Areas We Serve · South Carolina
Specialized therapy with Jeff Marcino, Psy.D, LPC — in person at our Mount Pleasant office and by secure telehealth across South Carolina.
Long Point Counseling provides private-pay therapy in Mount Pleasant, SC with Jeff Marcino, Psy.D., LPC, a clinical psychologist and licensed professional counselor with 20 years of experience helping adults and couples with trauma, betrayal trauma, sex addiction, relationship distress, anxiety, depression, and grief, in person locally and by secure telehealth across South Carolina.
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Therapy in Mount Pleasant, SC
I’m Jeff Marcino, Psy.D., LPC, and Long Point Counseling is my private practice based in Mount Pleasant, South Carolina. I’m a clinical psychologist and licensed professional counselor with 20 years of clinical experience, and I work primarily with adults and couples.
I provide in-person therapy in Mount Pleasant for clients from the greater Charleston area, and I offer secure telehealth for clients located anywhere in South Carolina at the time of the session. If you’re looking for a therapist in Mount Pleasant, SC, this page is meant to help you quickly understand who I work with, how I approach therapy, and whether my practice may be a fit.
This is a small, private-pay practice designed to feel calm, confidential, and personal. When you reach out, I read your request myself. If we work together, you’re meeting with me directly—not being routed through a large clinic, call center, or directory platform.
This page is educational and is not a substitute for therapy, diagnosis, or emergency care. If you are in immediate danger or need urgent mental health support, call or text 988 or call 911.
Why adults and couples in Mount Pleasant reach out
Most people don’t contact a therapist because everything is neatly labeled. They reach out because something has become too heavy, too confusing, or too painful to keep carrying alone. You may not need a diagnosis to know that something in your life, relationship, or internal world is not working.
- Trauma and betrayal trauma. You may feel constantly on edge, replaying what happened, struggling to sleep, or feeling like your body never got the message that the danger is over. In betrayal trauma, the wound is often relational: an affair, repeated deception, hidden sexual behavior, or the shock of realizing someone close to you was living a secret life.
- Sex addiction or compulsive sexual behavior concerns. Some people use the term sex addiction; others prefer compulsive sexual behavior. What matters clinically is the pattern: secrecy, escalation, shame, broken promises to yourself, and real impact on trust, intimacy, work, or family life. These struggles are treatable, and talking about them honestly is often the first turning point.
- Couples therapy for recurring conflict and trust rupture. You may be having the same fight over and over, recovering from infidelity, feeling emotionally disconnected, or wondering whether every conversation turns into criticism, defensiveness, shutdown, or distance. Often couples are not lacking love as much as they are lacking a workable pattern for honesty, repair, and accountability.
- Depression, anxiety, grief, addiction, and recovery after harmful relationships. Sometimes people reach out because they feel exhausted, numb, stuck, irritable, overwhelmed, or unable to move through a loss. Others are trying to recover after a manipulative, controlling, or emotionally abusive relationship, including situations people often describe as narcissistic abuse.
I won’t diagnose you from a website, and I won’t pathologize a human response to pain. If any of this sounds familiar, that may be enough reason to explore support. You can explore all therapy services, including trauma therapy, couples therapy, and grief counseling.
Jeff’s approach: trauma-informed, direct, and relational
My style is warm, but not passive. I believe good therapy should be compassionate, honest, and useful. That means I pay close attention to your history and emotional reality, but I also help identify the patterns, blind spots, and habits that keep pain going. Insight matters, and so do practical tools.
For couples, I use Relational Life Therapy (RLT), an approach that moves beyond surface-level communication tips and helps partners address the real cycle underneath the conflict. I also hold advanced certifications in Relational Life Therapy, The Daring Way™, and sex-addiction treatment. Those specialties matter in work involving betrayal, shame, secrecy, accountability, and rebuilding trust.
I don’t force every person or couple into the same method. Care is tailored to the individual, the relationship, and the problem in front of us. With trauma work, that may mean helping you understand triggers, reduce overwhelm, and regain a sense of steadiness and choice. With betrayal trauma, it may mean making room for the injured partner’s reality while also helping the partner who broke trust move beyond minimization or defensiveness into empathy, honesty, and consistent follow-through.
What that often means in practice
- Helping an individual slow shame spirals and talk more directly about what is actually happening.
- Helping a partner after discovery sort through panic, confusion, boundaries, and next steps without rushing the process.
- Helping the person who has been secretive or acting out build real accountability instead of relying on promises alone.
- Helping couples interrupt criticism-withdrawal cycles and replace them with healthier communication, clearer limits, and genuine repair.
Much of my work lives where trauma, shame, intimacy, and accountability intersect. Clients often come to me because they want a therapist who can hold complexity without shaming them and who can be direct without becoming harsh. If that sounds relevant, you can read more about my trauma and betrayal trauma therapy and couples therapy.
