Trent Uthe

I have experience treating trichotillomania and have seen positive clinical outcomes. My approach is individualized and begins with understanding the circumstances, emotional states, internal experiences, and behavioral patterns surrounding hair pulling. Treatment may incorporate behavioral strategies, mindfulness and DBT-based skills, acceptance-based approaches, and clinical hypnosis or other experiential techniques when appropriate. I am particularly interested in helping clients become more aware of automatic patterns, increase their ability to tolerate urges and difficult emotional states, and develop alternative ways of responding. I also recognize that hair pulling can serve different functions for different people, so treatment is tailored to the individual rather than assuming that one technique will work for everyone. When appropriate, we may also explore the emotional or psychological meaning associated with the behavior while maintaining a practical focus on symptom reduction and improved functioning.

I am a licensed psychotherapist in Sioux Falls, South Dakota, providing individualized psychotherapy for adults experiencing anxiety, compulsive or habitual behaviors, emotional distress, relationship difficulties, and patterns that feel difficult to change. My work is integrative and combines evidence-informed behavioral approaches with mindfulness, DBT, experiential psychotherapy, clinical hypnosis, and depth-oriented approaches. I aim to help clients not only reduce symptoms, but better understand the patterns underlying them and develop greater freedom and flexibility in their lives.

• Licensed Clinical Social Worker (LCSW), South Dakota
• Licensed Addiction Counselor (LAC), South Dakota
• Training and clinical experience in Dialectical Behavior Therapy (DBT)
• Training and clinical experience in clinical hypnosis and Changework
• Internal Family Systems (IFS)-informed psychotherapy
• Existential and depth-oriented psychotherapy
• Bilingual psychotherapy services in English and Spanish

My practice is based in Sioux Falls, South Dakota. I work collaboratively with clients and place a strong emphasis on understanding each person's individual experience rather than reducing them to a diagnosis or symptom. I welcome clients who have struggled with shame, frustration, or discouragement around repetitive behaviors and want a treatment approach that is both practical and psychologically meaningful. In-person and telehealth services may be available depending on clinical appropriateness and location.