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 depression therapy in Mount Pleasant, SC with Jeff Marcino, Psy.D, LPC for adults and couples in the Charleston area, plus secure telehealth statewide. Jeff’s approach is trauma-informed, relational, and individualized, helping clients address depression connected to stress, grief, trauma, shame, or relationship pain.
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Depression therapy in Mount Pleasant, SC: support when life feels heavy, flat, or hard to manage
Depression does not always look the way people expect. It can feel like sadness and tears, but just as often it shows up as emptiness, irritability, numbness, hopelessness, loss of interest, withdrawal, fatigue, changes in sleep or appetite, or trouble focusing. Some people keep functioning on the outside while feeling increasingly flat or overwhelmed inside.
Most people reach out when the heaviness starts affecting work, relationships, parenting, motivation, or basic day-to-day functioning. That is a reasonable time to get support. You do not need to wait until things feel unbearable, and you do not need to know whether what you are dealing with is depression, burnout, grief, stress, or some mix of all three. Part of therapy is clarifying what is going on and what kind of help fits best.
A note on safety: if you are thinking about harming yourself or feel unsafe right now, call or text 988 now, or call 911 in an emergency. This page is educational and is not a substitute for therapy, diagnosis, or crisis care.
Who Jeff helps and what makes his work different
I’m Jeff Marcino, a Mount Pleasant-based clinical psychologist and licensed professional counselor with 20 years of experience. I work with adults and couples, treating depression alongside anxiety, grief, trauma, addiction, betrayal trauma, and narcissistic-abuse recovery.
Sometimes individual therapy is the right place to start. Sometimes couple work matters because the relationship itself is part of what is keeping you depleted, alone, or stuck. In either format, I pay close attention to context rather than treating depression as a stand-alone symptom checklist.
Over the years, I’ve found that depression often travels with something painful underneath it: loss that was never fully grieved, chronic shame, unresolved trauma, relationship injury, or coping patterns that started as survival and now deepen isolation. Long Point Counseling is a smaller, higher-touch private-pay practice. Care is personalized, and I personally review every new-client request. If your depression overlaps with trauma therapy, addiction, or relationship distress, that overlap is clinically important—not something to work around.
A trauma-informed, relational approach to depression
A trauma-informed, relational approach means we look beyond symptoms alone. We pay attention to the experiences and patterns that may be feeding the depression: chronic stress, grief, shame, isolation, betrayal, disconnection, or compulsive behaviors used to manage pain. Sometimes what looks like depression is entwined with long periods of strain or relational hurt that have left you feeling shut down, detached, or exhausted.
My work is evidence-informed, practical, and collaborative. We slow down enough to understand what is happening, but we do not stay abstract. Together, we translate insight into specific next steps: recognizing patterns, building coping that actually fits your life, improving communication, setting boundaries, and restoring routines that support daily functioning.
When it fits the person and the problem, I may draw from Relational Life Therapy and The Daring Way™ to work more directly with connection, vulnerability, shame, and boundaries. For many people, relief comes not only from feeling better internally, but from changing the relationships and self-protective patterns that keep depression in place.
When appropriate, I may also encourage coordination with your primary-care doctor or a medication prescriber. That is not because therapy has failed; it is because good care is thoughtful and responsive to the whole picture. Any medical decisions belong between you and a qualified medical provider, and nothing on this page is medical advice.
What to expect in depression therapy
The first appointment is a deeper initial session designed to understand the problem clearly. We talk through what has been happening, your history, what you have already tried, what you want to be different, and whether working together feels like the right fit. You do not need to tell your whole life story perfectly; we move at a pace that is thorough without being overwhelming.
Long Point Counseling is a private-pay practice, and I share current fees directly when you reach out so the financial side is clear from the start.
Ongoing depression therapy is collaborative and paced. Some sessions focus more on understanding patterns and emotional stuck points. Others focus more on practical next steps—coping, communication, daily structure, boundaries, and rebuilding the parts of life that have narrowed under depression. Everything on this website is educational and is not a substitute for individualized therapy, diagnosis, or crisis care.
In-person in Mount Pleasant and telehealth across South Carolina
In-person therapy is available at my Mount Pleasant office for clients in the greater Charleston area. I also provide secure telehealth across South Carolina.
Some people prefer coming into an office because it creates protected space away from home, work, and distraction. Others prefer online sessions for the convenience, privacy, and flexibility of meeting from home or between responsibilities. Thoughtful, personalized care is possible in either format. If you want to see the broader scope of my work, you can explore all therapy services, including anxiety therapy, which often overlaps with depression.
How to get started with Long Point Counseling
To begin, start with a confidential request. The form is brief, and I personally review each new-client inquiry.
From there, the next step is straightforward and low pressure. We look at fit, availability, and whether this is the right kind of support for what you are carrying. If you are unsure whether this is depression, grief, burnout, relationship pain, or some combination, you are still welcome to reach out. You do not need perfect words to take a first step.
If Long Point Counseling seems like it may be a fit, send a request when you are ready. I will respond personally and help you understand the next step.
What are signs it may be time to seek depression therapy?
Consider therapy when sadness, emptiness, irritability, numbness, fatigue, withdrawal, or loss of interest have started to affect work, relationships, parenting, sleep, motivation, or daily functioning. You do not need a formal diagnosis first. If you feel unsafe or are thinking about harming yourself, call or text 988 right away, or call 911 in an emergency.
What happens in the first depression therapy session?
The first session is a longer initial appointment focused on understanding the problem in context. We review what has been happening, relevant history, current stressors, goals, and whether the fit feels right. It is also a chance for you to get a clear sense of how I work. Current fees for that session are shared when you reach out.
Can therapy help if my depression is connected to trauma, grief, or relationship problems?
Yes. In my practice, depression often overlaps with trauma, grief, shame, betrayal, addiction, or relationship distress. Therapy can help clarify what belongs to the depression itself and what may be keeping it going. My approach is trauma-informed and relational, so we address the deeper context rather than focusing only on symptom management.
Do you offer in-person depression therapy in Mount Pleasant and online therapy throughout South Carolina?
Yes. I offer in-person depression therapy in Mount Pleasant for clients in the greater Charleston area, and secure telehealth anywhere in South Carolina. Some people prefer the privacy and convenience of online sessions; others prefer the structure of coming into the office. In either format, the work is individualized, thoughtful, and collaborative.
How much does depression therapy cost, and do you take insurance?
Long Point Counseling is a private-pay practice rather than an insurance-based one. 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. That model allows for more personalized care and direct contact with me. If you are considering starting, it is important to make sure the fee structure fits your needs and expectations.
How do I start working with Jeff Marcino?
The first step is to complete the brief confidential request form. I personally review each new-client request, then respond about fit, availability, and next steps. The process is meant to feel straightforward and low pressure. Even if you are not sure whether you need depression therapy, you are welcome to reach out.
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
