https://ensomh.com/wp-content/uploads/2024/08/EMDR-1024x683.jpg)](https://ensomh.com/how-we-treat/eye-movement-desensitization-reprocessing-emdr/) #### [Eye Movement Desensitization & Reprocessing (EMDR)](https://ensomh.com/how-we-treat/eye-movement-desensitization-reprocessing-emdr/) [Learn More](https://ensomh.com/how-we-treat/eye-movement-desensitization-reprocessing-emdr/) [![Trauma Informed therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Trauma Informed therapy](https://ensomh.com/wp-content/uploads/2024/08/TRAUMA_INFORMED_THERAPY-1024x683.jpg)](https://ensomh.com/how-we-treat/trauma-informed-supportive-therapy/) #### [Trauma Informed Supportive Therapy](https://ensomh.com/how-we-treat/trauma-informed-supportive-therapy/) [Learn More](https://ensomh.com/how-we-treat/trauma-informed-supportive-therapy/) [![Play therapy](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20683'%3E%3C/svg%3E)![Play therapy](https://ensomh.com/wp-content/uploads/2024/08/Play_therapy-1024x683.jpg)](https://ensomh.com/how-we-treat/play-therapy/) #### [Play Therapy](https://ensomh.com/how-we-treat/play-therapy/) [Learn More](https://ensomh.com/how-we-treat/play-therapy/) [![Child Parent Relationship Therapy (CPRT)](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20684'%3E%3C/svg%3E)![Child Parent Relationship Therapy (CPRT)](https://ensomh.com/wp-content/uploads/2024/08/Parent_child_interaction_therapy-jpg-1024x684.jpg)](https://ensomh.com/how-we-treat/child-parent-relationship-therapy-cprt/) #### [Child Parent Relationship Therapy (CPRT)](https://ensomh.com/how-we-treat/child-parent-relationship-therapy-cprt/) [Learn More](https://ensomh.com/how-we-treat/child-parent-relationship-therapy-cprt/) #### Contact us today Billing Questions? Need to find the right therapist for you? Want to schedule an appointment? [Call (605) 519-5850](tel:605-519-5850) [Text (605) 519-5850](sms:605-519-5850) [Make Appointment](https://www.therapyportal.com/p/ensomh/) ### What clients say about us Shannon is truly amazing! She helped me through really stressful and difficult times of my life. She gave me amazing tools to improve relationships with others and learning to care for myself. Shannon is very caring and loving. Shannon’s guidance to move onto the next chapter of my life is a huge blessing\! Absolutely AMAZING.! Joanna is a great Therapist. She manage to know exactly what is happening in my head when I don’t even know it. She have been helping me to heal myself, showing me how to do it. Super professional and super nice and sweet person. Excellent in her job. I don’t have more than very good things to say about her. Mental health is as important as physical Health. (Specially now in the middle of the pandemic) I absolutely recommend her. Really. 20 stars if I could. This is the best counseling service I have ever worked with. I see Heather for “regular” therapy and I had the pleasure of working with Shannon for EMDR for trauma processing. Both of these ladies are amazing, intelligent, and so compassionate. My quality of life has improved and they both helped equip me with coping skills I use every day. Their online portal is really easy to use and I have also utilized their telehealth during bad weather. If you’re hesitant about reaching out, don’t be. I highly recommend. ### What Is An Ensō? Ensō, meaning ‘circular form’ in Japanese, and is a form of art as meditation, symbolizing perfection in imperfection – especially when drawn as an incomplete circle. Usually a person draws the ensō in one fluid, expressive stroke, and once the ensō is drawn, it isn’t changed. It reflects the character of its creator and the context of its creation in a brief period of time – perfectly capturing that moment. Ensō represents our belief that all people are both a work in progress, and perfectly imperfect all at once. The ensō captures our approach in therapy to meet you right where you are, even in the midst of where you want to go. ![Ensō](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%201024'%3E%3C/svg%3E) ![Ensō](https://ensomh.com/wp-content/uploads/2024/07/enso_circle.svg) ### Our Team [![Brecken Wilkinson](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![Brecken Wilkinson](https://ensomh.com/wp-content/uploads/2025/08/Brecken-green-background-800x800.jpeg)](https://ensomh.com/our-staff/brecken-wilkinson/) #### Brecken Wilkinson Outpatient Therapist [Meet Brecken](https://ensomh.com/our-staff/brecken-wilkinson/) [![haley stein](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![haley