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

Compassionate counselor for stress and relationships
  • Stress and anxiety
  • Addictions and recovery
  • LGBT relationship support

About Dr. Paula Ehrmantraut

Dr. Paula Ehrmantraut is a seasoned therapist with 17 years of clinical experience who draws on a broad set of counseling methods to help people move beyond the struggles that brought them to therapy. She combines cognitive behavioral techniques, client-centered care, solution-focused strategies, psychoanalytic perspectives, trauma-focused CBT, and healing-oriented practices to create treatment plans tailored to each person’s needs. Her work focuses on issues such as stress, anxiety, addictions, LGBT concerns, relationship difficulties, and depression, while also addressing related areas like adoption and foster care, attachment issues, aging and geriatric concerns, body image, chronic pain and illness, codependency, and substance use challenges.

Paula frames change as a step-by-step process and emphasizes learning practical tools and self-compassion along the way. She draws on personal and professional life experience, including raising three daughters and now enjoying four grandchildren, to inform a compassionate, life-span perspective on healing. Clients can expect a nonjudgmental stance and an emphasis on finding small daily positives that build motivation and resilience. Paula holds multiple counseling credentials - LCPC, LPC, and LPC-MH - reflecting state licensure and specialized training in mental health counseling. Her approach centers on meeting individuals where they are and shaping therapy to their goals and preferences.

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 Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Emotionally-Focused Therapy (EFT) Existential Therapy Mindfulness Therapy Motivational Interviewing Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Dr. Paula Ehrmantraut have?

Dr. Paula Ehrmantraut has 17 years of professional experience in counseling and therapy.

Is Dr. Paula Ehrmantraut a licensed therapist?

Yes. She holds the credentials LCPC, LPC, and LPC-MH. License details include MT LCPC BBH-LCPC-LIC-1196 and SD LPC LPC-MH30682.

In which languages does Dr. Paula Ehrmantraut provide therapy?

Dr. Paula Ehrmantraut provides therapy in English.

Where is Dr. Paula Ehrmantraut located?

Dr. Paula Ehrmantraut is located in South Dakota.

How can I work with Dr. Paula Ehrmantraut as my therapist?

You can work with Dr. Paula Ehrmantraut through video calls, phone sessions, live chat, or text-based messaging.

Does Dr. Paula Ehrmantraut work with international clients?

Yes, Dr. Paula Ehrmantraut works with international clients.

How much does therapy with Dr. Paula Ehrmantraut cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

How therapeutic approaches translate to online care



Client-centered therapy focuses on building a respectful, empathic relationship in which the therapist follows the client's lead and helps the person explore values, feelings, and goals. This approach supports people coping with relationship concerns, identity questions, and life transitions by emphasizing understanding and personal growth.

Cognitive Behavioral Therapy (CBT) helps clients identify and shift unhelpful thinking and behavior patterns. It is practical and skills-oriented, and it is often used for anxiety, depression, stress management, and habit change. Dialectical Behavior Therapy (DBT) provides tools for emotion regulation, distress tolerance, and improving interpersonal effectiveness, which can be useful for intense emotions, impulse difficulties, and relationship conflicts.

Finding the right approach is a collaborative process. Dr. Paula Ehrmantraut works with each person to evaluate needs, goals, and preferences and to adapt methods over time so therapy fits the individual’s life and challenges. Licensed professionals will guide the selection of techniques rather than prescribing a one-size-fits-all plan.

Online therapy with Dr. Paula Ehrmantraut can be delivered through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to access regular support, practice new skills between sessions, and maintain continuity of care when in-person visits are difficult.

Ready to start therapy with Dr. Paula Ehrmantraut?

Take the first step toward a better you.