Frequently Asked Questions

Most people are nervous at first—that is normal. There is no obligation to continue if the fit feels wrong. We welcome honest conversation about what is or isn’t working and will help you adjust or plan next steps.

Start with one appointment. Therapy does not require you to solve everything at once. Simply talking about feeling overwhelmed is a meaningful beginning. See What to Expect for the step-by-step process.

If you are reading this, start with you. We will help figure out whether individual, couples, child, or family sessions make sense. Family members can sometimes work with the same clinician; other times a second therapist is better.

Our phones are answered by people, not an automated maze. Share what you need help with, preferred times, and location. We help match you with a clinician and follow up promptly if we miss your call.

Your satisfaction matters to us. Jill Smith & Associates stands behind a 100% satisfaction commitment and offers easy, non-defensive access to management for any complaint or concern. Tell your therapist, call 803-814-5559, or use our Contact form. We will listen and help you find the right path forward—including a different therapist match when that is the best fit.

Yes. Couples therapists at Jill Smith & Associates pursue specialized training. Our primary couples approach is Emotionally Focused Therapy (EFT). Jill Smith is Certified in EFT, and couples clinicians train and supervise in this model.

Yes. Many clients do both over time. We coordinate thoughtfully so care supports the whole system.

Yes. Discernment and crisis seasons are common. We help you slow down, understand the cycle, and make clearer next steps—whether that means repair, separation planning support, or both over time.

Sessions are primarily self-pay. We accept Healthy Connection and First Choice Select Health Medicaid plans, and Medicare acceptance is coming soon. We can provide a superbill on request for possible out-of-network reimbursement—you submit it to your plan. See our Self-Pay & Insurance page for details.

Sessions are typically 50 minutes and range from $160 to $250 depending on clinician experience and licensure. EMDR sessions may be longer. Masters-level interns may offer lower-cost sessions—please inquire. We accept cards (no Amex), HSA/FSA, checks, and cash.

Downtown Columbia: 1777 Bull Street (park in back; enter the front teal door). Lexington: 426 South Lake Drive near the courthouse (park in back; teal door). Northeast Columbia / Blythewood: 201 McNulty Street. See Locations for maps and details.

Yes. Columbia and Lexington have parking behind the buildings. At Blythewood, parking is in the front of the building.

Yes, for clients located in South Carolina. Most care is still in person, but video sessions can increase access. Plan for a quiet, private space.