Navigating life during or after domestic or intimate partner violence can leave profound imprints on your nervous system, your sense of safety, and your identity. At Bloom, we provide a completely judgment-free, confidential environment where survivors are genuinely heard and respected. Our specialized providers offer gentle, trauma-informed psychiatric evaluations, medication management and seamless collaborative care alongside your therapist. We meet you exactly where you are to support you at your own pace, right here in Sioux Falls or via telehealth across South Dakota.
If you are in immediate danger or crisis, please call or text 988 or dial 911
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DOMESTIC & INTIMATE PARTNER VIOLENCE
Healing after abuse takes time, compassionate support, and a safe space to rebuild.
How Bloom Approaches HEALING AFTER ABUSE
Abuse isn’t always physical. It can be controlling, isolating, frightening, or wearing down your confidence over time. However it showed up, the effects can last: anxiety, low mood, trouble sleeping, difficulty trusting, and a body that stays on high alert.
We start by listening, and you set the pace. We look at how the experience is affecting your sleep, mood, physical health, and daily life. We may recommend blood work, drawn elsewhere, to understand how your body is coping. From there we build a personalized plan around you.
Your plan may include:
Integrative approaches
Sleep strategies, nutritional support, movement, and other whole-body tools that help your nervous system settle
Medication management
If indicated and something you’d like to explore, we’ll walk you through evidence-based options for the anxiety, depression, nightmares, or sleep disruption that often follow abuse
COLLABORATIVE
CARE
We believe the best outcomes happen when your care team works together. When therapy is part of your plan, we’re glad to work alongside your existing therapist or help connect you with one, so your psychiatric care and therapeutic support stay aligned
Ongoing
follow-up
Healing isn’t linear, so we check in regularly and adjust your plan as your needs change
WHY BLOOM IS DIFFERENT
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WHY BLOOM IS DIFFERENT *
Many women never say “abuse” out loud to a provider, or aren’t asked. At Bloom, we treat what you’ve been through as part of your health, not a side note.
Both of our providers hold Perinatal Mental Health Certification (PMH-C), and Briana is also a Certified Nurse-Midwife who has cared for women through pregnancy, birth, and postpartum. That matters because pregnancy and the postpartum year can be times when abuse begins or intensifies, and many of the women we see are healing from it while caring for a baby or navigating loss or infertility.
We are nurse practitioners, so we can look at the full picture: how trauma is showing up in your body, your sleep, and your mood, and what kind of medical support might help. We won’t rush you, label you, or tell you what to do about your relationship.
WHAT TO EXPECT:
FREE 15 MINUTE CONSULTATION
A brief phone call to discuss your symptoms, answer your questions, and ensure our practice is the right fit for your needs.
YOUR FIRST VISIT
Your first visit is 90 to 120 minutes, online by telehealth or in person in Sioux Falls, SD. We’ll get to know you and listen to as much as you’re ready to share. There’s no pressure to give details you aren’t ready for. By the end, you’ll have a clear next step and a plan that feels right for you.
FOLLOW UP APPOINTMENTS:
Follow-up visits are typically 30 to 60 minutes. We check in on how your plan is working and adjust as needed. We remember your story, so you don’t have to start over each time.
TELEHEALTH: CARE THAT FITS YOUR LIFE
All appointments are available by telehealth across South Dakota. If getting to an office is difficult or doesn’t feel private, telehealth lets you meet from a space you choose.
You will be believed. You are in charge of our pace & what you choose to share. Healing is possible.
WHAT IS DOMESTIC VIOLENCE & INTIMATE PARTNER VIOLENCE?
Intimate partner violence is a pattern of harm by a current or former partner. It can include physical violence, threats, sexual coercion, controlling behavior, isolation, constant criticism, and financial control. Many women don’t call it abuse at first, especially when there are no visible injuries.
The effects can reach far beyond the relationship. Many women experience anxiety, depression, post-traumatic stress, sleep problems, chronic pain, and difficulty trusting themselves or others. These are understandable responses to being harmed, and they can be treated.
