Areas We Serve

Long Point Counseling serves the Charleston metro area with in-person therapy in Mount Pleasant and secure telehealth throughout South Carolina. I’m Jeff Marcino, Psy.D., LPC, and I work directly with adults and couples in private-pay therapy for trauma, betrayal trauma, sex addiction, couples work, and related concerns. New clients begin with a brief confidential request I review personally.

Therapy for the Charleston metro and all of South Carolina

If you’re looking for a therapist in the Charleston metro SC area, I see adults and couples in person in Mount Pleasant and by secure telehealth anywhere in South Carolina. You do not need to live in Mount Pleasant to work with me.

My Mount Pleasant office serves the greater Charleston area, including Charleston, North Charleston, Mount Pleasant, West Ashley, Daniel Island, James Island, Johns Island, Summerville, Goose Creek, Hanahan, and nearby communities. Some clients want an office close to home; others are willing to drive a bit for a specific clinical fit. Either way, the in-person option is here if sitting in the same room matters to you.

I also provide secure telehealth to adults and couples across South Carolina, including the Lowcountry, Midlands, Upstate, and smaller communities where specialized care can be harder to find. If you are physically in South Carolina for the session, you can work with me online. That means you can live in Charleston, Columbia, Greenville, Beaufort, Florence, or a rural area and still have direct access to the same practice.

In-person in Mount Pleasant or online across South Carolina

Both options give you direct work with me and the same specialized clinical focus. The best format is usually the one that helps you show up consistently and do honest, steady work.

• Office-based therapy in Mount Pleasant offers a private, consistent space that is separate from home, work, and daily demands. For many people, that helps deeper trauma work, couples conversations, and emotionally charged sessions feel more contained and focused.
• Telehealth offers convenience, flexibility, and access from anywhere in South Carolina. For Charleston-area clients, it can reduce commute time, Ravenel Bridge traffic, parking, workday disruption, childcare logistics, and the strain of getting across town just to make an appointment.
• The clinical focus stays the same in either format. Whether we meet in my office or online, you are working directly with me on trauma, betrayal trauma, sex addiction, couples work, and related concerns.

Some adults and couples know immediately which format they want. Others start one way and shift later if life changes or if telehealth simply makes consistency easier. The point is not to choose a “perfect” format. It is to choose the format that gives the work enough privacy, attention, and follow-through to help.

Research consistently shows that, for many mental-health concerns, thoughtfully conducted telehealth can be highly effective. At the same time, some people simply prefer being in the room. I make space for both.

Why Charleston-area clients work with Jeff Marcino, Psy.D., LPC

Searching for a therapist can feel oddly impersonal. Directories make everyone sound similar. What I offer is a single-clinician private practice with specialized training, a narrower focus, and personal review at the front end.

• 20 years of clinical experience working with adults and couples.
• I am a clinical psychologist and licensed professional counselor, and clients work directly with me rather than being assigned within a larger practice.
• I hold advanced certification or training in Relational Life Therapy, The Daring Way™, and sex-addiction treatment.
• My practice is intentionally focused on trauma, betrayal trauma, sex addiction, and couples therapy, while also helping with depression, anxiety, grief, addiction, and recovery after narcissistic abuse.
• I personally review new client requests. Your first contact is not routed through a large intake team or call center. I look at fit, focus, and availability myself.

That matters more than it may seem. When someone is reaching out about betrayal, trauma, compulsive sexual behavior, or a relationship in crisis, they usually do not want to repeat the story several times just to learn whether the clinician is equipped for the work. My goal is to make the first step more personal, more direct, and more honest.

Issues commonly addressed

People look for therapy for many reasons, but a lot of the inquiries I receive center on pain that feels hard to explain, hard to contain, or hard to fix with surface-level advice. You do not need to have the right words before you reach out.

• Trauma therapy for experiences that continue to affect your body, sleep, emotions, relationships, or sense of safety.
• Betrayal trauma after infidelity or a partner’s compulsive sexual behavior, including the shock, hypervigilance, confusion, and loss of trust that often follow.
• Couples therapy using Relational Life Therapy, a direct and accountable approach for couples who want more honesty, repair, and real change.
• Sex addiction and compulsive sexual behavior, along with the individual and relational impact that often comes with secrecy, shame, disconnection, or repeated rupture.
• Depression, anxiety, grief, addiction, and recovery after narcissistic abuse.

If you do not see your exact situation listed, that does not automatically mean I cannot help. It does mean I want to understand what is going on before either of us assumes fit. Tell me what brought you here, and I will be straightforward about whether my practice is the right place to begin.

This website is educational and is not a substitute for therapy, diagnosis, or emergency care. If you are in crisis, thinking about harming yourself, or need immediate help, call or text 988 or call 911 in an emergency.

What getting started looks like

The first step is simple: send a brief, confidential request through the website. You do not need to write a long history. A few clear sentences about what you want help with is enough for me to start.

I review each request personally with three questions in mind: Is this within my focus areas? Does the situation sound like a good clinical fit? Do I have the right availability for what you need? That personal review is part of how I keep the practice smaller, more specialized, and more intentional.

Fees are private-pay and discussed directly before we begin, so the financial side is clear, and your care stays free of insurance limits. When you reach out, you are welcome to note whether you prefer in-person sessions in Mount Pleasant or secure telehealth anywhere in South Carolina.

One important note: reading a page like this can help you understand whether my practice may fit, but it is not the same as therapy. Real assessment, treatment planning, and change happen in the work itself, not from a webpage.

Request an appointment

If you are ready to take the next step, I invite you to request an appointment. Reaching out is confidential, straightforward, and low-pressure.

You can begin in one of two ways: in-person near Charleston at my Mount Pleasant office, or by secure telehealth anywhere in South Carolina. Adults and couples seeking specialized care are welcome to book a confidential consultation, and I will personally review your note.

You do not need to be certain before you reach out. You only need a starting place.

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).