Mental well-being is crucial for overall health, but seeking help for depression or anxiety can be tough.
Mental health clinics and counseling centers aim to make support easier to access. One such clinic is Ensō Mental Health.
“Ensō” is a Japanese term meaning “circular form,” symbolizing the beauty of imperfection.
Ensō Mental Health embraces this idea, offering top-notch care, research, education, and community support. Their skilled professionals provide hope and healing to many.
The ensō reflects the belief that everyone is both a work in progress and perfectly imperfect. Ensō Mental Health meets people where they are and helps them achieve their goals.
These centers are vital to communities, offering compassionate care and safe spaces for improving mental health.
In this article, we will explore their services and impact on community mental health.
However, a great alternative for quick access to medical attention is BetterHelp.
On BetterHelp, members can connect with a variety of licensed healthcare providers. Simply register on the platform to take advantage of these benefits.
Mental Health Services Provided By Enso Mental Health

1. Couples & Relationships
At Ensō Mental Health, relationship counseling aims to help couples deepen their emotional connection, handle conflicts better, and improve communication throughout their relationship.
Sessions can include both partners together or individually, creating a supportive and inclusive space to talk through issues and find solutions.
They use approaches like the Gottman Method, Internal Family Systems (IFS), and Emotionally Focused Therapy to strengthen relationships and heal past hurts.
The practice is also welcoming and supportive of LGBTQIA+ clients.
2. Anxiety & Depression
The therapists at Ensō Mental Health provide support for individuals dealing with anxiety and depression.
They offer counseling and treatment to help you regain motivation, see things more clearly, and find peace and joy in your life.
They use proven methods like CBT and DBT to effectively address these issues.
3. Trauma & Post Traumatic Stress Disorder (PTSD)
Many people may experience symptoms related to painful and traumatic events, with trauma now being recognized as a major public health concern.
Emotions such as anxiety, fear, and hopelessness often persist after traumatic experiences.
The therapists at Ensō Mental Health specialize in supporting individuals who have faced trauma or suffer from PTSD.
They use therapies like EMDR and trauma-informed care to help process and heal from these past experiences.
4. Children & Families
Ensō Mental Health provides specialized therapy for children and families, addressing issues like behavior, development, and family dynamics.
They create a nurturing environment using play therapy, art therapy, and other methods designed for kids, helping them make positive changes in themselves and their families.
5. Maternal & PostPartum
Ensō Mental Health provides Maternal and Postpartum Therapy to help women through all stages of motherhood, from pregnancy to postpartum.
This therapy addresses issues like pregnancy loss, birth trauma, and changes to body and mental health.
Ensō Mental Health believes every woman and her family deserve strong support during these times.
Their licensed therapists in Spearfish use proven therapies tailored to individual needs, including Cognitive Behavioral Therapy (CBT) for anxiety and depression, Dialectical Behavior Therapy (DBT) for stress and emotions, and Trauma-Informed Supportive Therapy for trauma.
These methods address both the symptoms and causes of mental health issues during motherhood.
Whether dealing with hormonal changes, adjusting to being a mom, or coping with grief, the team at Ensō Mental Health is here to help.
6. Groups
Ensō Mental Health offers group therapy sessions where people facing similar challenges can connect.
These sessions provide a supportive space to share experiences, learn from each other, and gain new perspectives.
Group therapy helps participants understand and cope with difficult experiences, learn more about themselves, and build healthier relationships.
The goal is to create a sense of safety both within themselves and in their surroundings.
7. Grief & Loss
Losing a loved one or going through a significant loss can be overwhelming.
The compassionate counselors at Ensō Mental Health understand the profound impact of grief and are here to support you.
They provide a safe and private space to express your feelings, share memories, and explore your emotions.
Acknowledging that everyone grieves differently, they personalize their approach to fit your unique needs.
Using effective techniques and a person-centered method, they guide you through your grief, helping you find resilience and hope for the future.
8. Men’s Issues
Ensō Mental Health understands the unique mental health challenges men face, such as societal expectations, stress, and emotional well-being.
They offer a supportive environment where men can address these issues.
Recognizing that societal pressures often force men to conform to certain stereotypes, leading to mental health struggles, Ensō provides a safe space for men to express their emotions without judgment.
By acknowledging the stigma around vulnerability, they tailor their approach to encourage men to seek the help they need.
9. Disordered eating/Body Image
Disordered eating includes unhealthy habits like eating too little, binge eating, or purging, which can hurt both your body and mind.
These behaviors often lead to guilt, shame, and low self-esteem. Body image issues come from having a negative view of oneself, often made worse by unrealistic beauty standards.
Ensō Mental Health is here to help people improve their relationship with food and their body, providing support and care to help them find balance and self-acceptance.
Want to know more about mental health hospitals, check these out:
- Nu Leaf Mental Health: Transforming Your Wellness Journey
- Bodhi Mental Health Center: Care for Mind & Wellness
- Kingswood Mental Health Hospital: Care for Your Well-Being
Professionals At Enso Mental Health

Ensō Mental Health Counseling features a team of skilled and empathetic professionals committed to improving the well-being of their clients.
1. Ashley Siebrasse, MS/Outpatient Therapist
Ashley Siebrasse, MS, is an outpatient therapist who graduated with a Master of Science in Clinical Mental Health Counseling from SDSU in 2023, after completing her internship at Ensō Mental Health.