stein](https://ensomh.com/wp-content/uploads/2024/07/Haley-Green-background-800x800.jpeg)](https://ensomh.com/our-staff/haley-stein/) #### Haley Stein Outpatient Therapist [Meet Haley](https://ensomh.com/our-staff/haley-stein/) [![tristan](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![tristan](https://ensomh.com/wp-content/uploads/2024/07/Tristan-green-background-1-best-1-800x800.jpeg)](https://ensomh.com/our-staff/tristan-schneck/) #### Tristan Schneck Outpatient Therapist [Meet Tristan](https://ensomh.com/our-staff/tristan-schneck/) [![jessica](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![jessica](https://ensomh.com/wp-content/uploads/2024/07/Jessica-green-background-3-800x800.jpeg)](https://ensomh.com/our-staff/jessica-ruzicka/) #### Jessica Ruzicka Outpatient Therapist [Meet Jessica](https://ensomh.com/our-staff/jessica-ruzicka/) [![Heather Janvrin](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![Heather Janvrin](https://ensomh.com/wp-content/uploads/2024/07/Heather-Green-background-1-800x800.jpeg)](https://ensomh.com/our-staff/heather-janvrin/) #### Heather Janvrin Outpatient Therapist [Meet Heather](https://ensomh.com/our-staff/heather-janvrin/) [![Shannon Howard](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![Shannon Howard](https://ensomh.com/wp-content/uploads/2024/07/Shannon_Howard-800x800.jpg)](https://ensomh.com/our-staff/shannon-howard/) #### Shannon Howard Outpatient Therapist [Meet Shannon](https://ensomh.com/our-staff/shannon-howard/) [![Katy Davis](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![Katy Davis](https://ensomh.com/wp-content/uploads/2024/07/Katy-green-background-3-800x800.jpeg)](https://ensomh.com/our-staff/katy-davis/) #### Katy Davis Clinical Supervisor [Meet Katy](https://ensomh.com/our-staff/katy-davis/) [![JoAnna](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![JoAnna](https://ensomh.com/wp-content/uploads/2024/07/Untitled-design.zip-1-800x800.jpeg)](https://ensomh.com/our-staff/joanna-prewitt/) #### JoAnna Prewitt Outpatient Therapist / Executive Director / Owner [Meet JoAnna](https://ensomh.com/our-staff/joanna-prewitt/) [![brady](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20800%20800'%3E%3C/svg%3E)![brady](https://ensomh.com/wp-content/uploads/2025/08/Brady-green-background-800x800.jpeg)](https://ensomh.com/our-staff/brady-umberger2/) #### Brady Umberger Client Care Coordinator [Meet Brady](https://ensomh.com/our-staff/brady-umberger2/) [![jess rear](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20721%20800'%3E%3C/svg%3E)![jess rear](https://ensomh.com/wp-content/uploads/2024/07/Headshot_-_Jess_Rear-721x800.jpeg)](https://ensomh.com/our-staff/jess-rear/) #### Jess Rear Senior Client Care Coordinator [Meet Jess](https://ensomh.com/our-staff/jess-rear/) [![madison](data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20733%20800'%3E%3C/svg%3E)![madison](https://ensomh.com/wp-content/uploads/2026/01/Maddy_Howard-Headshot1-1-1-733x800.jpg)](https://ensomh.com/our-staff/madison-howard-2/) #### Madison Howard Billing Coordinator [Meet Madison](https://ensomh.com/our-staff/madison-howard-2/) #### Contact us today Billing Questions? Need to find the right therapist for you? Want to schedule an appointment? [Call (605) 519-5850](tel:605-519-5850) [Text (605) 519-5850](sms:605-519-5850) [Make Appointment](https://www.therapyportal.com/p/ensomh/) ###### Location [717 N 5th St Spearfish, SD 57783](https://maps.app.goo.gl/Zt6HbXRxHwr63qHaA) [(605) 519-5850](tel:605-519-5850) [(605) 519-5850](sms:605-519-5850) [(605) 656-0560](https://ensomh.com/) ###### Hours Monday 8:00 am – 5:00 pm Tuesday 8:00 am – 7:00 pm Wednesday 8:00 am – 5:00 pm Thursday 8:00 am – 7:00 pm Friday 8:00 am – 3:00 pm Saturday 8:00 am – 12:00 pm All other days/hours by appointment only ###### Services - [Individual Therapy](https://ensomh.com/services/individual-therapy/) - [Couples Therapy](https://ensomh.com/services/couples-therapy/) - [Adolescent & Teen Therapy](https://ensomh.com/services/adolescent-teen-therapy/) - [Children (Play Therapy)](https://ensomh.com/services/children-play-therapy/) - [Therapy Workshops and Group Therapy](https://ensomh.com/services/groups/) - [Family Therapy](https://ensomh.com/services/family-therapy/) - [Strength-Based Clinical Supervision & Consultation](https://ensomh.com/services/clinical-supervision/) ###### Follow Us Copyright © 2026 Ensō Mental Health, LLC – All Rights Reserved. [Therapy Website Design by Art Binaire](https://www.artbinaire.com/) Menu

