- Stress and anxiety
- Addiction support
- Attachment work
About Alyssa
Alyssa Petersen Domel is a Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC) practicing in South Dakota with nine years of experience. She works with adults on common early-adulthood pressures such as stress, anxiety, relationship trouble, and career concerns. Alyssa also supports people facing addictions, trauma and abuse, mood concerns, ADHD, grief, parenting strain, and sleep problems.
Alyssa uses practical, skill-based approaches in sessions. She draws on attachment-focused work to look at relationship patterns. She uses cognitive behavioral strategies to notice and change unhelpful thinking. Dialectical behavior therapy skills and Gottman-informed techniques appear when emotion regulation or relationship communication are central.
Her approach emphasizes clear, direct collaboration. Sessions typically focus on identifying what is most pressing, learning concrete skills, and practicing changes that fit day-to-day life. She also addresses deeper patterns such as abandonment, attachment issues, codependency, and control struggles when those themes come up.
Her practice includes support for drug and alcohol addiction, infidelity, family problems, and the mixed emotions of life changes. Alyssa notes experience with postpartum mood concerns and personality disorder presentations in clinical work. She also has experience working with people who bring Indigenous Medicine Wheel traditions into therapy.
People meet with her to work through specific problems and to build tools for coping after sessions end. To start, visitors complete a short matching questionnaire and schedule a first appointment through the online options provided.
How her approaches translate to online work
Alyssa uses attachment-based work to map how early relationship patterns affect current connections. This approach helps when trust, abandonment, or communication problems are recurring issues. CBT is used to identify and change patterns of thinking that feed anxiety, low mood, or unhelpful behaviors. It focuses on practical exercises and homework that fit into everyday life.Finding the right approach is part of the process. She will work collaboratively to decide which methods suit the person's needs and goals. That may mean combining tools from attachment work, CBT, and DBT skills as sessions progress and priorities shift.
Confirm current online session options before booking since formats are not specified in the biography. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow for shorter check-ins when needed. It can also allow someone to practice communication and emotion-regulation skills in the context of real daily routines, so therapy feels practical and relevant.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
South Dakota, Iowa, Utah, Maine, Nebraska
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, addictions, trauma and abuse, relationship and family concerns, grief, sleep issues, parenting struggles, career questions, and ADHD.
What is her therapeutic style like?
She uses clear, skills-focused work drawing on attachment-based techniques, CBT, DBT skills, and Gottman-informed approaches when relationships or emotion regulation are central.
How much clinical experience does she have?
Alyssa has nine years of clinical experience working in counseling settings.
What credentials and region are listed?
She holds LPC, LPC-MH, and LMHC credentials and practices in South Dakota.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
Confirm current session options before booking by checking the online therapy options; the biography does not specify formats directly.
How are fees and payment handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.