Sioux Falls Mental Health Hotlines
If you’re looking for mental health help in Sioux Falls, you don’t have to understand the whole system before you make a call. The Mental Health Hotline can talk through what you’re dealing with and point you toward the kind of support that fits. Call 866-903-3787 any hour of the day or night.
If this is an emergency
If you or someone else is in immediate danger, call 911.
If you are in emotional distress or thinking about suicide, call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24/7.
In Sioux Falls, Avera’s behavioral health urgent care at 605-322-4065 is open every hour of every day.
The Mental Health Hotline is an information and referral service. It is not a substitute for emergency services.
If you’re looking for mental health help in Sioux Falls, the reason could be almost anything: depression that has flattened everything out, anxiety that won’t switch off, drinking or using more than you meant to, a diagnosis you’re still learning to live with, or a stretch that has simply gotten heavier than you can carry on your own. You don’t need a referral or a diagnosis to start asking, and none of it needs to reach an emergency before it counts.
Sioux Falls has two doors that stay open when everything else is closed. Avera runs a behavioral health urgent care at 4400 W. 69th St., staffed around the clock, where you can be seen the same day rather than waiting weeks for an appointment. And The Link, at 132 N. Dakota Ave. downtown, is a community triage center built by the city, Minnehaha County, Avera and Sanford together for people in a non-violent behavioral health or substance use crisis; call 605-275-1000 or walk in. The Helpline Center, which answers 988 for the whole state, is headquartered here too.
Cost is the other wall people hit, even though Sioux Falls has one of the lower uninsured rates in this series. Southeastern Directions for Life, the community mental health center at 2000 S. Summit Ave., handles ongoing therapy and medication management at 605-336-0510, and the Helpline Center at 211 can line up help with rent, utilities and food while you sort the rest out. There’s more on mental health insurance coverage if that’s the sticking point.
You don’t need to know which of these is right before you reach out. The figures further down describe Sioux Falls in aggregate; they aren’t a description of you. Whether you’re looking for yourself or for someone you care about, the Mental Health Hotline can help you sort through the options at 866-903-3787. More South Dakota mental health resources are collected on the state page.
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Where to Get Help in Sioux Falls
These are the numbers and addresses worth having. Some are for the worst night of your life and some are for a Tuesday afternoon when you just can’t face the week, and both of those are reasons to call. If you’re not sure what happens when you dial, here’s what 988 actually does.
Mental Health in Sioux Falls, by the Numbers
Three figures that say something about the conditions people here are dealing with. They set context for the resources above rather than explaining any one person’s situation.
Figures come from the CDC PLACES 2025 release, which models city-level estimates from 2023 BRFSS survey responses for adults 18 and over. Sioux Falls ranks 56th of the 100 cities in this series for diagnosed depression, 82nd for frequent mental distress, meaning 14 or more poor mental health days in the past month, and 80th for adults without health insurance, where 1 is the highest rate. The city looks steady on paper, which is little comfort on a bad night. Model-based estimates describe a population, not any one person in it. Loneliness and social support were not measured in South Dakota.
Working out where to start is often the hardest part, especially when you’re already worn down and the list of numbers is long. The Mental Health Hotline can talk through what’s going on and help you find the right next step in Sioux Falls, at any hour. Call 866-903-3787 when you’re ready.