Readable Markdown

### Transform Your Life with Therapy at Ensō Mental Health [![individual](https://ensomh.com/wp-content/uploads/2024/08/individual_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![Individual Therapy](https://ensomh.com/wp-content/uploads/2024/08/individual_blue.svg) #### Individual Therapy [![couples](https://ensomh.com/wp-content/uploads/2024/08/couples_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![couples](https://ensomh.com/wp-content/uploads/2024/08/couples_blue.svg) #### Couples Therapy [![teen purple](https://ensomh.com/wp-content/uploads/2024/08/teen_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![Teen Therapy](https://ensomh.com/wp-content/uploads/2024/08/teen_blue.svg) #### Teen Therapy [![Children](https://ensomh.com/wp-content/uploads/2024/08/children_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![children](https://ensomh.com/wp-content/uploads/2024/08/children_blue.svg) #### Children (Play Therapy) [![Groups](https://ensomh.com/wp-content/uploads/2024/08/groups_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![Groups](https://ensomh.com/wp-content/uploads/2024/08/groups_blue.svg) #### Groups [![Family Therapy](https://ensomh.com/wp-content/uploads/2024/08/family_purple.svg)](https://ensomh.com/services/adolescent-teen-therapy/) ![family](https://ensomh.com/wp-content/uploads/2024/08/family_blue.svg) #### Family Therapy ### What to expect from our counseling [![Anxiety Treatment](https://ensomh.com/wp-content/uploads/2024/07/Anxiety_Treatment-1024x683.jpeg)](https://ensomh.com/specialties/anxiety/) #### [Anxiety Therapy](https://ensomh.com/specialties/anxiety/) Are anxiety and stress interfering with your daily activities and relationships? Therapy at Ensō Mental Health can help\! [Learn More](https://ensomh.com/specialties/anxiety/) [![Depression Therapy](https://ensomh.com/wp-content/uploads/2024/07/Depression_Therapy-1024x683.jpeg)](https://ensomh.com/specialties/depression-therapy/) #### [Depression Therapy](https://ensomh.com/specialties/depression-therapy/) Are you feeling sad, low motivation, or even having suicidal thoughts? Call us at Ensō Mental Health to find out how we can help\! [Learn More](https://ensomh.com/specialties/depression-therapy/) [![Disordered Eating Counseling](https://ensomh.com/wp-content/uploads/2024/08/Disordered_Eating-1024x678.jpg)](https://ensomh.com/specialties/disordered-eating/) #### [Disordered Eating Counseling](https://ensomh.com/specialties/disordered-eating/) Do you struggle with body image, or find yourself obsessing over food, your weight, or exercise? Contact us at Ensō Mental Health to find out how we can help\! [Learn More](https://ensomh.com/specialties/disordered-eating/) [![Grief loss therapy and counseling](https://ensomh.com/wp-content/uploads/2024/07/Grief_Loss-1024x684.jpeg)](https://ensomh.com/specialties/grief-loss/) #### [Grief & Loss Therapy](https://ensomh.com/specialties/grief-loss/) Have you experienced a loss that has left you struggling to recover or find meaning moving forward? Let us help you heal with our compassionate therapists at Ensō Mental Health. [Learn More](https://ensomh.com/specialties/grief-loss/) [![Maternal Postpartum