Offering Telehealth Services!
Meet Our Staff - Mental Health Therapists
JoAnna Prewitt, MS, LPC-MH, QMHP, NCC /Owner, Outpatient Therapist
I earned a Master's of Science Degree in Community Counseling in 1999 and a Bachelor's of Science Degree in Psychology in 1995. Through various roles in my past, I've gained experience in adoption, parenting training, the child welfare system, doula work, individual therapy, group therapy, and couples therapy.
I specialize in working with adults and teens on a variety of concerns, including relationships, grief & loss, trauma, anxiety, depression, general wellness & health, setting healthy boundaries, improving self confidence, and parenting. I've been providing counseling in the Black Hills since 2015, and prior to that, in Colorado. I offer a variety of treatment options, including Cognitive Behavior Therapy, Internal Family Systems, Gottman Method couples therapy, EMDR (trauma focused therapy), trauma informed therapy, and I provide all my clients with a strength based approach. My passion is helping couples improve communication, manage conflict, and enhance their relationships with one another.
I am married and we have 3 children, who keep us busy when we are not working! I enjoy running with our golden retriever, yoga, spending time with friends, traveling and learning from new cultures and people, and reading. I believe self care is critically important for any balanced, healthy life.
It would be my honor to walk alongside you and support you in counseling as you learn to navigate the road you're on in order to live your best life. I look forward to meeting you and getting started on improving your mental health!
Shannon Howard, MA, LPC-MH, QMHP, NCC /Outpatient Therapist
I earned my Master’s degree in Clinical Counseling from the University of Northern Colorado in 2009 and my Bachelor’s degree in Psychology from the University of Washington in 1999. I specialize in working with teenagers and adults on many issues including depression, anxiety, mood disorders, personality disorders, grief and loss, and relationship issues to name a few. My passion is working with women who have been through some type of trauma and are experiencing difficulty functioning in the present moment.
I employ a wide range of skills, but I truly believe that the foundation of therapy is based on a solid therapeutic relationship. I am a strong promoter of self care. I have been intensively trained in DBT, which focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. I am also trained in EMDR which is specifically designed to help people struggling with trauma.
I have worked in various fields since earning my degree including work with autistic children, the foster care system and finally, in community mental health since 2009.
I am originally from South Dakota. I moved to Washington to earn my Bachelor’s degree and then Colorado where I lived for fourteen years. I am married and have one daughter. When she was ready to go to school we decided to move back to South Dakota to be near family and raise her in the same small town community that my husband and I were lucky to grow up in.
I enjoy walking, yoga, reading, cooking, and traveling when I am not working. Friends and family are very important to me and finding ways to stay connected with them is a priority. I truly believe in balance and self-care, and strive to practice this on a daily basis.
I am excited to meet you where you are and assist in your journey in whatever way I can. I believe therapy can be an amazing tool in helping create the life that you deserve to have.
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.
Therapy at Ensō Mental Health
Relationships
Relationship counseling can be beneficial to couples who are looking to strengthen their emotional connection, manage conflict, and improve communication skills, in all stages of their relationship. Therapy sessions are held with both partners together and therapy at Ensō Mental Health is a
supportive place to discuss issues and find solutions to strengthen your relationship and heal past hurts.
Trauma & PTSD
Many individuals can experience symptoms associated with painful and traumatic circumstances. In fact, trauma is beginning to be recognized as so common that it is the number one public health threat. Anxiety, fear, and hopelessness are a few emotions that can linger post traumatic events. We can help you overcome these symptoms and guide you
through the process of grief and healing.
Depression & Anxiety
Depression, fear, and anxiety are some of the most common and uncomfortable emotions that we can experience at some point in our lives. Through counseling and treatment, we are able to help you recover motivation, perspective, peace, and joy that you once had in your life.
Important Client Forms:
To View Our Notice of Privacy Practices and Download Client Paperwork to prepare for your first session, please click here
Contact Us
Ensō Mental Health, LLC
717 North 5th Street, Spearfish, South Dakota 57783
p: 605.519.5850 f: 605.699.8373
Hours
Mon-Thurs: 8:00 am - 5:00 pm, Friday: 8:00 am - 12 pm
By Appointment Only
Closed Saturday - Sunday
If you need to reach us after hours, please call (605)519-5850 and leave a message
- We'll return your call as soon as we're able.
If you have an emergency, please call 911 or the Crisis Care Center at (605)391-4863