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.
If you’re looking for a therapist in Charleston, SC, I’m Jeff Marcino, Psy.D., LPC of Long Point Counseling. I provide private-pay therapy for adults and couples, serving the greater Charleston area in person from Mount Pleasant and all of South Carolina by secure telehealth, with specialties in trauma, betrayal trauma, sex addiction treatment, and couples therapy.
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Therapy for Charleston, SC Adults and Couples
I’m Jeff Marcino, Psy.D., LPC, and Long Point Counseling is my private practice. I provide private-pay therapy for adults and couples from my office in Mount Pleasant, serving the greater Charleston area in person and all of South Carolina by secure telehealth.
My deepest specialties are trauma, betrayal trauma, sex addiction treatment and compulsive sexual behavior concerns, and couples therapy using Relational Life Therapy. I also work with depression, anxiety, grief, addiction, and recovery after narcissistic abuse. If you’d like a broader overview, you can explore all therapy services.
This page is for education only. It is not therapy, a diagnosis, or emergency care.
What Brings Many Charleston-Area Clients to Therapy
I don’t diagnose anyone from a webpage, but many Charleston-area clients reach out when life starts feeling heavier, narrower, or more chaotic than it used to. Often they are still functioning on the outside while internally feeling overwhelmed, stuck, disconnected, mistrustful, ashamed, or exhausted by patterns that keep repeating.
Some of the concerns that bring people in most often include:
- Trauma that keeps intruding on the present, including feeling constantly on guard, shutting down, intrusive memories, or a body that reacts before your mind can catch up.
- Betrayal trauma after infidelity or other hidden behavior, including shock, obsessive questioning, loss of safety, and difficulty trusting your own judgment.
- Sex addiction and compulsive sexual behavior concerns that keep crossing lines you set for yourself or are damaging important relationships.
- Conflict, distance, or repeated rupture in a relationship such as defensiveness, the same argument over and over, emotional withdrawal, or a sense that repair never really lasts.
- Depression, anxiety, grief, addiction, and recovery after narcissistic abuse that may leave you doubting yourself, isolated, or unable to settle back into your own life.
If the distress is mainly happening inside you, individual therapy is often the right starting point. If the core problem is how two people relate, communicate, repair, set boundaries, or rebuild trust, couples therapy is usually the better container. Sometimes both are useful, and part of my job is helping you sort out which approach fits best.
Why Charleston Clients Choose Jeff Marcino
Directories can give you a list of names. What matters is whether the clinician has real depth in the problem you’re bringing. I’ve spent 20 years doing this work, with advanced training and certifications in Relational Life Therapy, The Daring Way™, and sex-addiction treatment.
My approach is trauma-informed, practical, and direct. I pay close attention to safety, pacing, and shame, but I also believe meaningful therapy should be honest. When patterns are keeping you stuck, I will name them with compassion, help you understand them, and work with you toward real change rather than endless insight without movement.
I don’t use a one-size-fits-all formula. Some clients need careful trauma work. Some need help with accountability and relationship repair. Some need both. Across the board, I emphasize privacy, respect, accountability, and a tailored plan based on your concerns, history, goals, and readiness. Every new client request is personally reviewed by me.
In-Person Near Charleston or Telehealth Across South Carolina
In-person sessions take place in Mount Pleasant, which works well for many clients coming from Downtown Charleston, West Ashley, James Island, Daniel Island, North Charleston, and nearby communities. Some people prefer in-person therapy because the office gives them a consistent, private place to slow down and do harder work.
Online therapy is available anywhere in South Carolina through a secure video platform. Telehealth can be a strong fit if you have a demanding schedule, travel often, want more discretion, or live outside the Charleston area. Many clients find online sessions surprisingly personal and productive. The main practical requirement is having a private place where you can speak freely.
If you’re unsure which format fits best, that’s common. Some people know immediately. Others start in one format and adjust as life changes.
What to Expect in the First Few Sessions
New clients begin by sending a brief confidential request, which I personally review. If it appears to be a good fit and I have availability, the next step is scheduling the initial session.
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.
The first few sessions are structured around understanding the problem clearly: what is happening now, what relevant history may be shaping it, what you have already tried, what you want to change, and whether my approach feels like the right fit. For couples, I pay attention to both the relationship system and the individual responsibility each partner brings. In many cases, real progress requires compassion and accountability at the same time. If you’d like more detail, you can read about my approach to trauma therapy and couples therapy.
Safety note: Long Point Counseling is not an emergency service. If you or someone you love is in immediate danger, or if you are thinking about suicide and need immediate help, call or text 988 or call 911 right away.
How to Get Started From Charleston
If you’re looking for a therapist in Charleston, SC, and this sounds like the kind of work you’re seeking, the next step is to start with a confidential request. I read every inquiry myself and respond based on fit and availability.
You do not need to be completely sure before reaching out. Many individuals and couples contact me while they’re still sorting out whether therapy is the right next step. You also do not need the perfect words. If you’re carrying something heavy, or your relationship keeps returning to the same painful place, it’s usually easier to begin before the pattern becomes more entrenched. When you’re ready, I’m here.
Do you work with clients from Charleston even though your office is in Mount Pleasant?
Yes. My office is in Mount Pleasant, and I regularly work with adults and couples from across the greater Charleston area, including Downtown Charleston, West Ashley, James Island, Daniel Island, and North Charleston. If coming in person is inconvenient, I also offer secure telehealth anywhere in South Carolina.
Do you offer online therapy for Charleston and the rest of South Carolina?
Yes. I provide secure telehealth to adults and couples located anywhere in South Carolina, including Charleston. Online therapy can be a good option if you have a busy schedule, want more privacy, travel often, or simply prefer meeting from home. The main requirement is a private place where you can talk openly.
What issues do you help with most often?
I most often help with trauma, betrayal trauma after infidelity or other hidden behavior, sex addiction treatment and compulsive sexual behavior concerns, and couples therapy focused on repair and accountability. I also work with depression, anxiety, grief, addiction, and recovery after narcissistic abuse, with services for both individuals and couples.
Do you take insurance, and what are your fees?
Long Point Counseling is a private-pay practice, so I do 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. If you’re trying to decide whether the practice is the right fit financially and clinically, you’re welcome to ask questions before scheduling.
How do I start therapy with Jeff Marcino?
The first step is to submit a brief confidential request through the booking page. I personally review every inquiry rather than routing you through staff or a directory. If your concerns appear to match my areas of focus and I have availability, I’ll respond with the next steps.
What should I do if I need urgent mental health support before I can get an appointment?
Long Point Counseling is not an emergency or crisis service. If you are in immediate danger, or if you are thinking about suicide and need immediate support, call or text 988 or call 911 right away. If the situation is urgent but not life-threatening, use crisis resources first, then reach out for ongoing therapy when you are safe.
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