In-person in Mount Pleasant or secure telehealth across South Carolina
I offer both in-person therapy and secure telehealth, and neither is a lesser version of the work.
In-person therapy in Mount Pleasant can be a strong fit if you value the privacy of a dedicated office, fewer distractions, and the steadiness of meeting face to face. Many clients come from Mount Pleasant, Charleston, and the greater Charleston area for exactly that reason.
Secure telehealth across South Carolina allows me to work with adults and couples anywhere in the state, as long as you are physically in South Carolina at the time of your session. For busy professionals, parents, clients with significant commute demands, and couples coordinating two schedules, online therapy can make consistency far more realistic. Research consistently shows that telehealth can be effective for many concerns when people have enough privacy and are able to stay engaged.
When deciding between office visits and telehealth, think about what best supports regular attendance and honest work. If home is noisy or not private, in-person may be the better choice. If traffic, childcare, travel, or work demands make it hard to protect appointment time, telehealth may help you stay with the process. The right format is the one you can show up for consistently.
What to expect, fees, and fit
Long Point Counseling is a private-pay practice. I do not bill insurance.
- 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
Some people choose specialized private-pay care because they value discretion, continuity, and treatment guided by clinical judgment rather than insurance rules. For others, a different setting may make more sense. Either can be a valid choice. My role is not to pressure you; it’s to be clear about what I offer so you can decide whether it fits.
Early sessions usually focus on understanding the full picture: what is bringing you in now, the relevant personal or relationship history, what you’ve already tried, what feels stuck, and what you hope will be different. We also pay attention to fit. Good therapy depends not only on credentials, but on whether the work feels honest, useful, and workable for both of us.
Frequency and pacing are individualized rather than rushed or formulaic. Some adults and couples benefit from weekly work, especially after a recent discovery, rupture, or period of acute distress. Others may need a different rhythm. I try to be thoughtful about pace without making therapy feel vague or endless.
I’ll say this plainly: specialized, private-pay care is the right fit for some people and not for everyone. That’s okay. If I don’t think I’m the right therapist for your needs, I’ll be direct about that.
How to get started with Long Point Counseling
New clients begin with a brief, confidential request that I personally review. That’s the first step if you want to see whether this practice may be a fit.
When you reach out, it helps to include:
- Your location in South Carolina
- Your main concerns, in your own words
- Whether you prefer in-person in Mount Pleasant or telehealth
- Your general scheduling needs
If the work I do sounds relevant, you’re welcome to start with a confidential request. If you’d like more context first, you can also explore all therapy services. Either way, the invitation is low pressure.
If you are in immediate danger or need urgent mental health support, do not use the request form. Call or text 988 or call 911.
What’s the difference between a therapist, counselor, and psychologist?
Therapist is a broad everyday term. Counselor usually refers to a clinician trained and licensed to provide psychotherapy, though titles vary by state. Psychologist typically means a doctoral-level clinician licensed in psychology. I hold a Psy.D. and licensure as both a psychologist and an LPC, so clients work with someone who brings doctoral training and 20 years of clinical experience.
How do I know what kind of therapist to see?
Start with the concern you want help with. If you’re dealing with trauma, betrayal, compulsive sexual behavior, or relationship distress, look for a licensed therapist with real experience and advanced training in that area. Fit matters too: you should feel understood, challenged constructively, and able to be honest. Specialty plus fit is usually a better guide than title alone.
What are your fees, and do you take insurance?
Long Point Counseling is private-pay and does not bill insurance. 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. Some clients choose private-pay care for discretion, continuity, and treatment not constrained by insurance requirements. For others, an in-network option may be a better fit. The goal is finding the right level of care and the right therapist.
Do you offer in-person therapy in Mount Pleasant or online across South Carolina?
Yes. I offer in-person therapy in Mount Pleasant for clients from the greater Charleston area, and secure telehealth for clients anywhere in South Carolina, as long as you are physically in the state at the time of the session. Many adults and couples choose telehealth for convenience, while others prefer the privacy and steadiness of meeting face to face.
How do I get started with Long Point Counseling?
New clients start with a brief confidential request that I personally review. It helps to include your South Carolina location, what brings you in, whether you want in-person or telehealth, and your general availability. If it sounds like a fit, we’ll discuss next steps. If you’re in crisis, don’t use the form—call or text 988 or call 911.
What is the ‘2 year rule’ for therapists?
In mental health ethics, the ‘2 year rule’ usually refers to the prohibition on sexual relationships with former clients for at least two years after therapy ends. It is not a green light after two years. Because of the power imbalance and risk of harm, those relationships may still be unethical later, and sexual relationships with current clients are never acceptable.
Ready to Begin?
New clients start with a brief, confidential request that Jeff personally reviews — in person in Mount Pleasant or online across South Carolina.
Request an AppointmentOr call 843-330-2336
