Christy Alten-Osmera


About Me

I'm so glad that you are reaching out for help! I believe with all my heart that there is hope, and purpose and healing from pain. I am a Licensed Addictions counselor in South Dakota, and a Licensed Professional Mental Health Counselor in South Dakota and a Licensed Mental Health Counselor in Iowa. I have been practicing for over 28 years working with adults and adolescents struggling with addictions and mental health issues. This is a judgement free zone! I am a Chrisitan counselor with a passion for hope and healing through the love of God and evidenced based strategies. I am experienced in 12 Step therapies, DBT and CBT. I approach counseling from an existential and spiritual perspective. We will work together to create a plan to best meet your needs and walk through the healing journey together. You are not alone!

I also have a passion for helping to develop new clinicians and to support clinicians long in the field. I have over 18 years of experience providing clinical supervision and professional development. Helpers need helpers too! So don't be afraid to admit you are struggling and ask for help! You can do this!

Together we can do what we could not do alone. Thanks for reaching out!!


  • Stress, Anxiety
  • Addictions
  • Self esteem
  • Depression
  • Coping with life changes
Also experienced in:
Family conflicts , Trauma and abuse , Grief , Sleeping disorders , Parenting issues , Anger management , Career difficulties , Coaching , Compassion fatigue , ADHD , Abandonment , Codependency , Communication Problems , Control Issues , Read more...

Clinical approaches:
Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Existential Therapy, Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, Solution-Focused Therapy

Years of Experience: 28

Services Offered

  • Messaging

  • Live Chat

  • Phone

  • Video


IA LMHC 111880



These quotes represent just a few of the many positive reviews that we have received for Christy Alten-Osmera. We don’t pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.

Written by T.Y. on Jun 03, 2022 after therapy with Christy for 4 months on issues concerning depression, stress, anxiety, grief, sleeping disorders, self esteem, coping with life changes, and adhd

Christy is amazing even when I am having off days Christy words help me work through those tough feelings.

Written by S.H. on May 19, 2022 after therapy with Christy for 2 weeks on issues concerning depression, stress, anxiety, trauma and abuse, grief, and self esteem

Christy is the first therapist I have worked with who gives me real tools to work with. She listens and understands what I'm going through. I truly feel connected to her in each session.

Written by J.E. on Apr 27, 2022 after therapy with Christy for 2 months on issues concerning stress, anxiety, and self esteem

Christy is a caring and thoughtful therapist who gets to the heart of the matter in a kind and direct way. She truly listens to what I say and gives me good feedback and tools to use throughout my week. I highly recommend Christy, and would encourage anyone who is seeking therapy to consider Better Help.

Written by C.H. on Apr 15, 2022 after therapy with Christy for 2 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, self esteem, and coping with life changes

She’s awesome!

Written by E.R. on Feb 07, 2022 after therapy with Christy for 2 weeks on issues concerning stress, anxiety, and coping with life changes

Alten-Osmera has been terrific so far. Listens carefully and demonstrates understanding of my concerns.

Work with me!