Best of Columbia Runner Up

Modern Mental Health Care for Columbia & Lexington

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We heard you want to talk.

You may feel your problems are unsolvable. That other people have it all figured out. That you don’t know where to begin and you are tired of hurting, worrying, feeling lost.  

You have found the right place. Together, we can find answers, more peace, more acceptance, less pain. Together, we can change your life through counseling, talking, and listening.

Let’s do this.

Learn about our process


Jill Smith and Associates Counseling is a modern, private counseling practice.

Our mission is alive every day: to be known for psychotherapy excellence that transforms the lives of our clients.

Our core principles are evident from the first phone call:

  • To provide exceptional quality
  • To treat each of you and each other with respect and kindness
  • To hold up the highest of professionalism and ethical behavior
  • To model authenticity in all our sessions. 
More about our practice

Types of Therapy

Individual Psychotherapy

Psychotherapy can help when life feels unbearably difficult, and it can also make a decent life even better.

Couples Counseling

Our clinicians are extensively trained in Emotionally Focused Therapy for Couples to provide the highest quality of couples.

Children, Adolescents & Families

Using play therapy, clean therapy rooms and a love of children, we welcome your precious ones to therapy.

Family Therapy

We honor the time and commitment and we think you are brilliant for making your family therapy happen.

Gender Affirming

We are deeply committed to accepting all.


Patients with a history of traumatic life events can become re-traumatized as the result of therapy.


Schedules, work, logistics get in the way.  Enter telehealth.


These groups are long term and are for clients who are ready for something new.

See Our Columbia
& Lexington Spaces

What to Expect

Are you considering therapy but have questions? Click for lots of answers.

View our F.A.Q




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Best of Columbia 2019 Best of Columbia 2020 runner up Best of Columbia 2021 Best of Columbia 2022 Best of Columbia 2023 winner