Therapy Services in Mount Pleasant, SC

Long Point Counseling offers private-pay therapy services in Mount Pleasant, SC, and secure telehealth across South Carolina for adults and couples. Jeff Marcino, Psy.D., LPC, specializes in trauma, betrayal trauma, sex addiction treatment, couples therapy, anxiety, depression, grief, addiction, and narcissistic-abuse recovery.

Therapy Services for Adults and Couples in Mount Pleasant & Across South Carolina

I provide therapy services in Mount Pleasant, SC for adult individuals and couples, with secure telehealth available statewide for clients located in South Carolina. My practice is focused rather than generalist, so I do not treat children or adolescents.

The concerns I treat most often are trauma, betrayal trauma, compulsive sexual behavior often described as sex addiction, and relationship distress. I also work with anxiety, depression, grief, addiction, and recovery after narcissistic abuse. Some clients come in after one destabilizing event. Others have spent years holding things together and are simply exhausted.

I meet clients in person in Mount Pleasant, serving the greater Charleston area, and online across South Carolina through a secure telehealth platform. This page is educational and meant to help you understand your options. It is not a substitute for therapy, diagnosis, or emergency care. If you need immediate help or are in crisis, call or text 988 or dial 911.

Core Areas of Focus

Most people do not start with perfect clinical language for what they are experiencing. They start with symptoms, secrecy, conflict, fear, grief, or a sense that something is badly off. These are the main areas I focus on.

Trauma therapy

Trauma therapy can help when the past keeps showing up in the present through hypervigilance, shutdown, irritability, avoidance, intrusive memories, or a body that never fully settles. My goal is not to force disclosure before you are ready. It is to help you understand trauma responses, build steadier regulation, and reduce the grip old experiences still have on daily life and relationships.

• Often helpful for: painful life events, childhood wounds, relational trauma, and long-standing patterns of fear, numbness, or reactivity.
• Common goals: more stability, less overwhelm, better boundaries, and a stronger sense of choice in the present.

Betrayal trauma therapy

Betrayal trauma often follows infidelity, hidden sexual behavior, repeated lying, or other significant deception in an attachment relationship. The injury is not only what happened. It is the collapse of trust, predictability, and sometimes confidence in your own perception. Early work often focuses on stabilization, making sense of intrusive thoughts and nervous-system activation, clarifying boundaries, and deciding what safety and truth need to look like now.

• Often helpful for: partners reeling from discovery, confusion, vigilance, loss of trust, and a sense that reality shifted overnight.
• Common goals: regain clarity, reduce chaos, strengthen boundaries, and make relationship decisions from a steadier place.

Sex addiction treatment

If compulsive sexual behavior, sometimes described as sex addiction, is harming your integrity, relationship, work, or inner life, therapy can help without shaming you. I am trained in sex-addiction treatment, and I look at both the behavior itself and the drivers underneath it: secrecy, trauma, loneliness, shame, stress, or disconnection. Treatment often focuses on stopping the cycle, increasing honesty, building accountability, and creating a life that lines up with your values.

• Often helpful for: repeated behavior you cannot seem to stop, escalating secrecy, and relationship fallout tied to sexual acting out.
• Common goals: interruption of compulsive patterns, stronger recovery supports, truthful disclosure when needed, and more congruent living.

Couples therapy

I use Relational Life Therapy in couples therapy. It is an active, accountable model designed to move couples out of blame, gridlock, and polite stalemate. This work can be especially useful when couples are dealing with betrayal, chronic conflict, emotional disconnection, resentment, or unequal responsibility in the relationship.

• Often helpful for: partners who love each other but keep hurting each other, couples in the aftermath of betrayal, and relationships that feel stuck in the same argument.
• Common goals: clearer truth-telling, stronger boundaries, better repair after conflict, and a more honest answer to whether the relationship can heal.

Supporting concerns that often overlap

These concerns rarely happen in isolation, and they often sit alongside the core issues above:

• Anxiety when worry, dread, or overwhelm starts narrowing your life.
• Depression when motivation, energy, or hope has flattened out.
• Grief counseling for losses that continue to shape your body, relationships, and identity.
• Addiction recovery when behavior is being used to manage pain, stress, or disconnection.
• Narcissistic-abuse recovery when a relationship has eroded your clarity, confidence, and sense of self.

Jeff Marcino’s Approach to Therapy

I’m Jeff Marcino, Psy.D., LPC, a clinical psychologist and licensed professional counselor with 20 years of clinical experience. Over time, my work has become increasingly specialized around high-impact relational wounds: trauma, betrayal, compulsive sexual behavior, and couples in crisis or chronic disconnection.

My advanced training includes Relational Life Therapy, The Daring Way™, and sex-addiction treatment. Those trainings are not just credentials on a page. They shape how I work with shame, vulnerability, defensiveness, accountability, and the courage it takes to tell the truth in therapy, especially when the truth is painful.

Clients often describe my style as direct but compassionate. I am trauma-informed and relational, which means I pay close attention to how symptoms, coping strategies, and relationship patterns developed, not just how to suppress them. I do not treat people like diagnoses, and I do not use one-size-fits-all scripts. With individual adults, we work to understand the pattern and change it. With couples, we look at the live interaction between two people and build more honesty, responsibility, and repair.

In-Person Therapy in Mount Pleasant or Telehealth Across South Carolina

You can work with me in person at my Mount Pleasant office, serving the greater Charleston area, or through secure telehealth if you live anywhere in South Carolina. The same core specialties are available in either format when clinically appropriate.

In-person therapy may fit best if you focus better away from home, want the structure of coming into an office, or feel that couples work is more grounded face to face.

Telehealth may fit best if privacy at home is workable and you want to reduce travel time, keep appointments consistent around work or family responsibilities, or continue therapy without interruption when life gets busy. Many clients appreciate the convenience, privacy, and continuity telehealth can provide.

If you are unsure which format makes the most sense, we can talk through it together. The goal is to choose the setting that best supports consistent, effective therapy.

What Starting Therapy Here Looks Like

New clients start with a brief confidential request that I personally review. That first step lets me understand what is bringing you in and whether my practice is likely to be a good fit.

If we schedule an initial appointment, we use that time to clarify the main concerns, relevant history, relationship context, goals, and what kind of treatment approach makes the most sense. My aim is for you to leave with more clarity than you came in with, not more confusion.

• Specialized, private-pay care: confidential and free of insurance limits
• Fees shared directly when you reach out, so the financial side is clear from the start
• Insurance: Long Point Counseling is a private-pay practice and does not bill insurance.

Private-pay allows therapy to be guided by clinical need rather than insurance requirements, and it can reduce the amount of diagnostic and treatment information that has to be shared with an insurer. If this feels like the right fit, you can request an appointment. There is no pressure, just a respectful place to begin.

Common Questions About Therapy Services

The FAQ below covers practical questions about services, telehealth, fees, and getting started. This content is educational and is not a substitute for diagnosis, therapy, or emergency support. If you are in immediate danger, thinking about harming yourself, or otherwise in crisis, call or text 988 (Suicide & Crisis Lifeline) or dial 911.

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).