
Vertical Treatment Centers
Reviewer credits years of consistent support from staff including Melanie Wyrick (NP), Devan, and Dr. Harris for sustained recovery. Evidence is limited to one five-star review.
Substance abuse and addiction counseling covers structured, ongoing work with a licensed counselor or clinician to address dependency on alcohol, opioids, stimulants, or other substances. Sessions typically involve assessment, individual or group therapy, relapse prevention planning, and sometimes coordination with a physician for medication-assisted treatment or detox referral. Some counselors also work with family members who are dealing with a loved one's addiction. This is different from a general mental health check-in: it's a focused, often longer-term process with specific clinical goals and milestones.
In Irmo, 11 counseling practices offer this service, and they vary in approach. Some focus on outpatient individual counseling, others run group sessions or specialize in co-occurring conditions like addiction paired with anxiety or depression. Before picking one, check what license and credentials the counselor holds (LPC, LISW-CP, or an addiction-specific certification like LCAS), whether they accept your insurance or offer a sliding scale, and what a typical treatment plan looks like: how often you'd meet, how progress gets measured, and how they handle a relapse if it happens.
Our scoring weighs credentials, client feedback, responsiveness, and consistency of service over time, so you're not just picking a name off a list. See the ranked guide to counselors in Irmo for the full breakdown, and read our methodology for how we score and verify each listing.
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11 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.

Reviewer credits years of consistent support from staff including Melanie Wyrick (NP), Devan, and Dr. Harris for sustained recovery. Evidence is limited to one five-star review.

Angela Jackson builds strong rapport and helps clients make measurable progress. Most report feeling immediately at ease and receiving practical tools like books and links between sessions. One reviewer waited without response to a contact attempt, though this remains isolated among six five-star reviews.

Therapists here earn consistent praise for compassion and skill, particularly Melinda and Hannah with individual and child clients. Many describe real breakthroughs in managing anxiety and trauma. However, office staff and administration (notably Terry Somerville and Becky) receive repeated complaints about rudeness, billing mistakes, and dismissive treatment that contradicts the counselors' care.

Misti builds strong rapport with young clients and their families, with parents consistently noting her ability to reach children where they are. Six five-star reviews spanning years show stable trust in her work with anxiety, behavioral concerns, and major life transitions.

All four reviews are five-star. Reviewers consistently describe Eric Beasley as deeply committed to his clients and skilled across a range of issues. One reviewer noted he doesn't work with teens but took time to help find an alternative. Another highlighted his ability to track real progress and create customized plans.
Get quotes from suitable substance abuse & addiction counseling in Irmo
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One reviewer credited Noelle with helping them process multiple losses through therapy before crisis hit, calling the experience transformative. Limited review evidence.
One reviewer described Jamie Rice as a warm, intuitive therapist who creates safety and guides clients through difficult topics with humor and compassion. Sessions blend structure with flexibility, moving clients toward understanding and healing without judgment.
JP Cole draws strong praise for warmth, genuine engagement, and willingness to listen without judgment. One older complaint about unresponsive customer service raises a note of caution about phone access.
One five-star review supports this business, though review detail is limited. Hidden Creek Counseling serves adults seeking individual counseling, aftercare, or specialized coaching, with the owner holding a clinical social work license and offering assessments for lawyers through bar programs.

One five-star review from four years ago notes that she helped the reviewer navigate workplace and family stress. Evidence is limited to a single review.

Review evidence is limited. Fuller Life Counseling is based in Irmo and serves the Columbia area. Their website lists an LPCA credential and experience spanning over 25 years in anxiety, depression, grief, relationships, and life coaching for adolescents through older adults.
Enquiries from this site's forms may be passed to partner providers who can do the work, and we may earn a referral fee. Our rankings and scores follow our published method only and are not affected by referral fees.
Last updated 2026-08-17