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Dr. Paula Ehrmantraut

LCPC, LPC, LPC-MH

Dr. Paula Ehrmantraut , LCPC, LPC, LPC-MH

Therapist in South Dakota

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Online therapy - get matched and start messaging.

About Paula

Dr. Paula Ehrmantraut helps people facing stress, anxiety, addiction, relationship struggles, depression, and concerns common to LGBT clients. She is a licensed counselor with 17 years of experience and works with people who want practical tools to change day-to-day life.

She keeps sessions straightforward and down-to-earth. Conversations focus on what is happening now and what steps can make things feel more manageable. Paula listens first, then helps people try methods that fit their situation and goals.

Her approach blends client-centered work with cognitive behavioral strategies and emotion-focused ideas. Paula uses skills from dialectical behavior therapy to help with intense feelings and behavior patterns. She also draws on existential thinking to help people find meaning when life feels confusing.

Paula has experience supporting people through adoption and foster care issues, aging and geriatric concerns, attachment and autism-related challenges, body image, chronic illness and pain, codependency, communication and control issues, and substance use problems. She also addresses divorce, domestic violence, and related commitment and dependent personality issues.

Sessions are available in English and can be done by video calls, phone, live chat, or text messaging. People may find her approach useful if they want a mix of practical tools and reflective conversation. To begin, prospective clients follow the site's start process to match and schedule a first session.

Approaches and online options for care

Client-centered therapy emphasizes being heard and understood. It focuses on the person in the room and helps them find their own answers through open, nonjudgmental conversation. Cognitive behavioral therapy, or CBT, looks at the links between thoughts, feelings, and actions and teaches practical skills to reduce anxiety, depression, and unhelpful behavior patterns. Dialectical behavior therapy, or DBT, adds specific emotion-regulation and distress-tolerance skills for people who struggle with intense moods or impulsive behavior.

Choosing the right approach is part of the work. The therapist will collaborate with each person to identify goals and try methods that match their needs and preferences. That process may include trying a technique for a few sessions and adjusting based on what helps.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging to fit different schedules and situations. Video calls are useful for a full conversation and visual cues. Phone sessions can be easier when bandwidth or camera use is limited. Live chat or text messaging can work for shorter check-ins, real-time coaching during a tough moment, or when someone prefers typed communication. These options make it easier to fit therapy into work, childcare, or travel schedules while keeping consistent momentum.

Frequently asked questions

What concerns does Paula commonly address

She helps people with stress, anxiety, addictions, depression, relationship problems, and LGBT-related concerns, plus many related issues such as body image and chronic illness.

What is her therapeutic style like

Her style is practical and down-to-earth. She listens first, then uses a mix of client-centered conversation and skills-based techniques to help people try changes that fit their life.

How much experience does she have

She has 17 years of clinical experience working with a broad range of concerns and life stages.

What credentials and region are listed

Credentials shown are LCPC, LPC, and LPC-MH, and the practice is based in South Dakota.

Which languages and international options are available

Sessions are offered in English and international clients are accepted.

What session formats are offered

She meets by video calls, phone sessions, live chat, or text-based messaging to give flexible ways to connect.

How is cost handled

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I start a first session

Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsLGBTRelationship issuesDepression

Additional focus areas

Adoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody imageChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

17+ years

Licensed

Montana, Washington, South Dakota, Utah

Languages

English

Ready to work with Paula?

Begin with a short quiz to get matched and start messaging.

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Start with Paula