Therapy Services · South Carolina
Specialized, private-pay therapy with Jeff Marcino, Psy.D, LPC — in person in Mount Pleasant and by secure telehealth across South Carolina.
Long Point Counseling offers private-pay individual therapy in Mount Pleasant, SC with Jeff Marcino, Psy.D, LPC, a clinical psychologist and counselor with 20 years of experience helping adults with trauma, betrayal trauma, anxiety, depression, grief, addiction, and relationship stress, in person for the Charleston area and by secure telehealth statewide.
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Individual Therapy in Mount Pleasant: Who It Helps and When to Reach Out
If you’re considering individual therapy in Mount Pleasant, SC, think of it as one-on-one counseling for adults: a private place to make sense of what hurts, what keeps repeating, and what you want to change. Good therapy is not just a place to vent. It is a place to understand patterns, build steadier ways of coping, and move toward a life that feels more like your own.
Adults reach out for many reasons: trauma, betrayal trauma, anxiety, depression, grief, addiction, compulsive behaviors, relationship stress, and the disorienting aftermath of narcissistic abuse. You do not need a diagnosis or a perfectly worded explanation. If you have become more reactive, more numb, more exhausted, more self-critical, or more isolated than you want to be, that is reason enough to talk with someone.
I work with adults in person in Mount Pleasant, serving the greater Charleston area, and I also offer secure telehealth across South Carolina. If you want a broader sense of what I offer, you can explore all therapy services.
Jeff Marcino’s Approach: Trauma-Informed, Relational, and Practical
I’m Jeff Marcino, Psy.D, LPC, and Long Point Counseling is my private practice. For 20 years, I have worked with adults in some of the most painful, complicated seasons of their lives. Over time, I have come to believe two things at once: people deserve real compassion, and they also deserve the truth told kindly. My goal is not to simply listen passively. It is to help you understand what is happening and what can genuinely change.
My work is especially focused on trauma, betrayal trauma, sex addiction and compulsive sexual behavior concerns, couples and relationship dynamics, shame, and recovery work. I hold advanced certifications in Relational Life Therapy, The Daring Way™, and sex-addiction treatment.
Those frameworks matter because they help me look at suffering from more than one angle. Relational Life Therapy helps us identify the moves people make when they feel hurt, powerless, or disconnected in close relationships. The Daring Way™ gives us practical language for shame, vulnerability, and self-criticism. My advanced recovery training helps me work concretely with secrecy, integrity, triggers, and repair.
My style is direct but compassionate, insight-oriented, and collaborative. In trauma work especially, pacing matters. I do not push people to revisit overwhelming material before there is enough trust, stability, and support to do it well. We slow down, understand what is happening, and build change in a way that is honest and workable.
What Individual Therapy Can Focus On
Individual therapy may focus on one issue or several at once. Common themes include:
- Trauma and betrayal wounds: processing painful experiences, making sense of body-based stress responses, and rebuilding self-trust after infidelity, deception, or a partner’s secret behavior.
- Anxiety, depression, shame, and overwhelm: understanding cycles of worry, shutdown, avoidance, and harsh self-talk so you can respond differently instead of living at the mercy of them.
- Grief, loss, and major transitions: navigating bereavement, divorce, career changes, health concerns, spiritual questions, and the identity shifts that come when life no longer looks the way you expected.
- Addiction recovery and compulsive sexual behavior concerns: looking beyond willpower alone to understand triggers, secrecy, shame, relapse risk, honesty, and how to rebuild integrity over time.
- Boundaries, self-worth, and relationship patterns: recovering from gaslighting, people-pleasing, chronic self-doubt, or narcissistic abuse so you can trust your perception and hold firmer limits.
Some people start in individual therapy and later decide to include a partner in couples therapy. Others do meaningful work entirely on their own. Both paths can be effective.
What to Expect in Therapy
New clients begin by sending a brief, confidential request that I personally review. That first step is simple, but it matters: it gives me a chance to consider fit and make sure I am the right person for what you want help with.
The initial appointment is focused on understanding your history, what is happening now, what you have already tried, and what you want to be different. We also look at whether my approach fits you. Good therapy depends on fit, not just credentials.
