Teen Counseling in Columbia, SC
Teen counseling at Jill Smith & Associates offers adolescents a confidential, respectful space to talk about stress, identity, relationships, and mental health—while keeping parents thoughtfully involved.
You might relate if
You might relate if
Your teen seems anxious, irritable, withdrawn, overwhelmed by school, or stuck in conflict at home—and you are not sure how hard to push.
Adolescence brings intense friendship dynamics, academic pressure, social media comparison, identity questions, and changing family roles. Some teens ask for help; others resist but still need a safe adult outside the household.
Our approach
How this care works
We build trust with teens first, then collaborate with caregivers so home and therapy are pulling in the same direction.
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In session
Teen counseling at Jill Smith & Associates balances privacy with appropriate parent communication.
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Between sessions
Teens get a confidential space. Caregivers get enough to support them without taking over the work.
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Where you can be seen
In person in Columbia, Lexington, and Blythewood, or by secure telehealth across South Carolina.
Self-Pay & Insurance
We are a self-pay practice, so you can choose your therapist without insurance limits on who you see or how long you stay.
FAQs
Answers for parents and teens considering counseling.
Will you tell parents everything my teen says?
Teens need privacy to open up. We explain confidentiality clearly, including safety limits, and share helpful themes with parents without turning sessions into a report-out.
What if my teen refuses to go?
Resistance is common. Sometimes a parent consultation first helps; sometimes a low-pressure first meeting builds buy-in. We will talk through options at intake.
Can therapy help with school anxiety or refusal?
Yes. We frequently support teens around academic stress, perfectionism, social anxiety, and school avoidance patterns, often in coordination with caregivers.
Do you offer gender-affirming support for teens?
Yes. Inclusive, affirming care is available. See also our gender affirming counseling page.
Give your teen a place to be honest
Request an appointment for teen counseling at Jill Smith & Associates.
If your teen is in crisis, call or text 988.