Sioux Falls & South Dakota Telehealth Therapy for Adults Stuck in Repeating Patterns
You understand your patterns. You can name them, explain them, even predict them. But understanding hasn't been enough to change them.
Telehealth therapy for thoughtful, self-aware adults in Sioux Falls and throughout South Dakota.
Maybe this sounds familiar
You know what you want to do differently, but in the moment you find yourself saying yes again, explaining yourself again, or stepping in to fix something that isn't yours to fix.
You may have grown up being the responsible one, the peacekeeper, or the person who could sense what everyone else needed. Those patterns likely developed for good reasons. They may have kept things calmer, kept you connected, or helped you feel prepared.
Even when a pattern no longer fits your life, changing it can bring up guilt, fear, loyalty, grief, or worry about disappointing someone you care about.
Sometimes the hardest part isn't knowing what you want to do differently. It's staying with what comes up when you actually do it.
How therapy can help
I work with adults from complicated families who are ready to do something different with what they already know. You don't have to start over or prove you've done the work. We can begin with what you understand and get curious about what still feels hard to change.
In therapy, we slow down the moments that pull you back into familiar patterns. Together, we can work with the feelings that make change difficult and practice setting boundaries, trusting your choices, and responding in ways that feel more like you.
The goal isn't to become less caring or less connected to the people you love. It's to have more choice in how you show up.
You may be looking for support with
Anxiety, overthinking, and self-doubt
Trauma and childhood experiences that still show up today
People-pleasing, boundaries, and over-responsibility
Family conflict, guilt, and obligation
Relationship patterns that keep repeating
Stress and burnout from being the one who holds everything together
Life transitions, separation, and divorce
About Ana
I'm Ana V. Lozano, MA, LPCC/LPCMH, founder of Inner Wealth Therapy and a licensed mental health professional in South Dakota. My style is empathetic, warm, engaged, and active. I'll make room for the complexity of your relationships without assuming there's one "right" decision for you to make.
How to begin
You don't need the right words or a clear plan to get started. When you're ready, you can book your first session directly through my secure client portal.
Choose a time. Book your first session through my secure client portal.
Complete your forms. You'll receive intake paperwork right after booking. Please complete it before our first session. It helps me understand what's bringing you in.
I'll reach out if needed. If I have questions, or if another provider may be a better fit for what you're looking for, I'll email you before we meet and share other options.
Meet on secure video. We'll meet on a HIPAA-compliant platform. Join from anywhere in South Dakota.
Fees and scheduling
Intake session: $225 (60 minutes)
Ongoing sessions: $195 (53 minutes)
Daytime appointments only
Have a question before booking? Email me at analpcc@anavlozano.com
There's no commitment beyond your first session. You can decide after we meet whether to continue.