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LifeStance vs Thriveworks Columbia: which fits child & adolescent counseling?

Updated 2026-07-17 · 1,650 reviewed · 237 listed · How we rank ›

LifeStance Therapists & Psychiatrists Columbia
LifeStance Therapists & Psychiatrists Columbia
Thriveworks Counseling & Psychiatry Columbia
Thriveworks Counseling & Psychiatry Columbia
Both practices come up as real options for families in Columbia looking for child and adolescent counseling, and both mix therapy with psychiatric care. The gap between them shows up less in overall scores and more in how consistently each one gets matched clinicians and follow-through right, which matters more when the client is a kid or teen. This comparison uses our methodology to weigh those differences.

Side by side

Google rating
LifeStance Therapists & Psychiatrists Columbia: 4.9 (90 reviews)
Thriveworks Counseling & Psychiatry Columbia: 4.7 (281 reviews)
Services
LifeStance Therapists & Psychiatrists Columbia: mental health counseling, child adolescent counseling, career life coaching
Thriveworks Counseling & Psychiatry Columbia: mental health counseling, child adolescent counseling, substance abuse counseling, career life coaching
Verification
LifeStance Therapists & Psychiatrists Columbia: Google-verified
Thriveworks Counseling & Psychiatry Columbia: Google-verified
Composite score
LifeStance Therapists & Psychiatrists Columbia: 86
Thriveworks Counseling & Psychiatry Columbia: 85

Within 3 points of each other, so treat them as effectively tied on overall quality. The choice below is about fit, not the score.

What reviewers say

LifeStance Therapists & Psychiatrists Columbia

LifeStance Therapists & Psychiatrists Columbia

Staff and therapists listen without judgment and actively help patients reschedule. Dr. Walkup earns particular praise for changing lives through correct medication matches, while the team offers both in-person and virtual care tailored to first-time therapy attendees.

One patient reported no relief after two months of Spravato treatment and felt unanswered by follow-up emails. Most others report quick script processing, supportive therapy, and meaningful progress within weeks.

Thriveworks Counseling & Psychiatry Columbia

Thriveworks Counseling & Psychiatry Columbia

Most reviewers report positive relationships with their therapists. Celeste, Lee, Yvonne, and Susan are named as compassionate clinicians who listen and work collaboratively. Telehealth availability is valued. One significant complaint describes a therapist who declined to treat and charged for a 26-minute session, citing the client as "too damaged" and discouraging outside resources.

Verdict

For child and adolescent counseling specifically, the deciding factor is how each practice handles sensitive matching and family involvement, not the half-point gap in composite score. LifeStance stands out for explicitly accommodating family participation in sessions and for a psychiatrist with a strong reputation for getting medication right, which matters when a child's care involves both therapy and prescribing. Thriveworks offers more named therapists to choose from and a much larger review base, but carries a documented case of a therapist dismissing a client's needs, worth asking about directly before booking if your teen has complex or sensitive needs.

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Last updated 2026-07-17