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Substance Abuse & Addiction Counseling in Cayce

Substance Abuse & Addiction Counseling in Columbia

Substance abuse and addiction counseling covers a range of support, from initial assessment and detox referrals to individual therapy, group sessions, and relapse prevention planning. Counselors in this field work with alcohol, opioid, stimulant, and other substance use issues, and many also address the anxiety, depression, or trauma that often runs alongside addiction. Some clients come in on their own; others arrive through a court order, an employer program, or a family intervention. Sessions might happen one-on-one, in a group setting, or as part of an intensive outpatient program that meets several times a week.

Cayce has 5 counseling practices in this category, and they don't all work the same way. Before choosing one, check whether the counselor is licensed specifically in addiction treatment (LPC-S, LMFT, or a state addiction certification like SC's CADC), whether they offer both individual and group formats, and whether they coordinate with medical providers if medication-assisted treatment is part of the plan. Ask about their approach to relapse: a good counselor treats setbacks as part of recovery, not a reason to drop a client.

Our scoring weighs credentials, range of services, client feedback, and responsiveness, so you can compare providers on more than just a star rating. See how we calculate it on the methodology page, or go straight to the ranked guide to Cayce's best counselors to see where these 5 stand.

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All substance abuse & addiction counseling in Cayce, ranked by score and relevance

5 businesses, scored on recent reviews. The order weighs each business's overall score by how much of its reviewed work is substance abuse & addiction counseling, so a lower-scored specialist can rank above a higher-scored generalist.

Kya Coreisa Davis, Psychiatric Nurse Practitioner
#1
78

Kya Coreisa Davis, Psychiatric Nurse Practitioner

4.7(27)✓ Google-verified

Kya Davis listens deeply and explains medication options with clear knowledge, making patients feel seen and understood during appointments. Most experience smooth, efficient care; a few have clashed over treatment choices or encountered a rude staff member at the Cayce office. The team's warmth stands out to those who arrive struggling.

Child & Adolescent CounselingMental Health & Anxiety CounselingSubstance Abuse & Addiction Counseling
LifeStance Therapists & Psychiatrists Cayce
#2
88

LifeStance Therapists & Psychiatrists Cayce

4.6(221)✓ Google-verified

Reviewers consistently highlight therapists who listen carefully, ask thoughtful questions, and help patients navigate medication decisions. The practice runs punctually, offers stable video visits, and staff treat patients with genuine respect and care from intake through treatment.

Mental Health & Anxiety CounselingChild & Adolescent CounselingSubstance Abuse & Addiction Counseling
Domestic Abuse Center
#3
54 low data

Domestic Abuse Center

4.3(6)✓ Google-verified

Most clients find the batterer intervention groups useful and look forward to sessions. One reviewer reported a negative staff interaction and questioned the facilitator's honesty.

Substance Abuse & Addiction CounselingMental Health & Anxiety CounselingChild & Adolescent Counseling
Laketa Riley, Psychiatric Nurse Practitioner
#4
27 low data

Laketa Riley, Psychiatric Nurse Practitioner

No rating yet✓ Google-verified

Not enough recent reviews yet to synthesise a reliable sentiment read for this business.

Child & Adolescent CounselingMental Health & Anxiety CounselingSubstance Abuse & Addiction Counseling
Cayce Counseling Services, LLC
#5
46 low data

Cayce Counseling Services, LLC

5.0(1)✓ Google-verified

Not enough recent reviews yet to synthesise a reliable sentiment read for this business.

Mental Health & Anxiety CounselingChild & Adolescent CounselingSubstance Abuse & Addiction Counseling

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Common questions about substance abuse & addiction counseling

How much does addiction counseling cost in Cayce?
Individual sessions typically run $80 to $200 out of pocket, though many practices accept insurance and some offer sliding-scale fees based on income. Intensive outpatient programs, which involve more hours per week, usually cost more but are often covered at a higher rate by insurance since they're considered a higher level of care. Always ask for a cost estimate and confirm whether your insurance plan is in-network before your first visit.
How often do I need to go to counseling for substance abuse?
It depends on where you are in recovery. Early treatment or intensive outpatient programs often meet 3 to 5 times a week for a few hours each session. Once someone stabilizes, that usually tapers to weekly individual or group sessions, then to monthly check-ins for ongoing maintenance. A counselor should adjust the schedule based on progress rather than keeping everyone on a fixed timeline.
What should I expect at the first appointment?
The first session is usually an assessment: the counselor asks about substance use history, past treatment attempts, mental health, family situation, and any legal or medical issues tied to the addiction. From there they'll recommend a level of care, whether that's outpatient counseling, an intensive program, or a referral for medical detox first. It's a fact-finding conversation, not a commitment to a specific treatment plan yet.
How can I tell if a counselor is actually good at treating addiction?
Look for specific addiction credentials rather than a general therapy license, ask how they measure progress (not just attendance), and find out if they involve family or offer group support, since addiction recovery tends to go better with a support network. A counselor who's willing to explain their approach clearly and doesn't promise a fixed timeline for recovery is usually being realistic with you.

Last updated 2026-07-17