Barbara Lefdal

Barbara Lefdal, LPC-MH, brings 30 years of clinical practice in South Dakota to work with people facing depression, anxiety, grief, and major life transitions. She has a longstanding focus on older adults, caregivers, and those experiencing social isolation and loneliness, and she attends to the emotional needs that arise with aging and end-of-life concerns.

Her practice addresses a broad range of issues including stress, compassion fatigue, codependency, guilt and shame, communication challenges, and caregiver strain. Additional areas of attention include mood disorders, post-traumatic stress, social anxiety, seasonal affective disorder, intellectual disability, and practical concerns such as money and relationship transitions like divorce and separation.

Barbara uses a combination of client-centered, cognitive behavioral, mindfulness, motivational interviewing, psychodynamic, and solution-focused approaches to shape conversations and interventions. She provides a steady professional presence while tailoring methods to each person’s situation, supporting exploration of emotions and the process of navigating life changes.