She has a background in business administration and substance abuse counseling. Outside of work, Ashley loves to travel, fish, garden, and explore the outdoors with her significant other and their dogs.
She believes in the healing power of relationships with animals and nature, which influences her therapeutic approach.
Ashley is passionate about helping individuals overcome anxiety, dysfunctional relationships, PTSD, and body image issues.
She also supports clients through life transitions, such as grief, loss, or new roles as parents or caregivers.
Ashley’s holistic approach considers the emotional, physical, and spiritual aspects of life.
She is dedicated to providing a safe, judgment-free space for reflection and growth, working with couples and individuals aged 14 and up.
2. Heather Janvrin, Outpatient Therapist
Heather Janvrin, MS, LPC, QMHP, NCC, is an outpatient therapist who earned her MS degree in Clinical/Mental Health from South Dakota State University and holds LPC-MH licensure through the South Dakota Board of Counselors.
She is also a nationally certified counselor. Heather works with individuals aged 13 and up, including individuals, couples, and families.
Her therapeutic approaches include Solution-Focused Brief Therapy, Acceptance and Commitment Therapy, Internal Family Systems, Trauma Informed Care, and Cognitive Behavioral Therapy.
Heather strives to provide a person-centered, strength-based approach unique to each client.
She values the opportunity to help clients embrace positive change, improve relationships, and become the best version of themselves.
3. Jessica Ruzicka, Outpatient Therapist
Jessica Ruzicka, MS, LPC, QMHP, NCC, is an outpatient therapist who values being genuine and open to building strong therapeutic relationships.
She uses a Person-Centered and Humanistic approach, focusing on each person’s unique qualities and growth.
Jessica has extensive experience with parents, children, and adolescents, emphasizing the child-parent bond.
She is passionate about Play Therapy and specializes in Perinatal and Postpartum Mental Health.
4. Katy Davis, Outpatient Therapist
Katy Davis, MSW, LCSW-PIP, QMHP, is a committed outpatient therapist with a Master of Social Work from Florida State University and a Bachelor’s in Social Work with a minor in Psychology from Chadron State College.
Her therapy style is direct, warm, and interactive, always showing respect and compassion.
Katy has experience working with people of all ages and backgrounds, addressing issues like anxiety, depression, self-esteem, trauma, grief, relationship problems, work-life balance, stress, and sexual concerns.
She loves helping people navigate major life changes and is open to discussing sexuality and incorporating spirituality into her sessions.
Katy uses various methods, including CBT, DBT, Motivational Interviewing, mindfulness, and meditation, and is trained in EMDR to help with trauma.
Her goal is to provide a safe, nonjudgmental space where clients can explore their feelings and build their inner strength to overcome challenges.
5. Shannon Howard, Outpatient Therapist
Shannon Howard, MA, LPC-MH, QMHP, NCC, is an outpatient therapist at Ensō Mental Health.
She works with teenagers and adults on various issues, including depression, anxiety, mood disorders, grief, life transitions, and relationship problems.
Shannon is particularly passionate about helping women who have experienced trauma and those dealing with the effects of narcissistic abuse.
She has advanced training in DBT for emotional regulation and mindfulness, and in EMDR to help heal from past trauma.
Shannon is dedicated to helping clients set healthy boundaries, manage symptoms, and achieve their personal goals.
6. JoAnna Prewitt Owner, Outpatient Therapist
JoAnna Prewitt, MS, LPC-MH, QMHP, NCC, is an owner and therapist with experience in areas like adoption, parenting, child welfare, and various types of therapy.
She works with adults on concerns such as relationships, grief, trauma, anxiety, depression, wellness, self-confidence, and parenting.
JoAnna has been counseling in the Black Hills since 2015 and previously in Colorado.
She offers different treatments, including Cognitive Behavioral Therapy, Internal Family Systems, Gottman Method-based couples therapy, and EMDR.
With a trauma-informed and strength-based approach, she is passionate about helping couples enhance their communication and relationships.
7. Haley Keizer, SDSU Counseling Intern
Haley Keizer, a counseling intern at SDSU, provides a welcoming and accepting environment for clients to discuss their emotions and challenges.
She assists those facing anxiety, grief, and relationship difficulties, tailoring her methods to fit each person’s specific needs.
Haley is dedicated to helping individuals realize their inner strength and potential for growth, offering empathy, encouragement, and practical tools to support their healing process.
8. Jessie Dougherty, Billing Coordinator/ Administrative Assistant
Jessie Dougherty works as the Billing Coordinator and Administrative Assistant at Enso Mental Health.
She manages the counselors’ schedules and assists clients in selecting the appropriate therapist.
Jessie is also available to address issues with the online portal and handle office paperwork.
She is pursuing a degree in Health Information Management and Technology at DeVry University, with graduation expected in the fall of 2024.
9. Karie Kinney, Administrative Assistant
Karie Kinney is an Administrative Assistant at Enso Mental Health, where she helps with office tasks and supports the team.
Address & Contact Information
You can reach Ensō Mental Health, LLC at 717 North 5th Street, Spearfish, SD 57783, USA. And for further details contact them at 605-519-5850.