Ongoing sessions are collaborative, paced, and goal-oriented. Some weeks the work is insight-heavy; other weeks it is about practicing boundaries, naming a pattern sooner, tolerating difficult emotions, or staying honest when you would usually avoid. The work is tailored to you rather than pulled from a one-size-fits-all script.
This page is for education only. It is not a substitute for therapy, diagnosis, or emergency care.
In-Person in Mount Pleasant and Online Across South Carolina
You can meet with me two ways:
- In person in Mount Pleasant, SC, convenient for adults in the greater Charleston area.
- By secure telehealth anywhere in South Carolina.
Clients choose the format that best fits privacy, schedule, comfort, and travel. Some prefer the structure of coming into an office. Others choose telehealth because it is easier to protect time, avoid a commute, or do this work more discreetly from home or another private setting.
My specialized focus areas, including trauma therapy, betrayal trauma, addiction recovery, and relationship-pattern work, are available in either format. If life changes, we can often adjust the format as needed.
Fees, Fit, and How to Get Started
Long Point Counseling is a private-pay practice. Current fees are shared directly when you reach out, so you can plan with full clarity before we begin. I do not bill insurance.
For many adults, private pay offers more privacy and more freedom to tailor the work without insurance requirements shaping treatment. It also means this may not be the right fit if you need in-network or lower-cost care, and I respect that.
This practice is often a strong fit for adults who want experienced, specialized care and are ready to do meaningful work around trauma, betrayal, shame, addiction, grief, or painful relationship patterns.
If that sounds like what you are looking for, you can submit a brief confidential request. I will review it personally and follow up about next steps. No pressure.
If you are in crisis, do not use this page or the online form. Call or text 988 for the Suicide & Crisis Lifeline, or call 911 if you or someone else is in immediate danger.
What is individual therapy, and how do I know if it could help me?
Individual therapy is one-on-one counseling focused on your life, patterns, distress, and goals. It can be helpful if you feel overwhelmed, stuck, on edge, shut down, ashamed, or caught in repeating relationship patterns, even if you would not describe yourself as being in crisis. You do not need a diagnosis to reach out; wanting things to change is enough.
What concerns do you work with in individual therapy?
In individual therapy I work with adults dealing with trauma, betrayal trauma, anxiety, depression, grief, addiction recovery, compulsive sexual behavior concerns, shame, self-criticism, relationship stress, and recovery from narcissistic abuse. Many people come in with more than one issue at once. The goal is not to force your experience into a label, but to understand what is happening and create a plan that fits you.
Do you offer in-person therapy in Mount Pleasant and online therapy across South Carolina?
Yes. I offer in-person therapy in Mount Pleasant, SC for adults in the greater Charleston area, and I provide secure telehealth anywhere in South Carolina. Some clients prefer the office because it feels more contained and grounding; others prefer online sessions for privacy, convenience, or travel reasons. My focus areas are available in either format.
What are your fees, and do you take insurance?
Long Point Counseling is a private-pay practice. Specific fees are shared directly when you reach out, so you can make an informed decision before we begin. I do not bill insurance. For some people, private pay offers more privacy and more flexibility in how treatment is structured. If you need in-network or lower-cost care, I may not be the best fit, and that is completely okay.
How do I get started with Jeff at Long Point Counseling?
To get started, visit the booking page and submit a brief confidential request. I personally review each inquiry so I can consider fit before scheduling. If it looks like a good match, I will reach out about next steps and an initial appointment. That first meeting is designed to understand your history, current concerns, goals, and whether working together makes sense.
Can individual therapy help with trauma, betrayal trauma, or relationship patterns even if I am not looking for couples therapy?
Yes. Individual therapy can be very effective for trauma, betrayal trauma, and painful relationship patterns even if your partner never attends. In individual work we can help you process what happened, reduce shame and self-doubt, strengthen boundaries, and understand the patterns you keep getting pulled into. Sometimes people later add couples therapy, but it is not required for meaningful progress.
Ready to talk to someone who specializes in this?
Jeff personally reviews every confidential request and reaches out about fit and next steps.
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