Therapy](https://ensomh.com/wp-content/uploads/2024/07/Maternal_and_Postpartum-1024x683.jpeg)](https://ensomh.com/specialties/maternal-postpartum/) #### [Maternal & Postpartum Therapy](https://ensomh.com/specialties/maternal-postpartum/) Are you entering into or emerging from the journey of motherhood and finding it difficult to navigate? Call us to schedule with our specialized therapists who can help at Ensō Mental Health. [Learn More](https://ensomh.com/specialties/maternal-postpartum/) [![Grief and Loss Therapy](https://ensomh.com/wp-content/uploads/2024/07/Mens_Issues-1024x683.jpeg)](https://ensomh.com/specialties/mens-issues/) #### [Mens’ Issues](https://ensomh.com/specialties/mens-issues/) Are you a man who is experiencing pressure or stress related to the unique societal expectations of masculinity? We can help at Ensō Mental Health - call us to schedule. [Learn More](https://ensomh.com/specialties/mens-issues/) [![Sexual Health & Intimacy Issues](https://ensomh.com/wp-content/uploads/2024/07/Sexual_Health_and_Intimacy_Issues-1024x684.jpeg)](https://ensomh.com/specialties/sexual-health-intimacy-issues/) #### [Sexual Health & Intimacy Issues](https://ensomh.com/specialties/sexual-health-intimacy-issues/) Do you want to improve intimacy in your relationship or find sex to be painful or difficult? Our professional therapists at Ensō Mental Health are equipped to help you find ways to thrive. [Learn More](https://ensomh.com/specialties/sexual-health-intimacy-issues/) [![Parenting Issues](https://ensomh.com/wp-content/uploads/2024/07/Parenting_Issues-1024x684.jpeg)](https://ensomh.com/specialties/parenting-issues/) #### [Parenting Issues Counseling and Therapy](https://ensomh.com/specialties/parenting-issues/) Are you a parent and having difficulty with the demands of raising your children? Our experienced therapists at Ensō Mental Health are here to support you and offer guidance to help your relationship with your kids become fun again\! [Learn More](https://ensomh.com/specialties/parenting-issues/) #### Contact us today Billing Questions? Need to find the right therapist for you? Want to schedule an appointment? ### What clients say about us Shannon is truly amazing! She helped me through really stressful and difficult times of my life. She gave me amazing tools to improve relationships with others and learning to care for myself. Shannon is very caring and loving. Shannon’s guidance to move onto the next chapter of my life is a huge blessing\! Absolutely AMAZING.! Joanna is a great Therapist. She manage to know exactly what is happening in my head when I don’t even know it. She have been helping me to heal myself, showing me how to do it. Super professional and super nice and sweet person. Excellent in her job. I don’t have more than very good things to say about her. Mental health is as important as physical Health. (Specially now in the middle of the pandemic) I absolutely recommend her. Really. 