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BL Portrait of Barbara Lefdal

Barbara Lefdal

Practical, compassionate therapy for life transitions

LPC-MH South Dakota

Experience
30 years in practice
Focus areas
Stress, Anxiety, Grief, Depression
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Barbara

Barbara Lefdal brings a client-centered, cognitive behavioral perspective to a long career in psychotherapy in South Dakota. As an LPC-MH with 30 years of experience, she focuses on helping people manage stress, anxiety, depression, grief, compassion fatigue, and the practical and emotional effects of life changes.

Background and approach

Her approach blends evidence-informed strategies with attention to each person's unique history and current circumstances. She also addresses related concerns such as abandonment, caregiver stress, codependency, communication difficulties, control issues, and mood disorders, while offering support around hospice and end-of-life issues, intellectual disability, multicultural concerns, and post-traumatic stress.

Barbara combines practical techniques with reflective exploration to help clients reduce distress, improve coping skills, and navigate challenging transitions. Her practice emphasizes collaboration, respectful listening, and gradual skill-building to foster resilience and clearer decision-making.

Approaches and online options that fit your life

Barbara integrates Cognitive Behavioral Therapy and Client-Centered Therapy into online work, using structured tools to identify unhelpful thoughts and practical skills while maintaining a warm, accepting therapeutic stance. CBT helps people learn new thinking and behavior patterns useful for anxiety, depression, and stress, while client-centered work emphasizes respectful listening and helping clients find their own solutions.

She also incorporates Mindfulness Therapy to teach present-focused awareness and stress-reduction practices that can complement cognitive and reflective work. These approaches can be blended based on the issue at hand and the client's preferences so the therapist and client can collaborate to find the best fit for goals and needs.

Online therapy is offered through video calls, phone sessions, live chat, or text-based messaging to increase flexibility and accessibility. These formats make it easier to schedule sessions around busy lives, follow up between appointments, and continue care from different locations while working with licensed professionals and therapists who tailor methods to each person.

Frequently asked questions

What kinds of concerns does this therapist address?
She works with stress, anxiety, grief, depression, coping with life changes, and compassion fatigue, and also focuses on issues like caregiver stress, codependency, communication problems, and post-traumatic stress.
How would you describe the therapeutic style?
The practice combines client-centered listening with cognitive behavioral techniques and mindfulness, using motivational interviewing and psychodynamic ideas as needed to support insight and practical change.
What is the therapist's professional background?
Barbara has 30 years of clinical experience providing psychotherapy and related services in South Dakota.
What credentials and location are listed?
The clinician is credentialed as LPC-MH with licence details SD LPC-MH LPC-MH30757 and practices in South Dakota.
Are sessions offered in other languages or to international clients?
Sessions are provided in English and the therapist is not currently accepting international clients.
Which session formats are available for working together?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging depending on schedule and preference.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are involved in beginning therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Additional focus areas

AbandonmentAging and geriatric issuesCaregiver issues and stressCodependencyCommunication problemsControl issuesDivorce and separationGuilt and shameHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessMoney and financial issuesMood disordersMulticultural concernsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

30+ years

Licensed

South Dakota

Languages

English