First Step Counseling

First Step Counseling Our mission is the diagnosis and treatment of abuse and dependency related to alcohol and drugs. We have evening and Saturday classes available.

We offer a variety of treatment options including: Individual Counseling, Prevention and Education Programs (DUI Education Program and Diversion Program), Intensive Prevention Program, Intensive Outpatient Treatment Program, and Aftercare.

Next week marks the beginning of September National Recovery Month. Throughout the month, we’ll celebrate the strength o...
08/30/2026

Next week marks the beginning of September National Recovery Month.

Throughout the month, we’ll celebrate the strength of those in recovery, honor the many different paths that lead there, and recognize the families, friends, counselors, and communities who walk alongside them.

Recovery is more than overcoming substance use. It’s rebuilding lives, restoring relationships, rediscovering hope, and learning that a different future is possible.

Whether you’re celebrating one day, one year, ten years, or simply finding the courage to take that very first step; your recovery matters. Your story matters. And you are never alone.

At First Step, we are honored to be part of that journey.

Recovery is possible. Hope is real. Change is happening. One step at a time.

08/24/2026
Recovery doesn’t always fit neatly into a Monday through Friday schedule, and we believe getting support shouldn’t mean ...
08/10/2026

Recovery doesn’t always fit neatly into a Monday through Friday schedule, and we believe getting support shouldn’t mean putting the rest of your life on hold.

First Step offers Saturday groups AND evening weekday groups, giving you more options to find support that works with your schedule.

We also accept Medicaid.

Connection, accountability, support, and practical tools for real life. Wherever you are in the process, taking the first step can make a difference.

Call First Step today at (605) 361-1505 to learn more about our group options.

ADDICTION DOESN’T ALWAYS LOOK LIKE ADDICTION.Sometimes it looks like showing up to work every day while falling apart in...
07/28/2026

ADDICTION DOESN’T ALWAYS LOOK LIKE ADDICTION.

Sometimes it looks like showing up to work every day while falling apart inside.

Sometimes it looks like, “I’ve got it under control.”

Sometimes it looks like promises you genuinely meant when you made them.

Sometimes it looks like isolation, anger, excuses, missed moments, broken trust, or becoming someone you barely recognize.

And recovery?

Recovery doesn’t always look dramatic either.

Sometimes recovery is telling the truth for the first time. It’s asking for help. It’s sitting through an uncomfortable feeling instead of escaping it.
It’s making the call. Showing up to group. Taking accountability. Setting a boundary. Trying again after a difficult day.

Recovery is built in ordinary moments when you choose to do something different than you did before.

You don’t have to have everything figured out to begin; You just have to be willing to take the next step.

At First Step Counseling Services, we believe change begins exactly there- with one step.

Addiction can feel like an endless cycle—but it can be broken. Understanding how substance use, cravings, brain changes,...
07/12/2026

Addiction can feel like an endless cycle—but it can be broken. Understanding how substance use, cravings, brain changes, continued use, and withdrawal connect is an important step toward recovery.

You do not have to face it alone. First Step is here to provide compassionate, professional support as you begin building a healthier future.

Call us at (605) 361-1505 or visit takeyourfirststep.com to learn more.

Some days feel like giant leaps. Other days, simply getting out of bed is enough. No matter how small the step, it’s sti...
06/26/2026

Some days feel like giant leaps. Other days, simply getting out of bed is enough. No matter how small the step, it’s still movement forward. Give yourself grace-you are growing, even when it doesn’t feel like it.

Barbara & Patricia Roth enjoying The Mission Impossible Training. The best trainings are the ones where you learn, laugh...
06/26/2026

Barbara & Patricia Roth enjoying The Mission Impossible Training. The best trainings are the ones where you learn, laugh, and leave inspired. Thankful for the opportunity to grow together!

WE’RE HIRING!First Step Inc. is looking for a dedicated, compassionate, and motivated Addiction Counselor to join our te...
06/20/2026

WE’RE HIRING!

First Step Inc. is looking for a dedicated, compassionate, and motivated Addiction Counselor to join our team!

Full-Time Position
Tuesday–Saturday Schedule
Sioux Falls, SD

Whether you’re already certified or interested in becoming an Addiction Counselor Trainee, we’d love to hear from you. If you’re passionate about helping individuals overcome addiction and build healthier futures, this is an opportunity to make a real difference every day.

Address

4320 S Louise Avenue Suite 105
Sioux Falls, SD
57106

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 4pm

Telephone

+16053611505

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