You might benefit from support if you:
Feel anxious, jumpy, or on guard even when you’re safe
Have nightmares, flashbacks, or intrusive memories
Feel numb, ashamed, or like you’ve lost yourself
Find it hard to trust your own judgment
Struggle with sleep, appetite, or constant exhaustion
Are still recovering after leaving, or aren’t sure whether to leave
Feel confused about what you experienced and whether it “counts” as abuse
Frequently Asked Questions
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Intimate partner violence is a pattern of harm by a current or former partner. It can include physical violence, threats, sexual coercion, controlling behavior, isolation, constant criticism, and financial control. It doesn’t require visible injuries, and it can happen in any kind of relationship. If something in your relationship leaves you afraid, diminished, or constantly on guard, it’s worth talking about.
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Yes. Emotional abuse, such as put-downs, manipulation, isolation, and control, can lead to anxiety, depression, trouble sleeping, and a shaken sense of self, just as physical harm can. Many women minimize it because “nothing physical happened.” Your reaction is real, and it deserves care.
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After a long period of living on alert, your nervous system doesn’t switch off the moment you’re safe. Startling easily, trouble sleeping, and feeling braced for something to go wrong are common responses. They don’t mean you’re broken or that leaving was a mistake. They can ease with support, and we look at sleep, physical health, and medical options as part of your plan.
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Yes. Abuse can lead to post-traumatic stress, with symptoms like flashbacks, nightmares, avoiding reminders, feeling numb, and being constantly on guard. It can also develop after emotional or coercive abuse. If these symptoms last or disrupt your life, it’s worth reaching out. PTSD is treatable.
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If you’ve felt afraid of a partner, controlled, isolated, belittled, or like you were walking on eggshells, it’s worth taking seriously, even if you’re unsure what to call it. You don’t need to be certain before reaching out. We won’t label your relationship or tell you what to do. We’ll listen and help you understand how it has affected your health.
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Your health information is protected by privacy laws, and we treat it with care. In a few limited situations, providers are legally required to share information, such as when someone is at serious risk of harm or when a child may be in danger. If something like that comes up, we’ll explain it to you. If you have specific privacy concerns, such as insurance statements going to someone else, tell us when you reach out and we’ll talk through your options.
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Tell us what’s safest when you book. That might be a specific phone number, a time of day, or a way of confirming appointments. If someone may see your device, consider using a private browsing window and clearing your history after visiting our site. Telehealth appointments can be held from any private space you choose, such as a parked car or a friend’s home. Please call us directly and we’ll work around what you need.
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Yes. Long-term stress and fear can affect sleep, appetite, energy, digestion, headaches, pain, and overall health. Many women feel exhausted and worn down long after the abuse ends. At Bloom we take a whole-body view, and we may recommend blood work, drawn elsewhere, to see how your body is coping.
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It can. Pregnancy and the postpartum year are times of added stress and vulnerability, and for some women abuse begins or intensifies then. Both of our providers hold Perinatal Mental Health Certification (PMH-C), and Briana is also a Certified Nurse-Midwife, so we’re used to caring for women navigating these experiences while pregnant or caring for a newborn. You can talk with us about anything that’s affecting your health.
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Medication isn’t necessary for everyone. For some women, it helps with anxiety, depression, nightmares, or sleep problems that make daily life harder. For others, sleep strategies, nutritional support, and other integrative approaches are enough. If it’s something you’d like to explore, we’ll walk you through evidence-based options. You’re never pressured, and every decision is yours.
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No. Many women seek support years after leaving, sometimes when a memory resurfaces, a new relationship brings it back, or the effects finally catch up. What happened to you still matters, and care can still help. We welcome you wherever you are in your story.
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We believe the best outcomes happen when your care team works together. Bloom provides the psychiatric and medical side of your care, including a full assessment and medication management when it’s right for you. If you want therapy, we’re glad to work alongside your existing therapist or help connect you with one. We can also point you toward domestic violence advocates and community resources, at your request. Bloom isn’t a crisis service. If you’re in danger, call 911, or call the National Domestic Violence Hotline at 1-800-799-7233 (verify before publishing).
YOU DON’T HAVE TO FACE THIS ALONE
Healing after abuse is possible, and you deserve care that moves at your pace and respects your choices.
Bloom Mental Health & Wellness serves women in Sioux Falls, SD and across South Dakota by telehealth. We are currently accepting new patients.
