Main Gate Counseling

208 North Main St
Winner, SD 57580

About Main Gate Counseling

Welcome to Main Gate Counseling. We offer a variety of services to help our clients overcome addiction and mental health issues. We offer alcohol rehab, dual diagnosis, opioid addiction, young adult rehab, adult program, men’s rehab, women’s rehab, outpatient rehab, cognitive behavioral therapy, dialectical behavior therapy, family therapy, group therapy, and individual therapy. We are here to help you every step of the way.

Addiction Treatment Programs

  • Alcohol Rehab

    Alcohol Rehab

    If your life has been negatively impacted by alcohol use disorder, an alcohol rehab in South Dakota can help. Alcohol programs address the mental, emotional, and relational issues that may contribute to addiction. You’ll learn to build a new support network that supports your long-term sobriety.

  • Dual Diagnosis

    Dual Diagnosis

    South Dakota dual diagnosis treatment is an integrated approach that addresses both your mental health and substance use. Along with traditional evidence-based substance use treatment, clients may receive mental health counseling, medication, peer support, and other tools to help them manage their mental health.

  • Opioid Addiction

    Opioid Addiction

    The best way to achieve recovery from opioid addiction is by completing a high-quality rehab in South Dakota and applying the tools you learn to stay in sobriety. These treatment programs offer detox, inpatient treatment, and outpatient care. You may receive individual, group, and family counseling, peer support, and classes in essential life skills.

  • Young Adult Rehab

    Young Adult Rehab

    A young adult rehab in South Dakota addresses the unique needs of young people transitioning to adulthood. Along with traditional evidence-based treatment, clients may receive educational support, employment training, and help securing housing.

  • Adult Program

    Adult Program

    Choosing an adult program in South Dakota can be a great way to address important life issues while also getting addiction treatment. Along with traditional evidence-based treatment, clients may receive employment support, parenting classes, and help to secure housing.

  • Men's Rehab

    Men's Rehab

    Choosing a men’s rehab in South Dakota helps give you the support you need to overcome addiction and learn to handle gender-specific challenges. Along with traditional evidence-based treatment, clients may receive education on topics relevant to men, such as fatherhood, healthy relationships, emotional vulnerability, and more.

  • Women's Rehab

    Women's Rehab

    Women’s rehab programs in South Dakota can help women make healthier life choices and avoid common mistakes. Along with traditional evidence-based treatment, clients may receive help with childcare, classes in parenting, and advice about being a working mother and building healthy relationships.

Insurance Coverage

  • Self-pay options

    Self-pay options

    In South Dakota, you can pay for rehab yourself, which is known as self-pay. When you write a check, use a medical loan from a credit union or bank, or send money electronically, you have the ability to choose any treatment center you prefer.

  • Sliding scale payment assistance

    Sliding scale payment assistance

    If you’re looking for ways to pay for rehab in South Dakota, consider finding a program with a sliding scale payment plan. A sliding scale allows those in need to pay less for treatment based on their income and family size. You may have to provide financial documentation.

  • Medicare


    One way to pay for rehab in South Dakota is to use Medicare. Your insurance plan can pay for some or all of the costs of rehab, especially if you choose a center that’s in the Medicare plan’s network. Be sure to get the full details before you start treatment.

Levels of Care

  • 1

    Outpatient Rehab

    For those who are more medically stable or have finished an inpatient program, outpatient treatment in South Dakota can be a useful form of rehab. Outpatient treatment includes multiple approaches, including cognitive behavioral therapy (CBT), motivational interviewing (MI), and holistic therapy options.


  • Cognitive Behavior Therapy

    Cognitive Behavior Therapy

    When you’re struggling with addiction in South Dakota, your actions and thoughts may not be rational. Cognitive behavioral therapy (CBT) can help you challenge your thoughts and adjust your actions accordingly. CBT is a common part of evidence-based treatment programs and may be a part of inpatient treatment, outpatient care, or both. CBT can be empowering as you learn to manage your thoughts and emotions rather than being overwhelmed by them.

  • Dialectical Behavior Therapy

    Dialectical Behavior Therapy

    When you’re struggling with addiction in South Dakota, stressful situations can be a trigger. Dialectical behavioral therapy (DBT) allows you to learn new coping strategies and build your confidence so you can make healthier decisions. DBT is a common part of evidence-based treatment programs and may be a part of inpatient treatment, outpatient care, or both.

  • Family Therapy

    Family Therapy

    One way to address the family conflict and challenging relationships that may impact your substance use is during family therapy in South Dakota. Some of the topics covered in family therapy include improving communication, developing healthy coping skills, avoiding codependency and enablement, and learning to support each other in healthy ways that foster recovery from addiction.

  • Group Therapy

    Group Therapy

    One way to share your feelings and get feedback during rehab in South Dakota is during group therapy. Group therapy is a normal part of evidence-based treatment programs, and may be a part of inpatient treatment, outpatient care, or both. Topics include addiction education, sharing of experiences, and learning new skills.

  • Individual Therapy

    Individual Therapy

    It’s easy to feel isolated when you battle substance use, but individual therapy in South Dakota can give you a professional ally in overcoming the roots of addiction. Individual therapy is a common part of both inpatient and outpatient substance use treatment, and may be used to help with skill-building, overcoming trauma, and creating a substance-free lifestyle.




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