Online Therapy · South Carolina
Secure video therapy with Jeff Marcino, Psy.D, LPC — for adults and couples anywhere in South Carolina.
I’m Jeff Marcino, Psy.D, LPC. I provide secure online therapy for adults and couples in Greenville and throughout South Carolina. I’m based in Mount Pleasant, so Greenville-area clients typically meet with me by telehealth. My work focuses on trauma, betrayal trauma, sex addiction, couples therapy, anxiety, depression, grief, addiction, and narcissistic-abuse recovery.
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Online Therapy for Greenville, SC Adults and Couples
If you are looking for online therapy in Greenville, SC, I provide secure telehealth for adult individuals and couples throughout South Carolina. Long Point Counseling is based in Mount Pleasant, South Carolina, so most Greenville-area clients meet with me by video rather than in person, though in-person sessions in Mount Pleasant may be available if you prefer to travel.
I work with trauma, betrayal trauma, sex addiction treatment, couples issues, anxiety, depression, grief, addiction, and narcissistic-abuse recovery. You do not need a perfect label before reaching out. The first step is simply understanding what is happening, what keeps it stuck, and whether my approach fits what you need.
Serving Greenville and the Upstate by Secure Telehealth
I work with clients throughout Greenville and Upstate South Carolina, including Greer, Simpsonville, Mauldin, Five Forks, Travelers Rest, and nearby communities. Online therapy can make specialized care easier to access when the right clinical fit is not close by.
For many people, telehealth is more practical than adding another drive to the week. There is no commute, no local waiting room, and often more flexibility around work, parenting, and other responsibilities. It also lets you choose a therapist based on experience and specialization rather than just geography. As long as you are physically located in South Carolina at the time of the session, we can usually continue the work anywhere in the state.
Why Work with Jeff Marcino, Psy.D, LPC
I’ve been in clinical practice for 20 years. I hold advanced certifications in Relational Life Therapy, The Daring Way™, and sex-addiction treatment. Those are not just credentials on a website; they shape how I help people move from insight to meaningful change.
Relational Life Therapy gives me a direct, practical framework for conflict, accountability, power struggles, and repair in couples therapy. The Daring Way™ informs work around shame, vulnerability, and honest self-confrontation. My sex-addiction training matters when compulsive sexual behavior, secrecy, or betrayal has deeply affected a person or relationship.
My core focus is trauma, betrayal trauma, sex addiction, and couples therapy, and I also work with depression, anxiety, grief, addiction, and narcissistic-abuse recovery. My style is warm, direct, and accountable. I do not believe in shaming people, but I also do not believe in skating around the truth. You can explore all therapy services to see how my work may fit your situation.
Is Online Therapy a Good Fit for What You’re Dealing With?
For many adult individual and couples concerns, telehealth works well. I regularly provide trauma therapy, support for betrayal trauma after infidelity or sexual secrecy, treatment for compulsive sexual behavior and sex addiction, relationship repair, and help with anxiety, depression, grief, and addiction recovery support through secure video sessions.
Online work can be especially effective when you have a private place to talk and can stay engaged without frequent interruptions. For trauma work, pacing matters; we can slow things down, build grounding skills, and avoid pushing emotionally intense material too fast. For couples, I can usually see the interactional pattern clearly online and help both partners stay accountable to the conversation.
Couples may join from the same screen, and in some cases from separate locations in South Carolina when that is clinically appropriate. If you are unsure whether what you are dealing with fits one of my specialties, that is okay. Part of the early work is clarifying what is happening and what kind of support makes sense.
Online therapy is not emergency care, and it may not be the right fit if you need a higher level of support or have immediate safety concerns. If you are in immediate danger or need urgent mental health support, call or text 988, or call 911 in an emergency.
This page is educational only and is not a substitute for therapy, mental health care, or diagnosis.
What Greenville Clients Can Expect from Telehealth
Sessions are held through a secure telehealth platform. Before we meet, make sure you have a reliable internet connection and a quiet, private space where you can speak freely. Headphones can help with privacy. For deeper trauma or couples work, a closed room is usually better than taking the session from a car or public place.
I am 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. Working outside insurance means treatment is not managed by an insurer, which some clients prefer for privacy and flexibility.
New clients begin with a brief, confidential request that I review personally. You are not routed through a generic intake line. That first step helps me understand what is bringing you in and whether online work together appears to be a fit.
How to Get Started with Online Therapy from Greenville
The process is simple: start with a confidential request, I review it personally, and if it appears to be a fit, I offer the next step. That is true whether you are in Greenville, Greer, Simpsonville, Mauldin, Five Forks, Travelers Rest, or elsewhere in South Carolina.
If you are not sure your situation fits neatly into trauma, betrayal trauma, sex addiction, or couples therapy, you are still welcome to reach out. Many people contact me before they have clear language for what is wrong. Greenville-area clients can meet with me online anywhere in South Carolina, and in-person sessions are available in Mount Pleasant for those who want that option.
If you have been thinking about getting help, you do not need to have it all figured out before you contact me. When you are ready, send a confidential request. There is no pressure, just a clear next step and a real person reading it.
Do you offer online therapy to clients in Greenville, SC?
Yes. I provide secure online therapy for adults and couples in Greenville and throughout South Carolina. My office is in Mount Pleasant, so most Greenville-area clients meet with me by telehealth rather than in person. If you prefer face-to-face care and are willing to travel, in-person sessions in Mount Pleasant may also be an option.
Do I need to live near Charleston to work with you online?
No. You do not need to live near Charleston or Mount Pleasant to work with me online. If you are physically located in South Carolina at the time of your session, I can usually see you by telehealth. That includes Greenville and nearby Upstate communities such as Greer, Simpsonville, Mauldin, Five Forks, and Travelers Rest.
Can online therapy help with trauma, betrayal trauma, or couples counseling?
Often, yes. I regularly use telehealth for trauma recovery, betrayal trauma after infidelity or sexual secrecy, couples counseling, compulsive sexual behavior and sex addiction treatment, anxiety, depression, grief, and addiction recovery support. Couples can usually join from one screen, and sometimes from separate South Carolina locations when that is clinically appropriate.
Are online therapy sessions private and secure?
Sessions are held through a secure telehealth platform. On your side, privacy matters too: choose a quiet place where you will not be overheard, use a reliable internet connection, and consider headphones if others are nearby. As a private-pay practice, your treatment is not managed through insurance, which some clients prefer for added privacy.
Do you take insurance, and what are your fees for telehealth?
I am a private-pay practice and 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. New clients begin with a brief confidential request that I review personally. That process is the same whether you are seeking online therapy from Greenville, the Upstate, or elsewhere in South Carolina.
How do I get started with online therapy from Greenville?
The first step is to start with a confidential request through /book/. I read each request myself. If your situation appears to be a good clinical fit, I will offer the next step. You are welcome to reach out even if you are not sure your concern falls neatly into one of my specialty areas.
Ready to Begin?
New clients start with a brief, confidential request that Jeff personally reviews — online across South Carolina or in person in Mount Pleasant.
Request an AppointmentOr call 843-330-2336