20 stars if I could. This is the best counseling service I have ever worked with. I see Heather for “regular” therapy and I had the pleasure of working with Shannon for EMDR for trauma processing. Both of these ladies are amazing, intelligent, and so compassionate. My quality of life has improved and they both helped equip me with coping skills I use every day. Their online portal is really easy to use and I have also utilized their telehealth during bad weather. If you’re hesitant about reaching out, don’t be. I highly recommend. ### What Is An Ensō? Ensō, meaning ‘circular form’ in Japanese, and is a form of art as meditation, symbolizing perfection in imperfection – especially when drawn as an incomplete circle. Usually a person draws the ensō in one fluid, expressive stroke, and once the ensō is drawn, it isn’t changed. It reflects the character of its creator and the context of its creation in a brief period of time – perfectly capturing that moment. Ensō represents our belief that all people are both a work in progress, and perfectly imperfect all at once. The ensō captures our approach in therapy to meet you right where you are, even in the midst of where you want to go. ![Ensō](https://ensomh.com/wp-content/uploads/2024/07/enso_circle.svg) ### Our Team [![Brecken Wilkinson](https://ensomh.com/wp-content/uploads/2025/08/Brecken-green-background-800x800.jpeg)](https://ensomh.com/our-staff/brecken-wilkinson/) [![haley stein](https://ensomh.com/wp-content/uploads/2024/07/Haley-Green-background-800x800.jpeg)](https://ensomh.com/our-staff/haley-stein/) [![tristan](https://ensomh.com/wp-content/uploads/2024/07/Tristan-green-background-1-best-1-800x800.jpeg)](https://ensomh.com/our-staff/tristan-schneck/) [![jessica](https://ensomh.com/wp-content/uploads/2024/07/Jessica-green-background-3-800x800.jpeg)](https://ensomh.com/our-staff/jessica-ruzicka/) [![Heather Janvrin](https://ensomh.com/wp-content/uploads/2024/07/Heather-Green-background-1-800x800.jpeg)](https://ensomh.com/our-staff/heather-janvrin/) [![Shannon Howard](https://ensomh.com/wp-content/uploads/2024/07/Shannon_Howard-800x800.jpg)](https://ensomh.com/our-staff/shannon-howard/) [![Katy Davis](https://ensomh.com/wp-content/uploads/2024/07/Katy-green-background-3-800x800.jpeg)](https://ensomh.com/our-staff/katy-davis/) [![JoAnna](https://ensomh.com/wp-content/uploads/2024/07/Untitled-design.zip-1-800x800.jpeg)](https://ensomh.com/our-staff/joanna-prewitt/) #### JoAnna Prewitt Outpatient Therapist / Executive Director / Owner [Meet JoAnna](https://ensomh.com/our-staff/joanna-prewitt/) [![brady](https://ensomh.com/wp-content/uploads/2025/08/Brady-green-background-800x800.jpeg)](https://ensomh.com/our-staff/brady-umberger2/) [![jess rear](https://ensomh.com/wp-content/uploads/2024/07/Headshot_-_Jess_Rear-721x800.jpeg)](https://ensomh.com/our-staff/jess-rear/) #### Jess Rear Senior Client Care Coordinator [Meet Jess](https://ensomh.com/our-staff/jess-rear/) [![madison](https://ensomh.com/wp-content/uploads/2026/01/Maddy_Howard-Headshot1-1-1-733x800.jpg)](https://ensomh.com/our-staff/madison-howard-2/)

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ML Intent Types

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Raw JSON

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Content Metadata

Language

en-us

Author

null

Publish Time

2026-03-31 21:46:33 (25 days ago)

Original Publish Time

2020-05-01 23:15:30 (5 years ago)

Republished

Yes

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External Links

Internal Links

Technical SEO

Meta Nofollow

Meta Noarchive

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