Find Yourself Here.
It's a good day
to feel better.
Expert counseling for individuals, couples, and families in Columbia, Lexington, and Blythewood, SC.
A Different Kind of Practice
You deserve to feel like yourself again.
We hear you. You may feel as if others have it all figured out while you are struggling to find your way.
You want to talk—and be heard. Jill Smith & Associates is here to help you learn how to believe in yourself, love yourself, and notice what you are feeling. Together, we can find more clarity, more peace, and more acceptance through talking, listening, and counseling. We can help you and your loved ones move toward a calmer, more connected life with less pain.
Explore our services
As seen in
What We Offer
Specialized care for every stage of life
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Individual Counseling
Anxiety, depression, ADHD, and life transitions—plus focused specialty pages for each.
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Marriage & Couples
EFT-based couples therapy and premarital counseling to build a stronger partnership.
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Children & Teens
Play therapy, teen counseling, and parent coaching for young people and families.
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Family Therapy
Healing family dynamics and building resilience across generations.
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Trauma-Informed Care
EMDR therapy and trauma-focused approaches for lasting healing and recovery.
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Online Therapy
Flexible telehealth sessions from the comfort of your home — anywhere in South Carolina.
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Gender Affirming
Inclusive, affirming care for LGBTQ+ individuals navigating identity and wellbeing.
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Postpartum Support
Compassionate maternal mental health care for the tender transition into parenthood.
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View all services including Group Therapy, EMDR, Postpartum & more →
Self-Pay & Insurance
Therapy works best without arbitrary limits. That's why we champion the self-pay option.
Client Stories
Real people experiencing real change
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★★★★★
“Working with my therapist at JSA has been transformative. I finally have the tools to manage my anxiety — and for the first time in years, I feel genuinely heard.”
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★★★★★
“We came in skeptical. Six months later, our marriage is stronger than the day we got engaged. We tell everyone about JSA.”
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★★★★★
“The play therapy for my 8-year-old made a visible difference within weeks. The team is warm, patient, and deeply invested in the whole family.”
Find Us
Three offices across the Midlands
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Columbia, SC
1777 Bull Street
Main office · All services available
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Lexington, SC
426 South Lake Drive
Couples & family focus
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Blythewood, SC
201 McNulty Street
Northeast Columbia location
Do you accept insurance?
Jill Smith & Associates is primarily a self-pay practice. Many clients use superbills for out-of-network reimbursement. See our Self-Pay & Insurance page for details.
How do I find the right therapist?
Request an appointment and tell us what you are looking for. Our team matches you based on specialty, location, and availability—not a random assignment.
How long does therapy typically take?
It depends on your goals. Some clients find meaningful progress in a few months; others prefer longer-term support. Your therapist will talk with you about pacing and expectations.
Do you offer telehealth?
Yes. We offer secure online therapy for clients across South Carolina, in addition to in-person sessions at our three offices.
Ready to begin?
Most new clients are seen within 5 business days. We respond to all inquiries within one business day.
If you are in crisis, please call or text 988 (Suicide & Crisis Lifeline) or call 911.