Meet Jeff Marcino, Psy.D, LPC

Jeff Marcino, Psy.D, LPC, is the therapist behind Long Point Counseling in Mount Pleasant, South Carolina, serving the Charleston area in person and all of South Carolina by secure telehealth. With 20 years of experience, he helps adults and couples with trauma, betrayal trauma, sex addiction, relationship distress, anxiety, depression, grief, and addiction.

Meet Jeff Marcino, Psy.D, LPC

I’m Jeff Marcino, Psy.D, LPC, and Long Point Counseling is my private practice in Mount Pleasant, South Carolina. I’m a clinical psychologist (Psy.D) and licensed professional counselor, serving the greater Charleston area in person and clients across South Carolina by secure telehealth.

For 20 years, I’ve worked with adults and couples in some of the hardest seasons of life: trauma that still shows up long after the event, trust ruptures that change a relationship overnight, compulsive behavior wrapped in shame, and conflict that keeps repeating no matter how many times people promise it will stop. My style is warm, direct, experienced, and confidential. I try to offer a steady place to be honest, understand what is happening, and begin changing it.

What Jeff Helps With

My practice is intentionally specialized. I work with adults and couples who want more than generic support and who need care that fits the actual problem in front of them.

• Trauma — including the lasting effects of frightening, overwhelming, or repeated experiences. My trauma therapy work focuses on how trauma can continue to shape the body, emotions, relationships, and sense of safety.
• Betrayal trauma — the shock, disorientation, anger, and grief that can follow deception, infidelity, or hidden behavior in a trusted relationship.
• Sex addiction and compulsive sexual behavior — approached with structure, honesty, accountability, and without shame-based judgment.
• Couples and relationship distress — including repeated conflict, emotional distance, broken trust, and efforts to rebuild connection through couples therapy.
• Depression, anxiety, grief, and addiction — especially when these struggles overlap with trauma, relationship pain, or a difficult life transition.
• Recovery after narcissistic abuse — when you are trying to regain clarity, boundaries, and a more grounded sense of self after manipulation, control, gaslighting, or chronic invalidation.

I may be a strong fit if you want a therapist who can be both compassionate and candid — someone who will take your pain seriously, help you understand the patterns underneath it, and work with you toward concrete change. Many people who reach out to me are capable, responsible, and outwardly functional, but privately exhausted, disconnected, or carrying something they have never said out loud.

Jeff’s Approach to Therapy

My work is trauma-informed, relational, and evidence-informed. I pay attention to symptoms, but I also look underneath them: where shame shuts you down, where fear turns into anger or withdrawal, where secrecy protects you in the short term but costs you in the long term, and where a relationship gets stuck in the same cycle. Therapy is not one-size-fits-all, so I tailor the work to your history, your goals, and the pace that makes sense for your life.

I hold advanced certifications in Relational Life Therapy, The Daring Way™, and sex-addiction treatment. That training matters because it sharpens how I work. Relational Life Therapy helps me be active and practical with couples who are caught in blame, defensiveness, withdrawal, or repeated trust rupture. The Daring Way™ informs work around shame, vulnerability, and courage. Specialized sex-addiction training helps me hold accountability and compassion at the same time, which is often essential for meaningful recovery.

Depending on what brings you in, our work may involve understanding trauma responses, rebuilding trust after betrayal, interrupting compulsive patterns, setting firmer boundaries, grieving losses more honestly, or learning how to speak more directly and listen less defensively. Insight matters, but I also care about what changes between sessions — in your choices, your relationships, and your day-to-day life.

What It’s Like to Work With Jeff

In the first phase of therapy, I spend time understanding your history, current stressors, goals, strengths, and the patterns that keep showing up. If life feels acute or chaotic, we may begin with stabilization, clarity, and practical next steps. If there is enough steadiness, we may go deeper into trauma history, shame, attachment, or relationship dynamics earlier on.

For individuals, I listen for the story beneath the symptom. For couples, I listen for the cycle beneath the argument — what each person protects, pursues, assumes, or avoids when conflict starts. Then we build direction together so you know what we are working on and why. I want therapy to feel thoughtful and collaborative, not vague.

Long Point Counseling is a private-pay practice. Working outside of insurance keeps your care confidential and shaped entirely around your goals, never capped by session limits or diagnosis codes. I’m glad to talk through current fees directly, so the financial side is clear from the start. New clients begin with a brief, confidential request that I personally review. That matters to me because fit matters. My goal is to offer a clear, respectful first step before you invest more of your time, energy, and money.

In-Person in Mount Pleasant and Online Across South Carolina

I offer office-based therapy in Mount Pleasant for clients from Mount Pleasant, Charleston, and the surrounding Lowcountry, and I offer secure telehealth for clients anywhere in South Carolina.

Some people prefer in-person therapy because a dedicated office setting helps them focus, settle, and speak more freely. Others prefer telehealth because it offers privacy, convenience, and continuity when schedules are full or a specialist is not nearby. Both formats can support meaningful clinical work. The best option is usually the one that helps you show up consistently and honestly.

Credentials, Experience, and How to Get Started

Psy.D means I hold a doctoral degree in psychology. LPC means I am a licensed professional counselor. I am also a clinical psychologist in South Carolina. For clients, those letters matter less than what stands behind them: extensive training, supervised experience, 20 years of clinical work, and continued specialty development in the areas I treat most often.

Specialized problems often benefit from specialized care. Trauma, betrayal trauma, compulsive sexual behavior, and chronic relationship rupture can be misunderstood or oversimplified in general therapy. I’ve built my practice around doing this work with more depth, more specificity, and more clinical steadiness.

This page is educational and is not a substitute for therapy, medical advice, or a diagnosis. If you are in crisis, thinking about harming yourself, or need immediate help, call or text 988 or call 911 right now.

If what you’ve read feels like a possible fit, you can request an appointment. I personally review each confidential inquiry, and there is no pressure to move forward unless the fit feels right.

Clinical Background and Leadership

Before focusing on private practice, Jeff held senior clinical leadership roles across South Carolina hospital systems. As Director of behavioral-health programming at Palmetto Lowcountry Behavioral Health, he designed therapeutic programs for inpatient and outpatient care. As Triage Director across nine Lowcountry emergency departments, he led crisis response and trained nursing and clinical staff in suicide prevention, trauma response, and behavioral stabilization. That high-acuity experience is rare in private practice, and it informs the steadiness he brings to the hardest situations.

This content is educational and is not a substitute for therapy or diagnosis. If you are in crisis, call or text 988 (the Suicide & Crisis Lifeline).