Hannah Otten
PMHNP-BC

Shjade Smith
PMHNP-BC

Psychiatric Mental Health Nurse Practitioners (PMHNP) provide medication management to treat mental health conditions. Our providers take a holistic approach, considering factors such as nutrition, vitamin deficiencies, medical conditions, lifestyle, relationships, and environment to develop personalized treatment plans to support healing and mental well-being. They work closely with our other providers to ensure you receive the most comprehensive care.

Medication management and psychological assessments are available for children ages 5+, adolescents, and adults with psychiatric conditions, including but not limited to:
- Anxiety
- Depression
- Bipolar disorder
- Mood disorders
- Sleep disorders
- Attention-Deficit Hyperactivity Disorder (ADHD)
- Post Traumatic Stress Disorder (PTSD)
- Obsessive-Compulsive Disorder (OCD)
- Oppositional Defiant Disorder (ODD)

Hannah is accepting new clients, and accept the following insurances: Aetna, Avera, Blue Cross, Cigna, Medica, Medicaid, Medicare, Sanford, UMR (Avera, Sanford, and United), United, and Tricare. A referral from your Primary Care Provider may be required by your insurance. Telehealth is available, you must physically be in SD at the time of your appointment.

Call 605-271-5640 to schedule!

  • ADHD

    Anger

    Anxiety

    Behavioral issues

    Bipolar

    Child abuse

    Codepenency

    Depression

    Domestic Abuse

    Dual Diagnosis

    Education and Learning challenges

    Family Conflict

    Grief

    Infertility

    Infidelity

    Life transitions

    Parenting

    Personality disorders

    Pregnancy, Prenatal, and Postpartum mood issues

    Relationships

    Self Esteem

    Self-harm

    Stress

    Suicidal thoughts

    Trauma and PTSD

  • Excessive anxiety or worry

    Becoming easily fatigued

    Difficulty concentrating

    Sleep disturbance

    Decreased interest in doing things you once enjoyed

    Feeling down, depressed, hopeless

    Suicidal thoughts

    Change in eating habits

    Intrusive thoughts or memories

    Distressing flashbacks

    Exaggerated startle response

    Negative beliefs about yourself

    Heightened frustration or irritability

    Increased conflict

    Compulsive behaviors or urges

    History of trauma

    Loss of a loved one

  • Individual counseling for ages 3+Including Art Therapy, CBT, DBT, EMDR, Brainspotting, and Sandtray.

    Couples/Marital counseling

    Family counseling

    Testing and Evaluation

    Medication Management