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Best child & adolescent counselors in West Columbia, SC

Updated 2026-08-17 · 3,950 reviewed · 340 listed · 10 top picks · Scored from 589 Google reviews · How we rank ›

Ranked by our methodology, which weighs ratings, review volume, recency, and sentiment: these are the West Columbia practices and clinicians where child and adolescent counseling is a core, named service, not a side offering. Overall counseling performance across all ages is covered separately in our best counselor overall list. This page ranks only businesses where children and teens are a stated focus of the practice.

Picks are ranked by score and relevance to child & adolescent counseling, so a lower overall score can rank higher here.

At a glance

#BusinessScoreRatingFromBest for
1LifeStance Therapists & Psychiatrists Columbia864.9 (97)Medication management plus therapy
2Thriveworks Counseling & Psychiatry Columbia894.7 (288)Wide clinician choice with telehealth
3Annie Old, Counselor825 (20)Trauma-informed one-on-one care
4Pilar Reyna, Counselor725 (7)A judgment-free space for hard conversations
5Thriveworks Counseling & Psychiatry Columbia724.2 (153)Building trust with anxious kids
6Stephanie L McKenny, Counselor634 (8)Confidence-building with take-home tools
7Rene'e Hampton, Counselor725 (6)Trauma work with a direct, goal-focused style
8Psychology Services Center593 (9)Low-cost assessments on a sliding scale
9Sandra Mccloy, Psychologist535 (1)Evidence-based therapy from a licensed psychologist
10Melissa Miller, Psychologist31Autism spectrum and neuropsychological testing

Ranked picks

Top pick
1
LifeStance Therapists & Psychiatrists Columbia

LifeStance Therapists & Psychiatrists Columbia

score 86/100
4.9 from 97 reviews
Medication management plus therapycompassionategood listenerskilled staff

Why it ranks first

LifeStance combines psychiatry and therapy under one roof, which matters for families needing both a talk therapist and a prescriber who communicate with each other. Dr. Walkup is singled out repeatedly for getting medication right, and the practice offers telehealth for a first visit, useful for a nervous teen easing into treatment.

Pros

  • Staff reschedule and accommodate family schedules
  • Dr. Walkup praised for precise medication matching
  • Telehealth available for first appointments
  • Fast script turnaround reported by patients

Watch out: One patient reported no improvement after two months of Spravato treatment and unanswered follow-up emails.

Services: mental health counseling, child adolescent counseling, career life coaching

Runner-up
2
Thriveworks Counseling & Psychiatry Columbia

Thriveworks Counseling & Psychiatry Columbia

score 89/100
4.7 from 288 reviews
Wide clinician choice with telehealthcompassionategood listenerskilled staff

Why it ranks second

With well over 250 reviews, Thriveworks Columbia has the volume to back up its reputation, and named clinicians like Celeste, Lee, Yvonne, and Susan draw specific praise for being collaborative and easy for clients to open up to. The telehealth option adds flexibility for busy family schedules.

Pros

  • Multiple named clinicians with strong client loyalty
  • Telehealth and in-person options
  • High review volume suggests consistent booking availability
  • Reviewers describe good therapist-client matching

Watch out: One reviewer described a therapist who cut a session short and was dismissive of complex needs, so ask about fit before committing.

Services: grief trauma counseling, mental health counseling, child adolescent counseling, substance abuse counseling

Best value
3
Annie Old, Counselor

Annie Old, Counselor

score 82/100
5 from 20 reviews
Trauma-informed one-on-one carecompassionategood listenereasy to talk to

Why it ranks third

Annie Old draws a perfect rating across her reviews, with clients specifically noting she handles complex trauma with warmth rather than clinical distance. Notably, some of her clients hold psychology degrees or crisis work backgrounds themselves and still chose her, which speaks to the depth of her approach.

Pros

  • Consistently described as an excellent listener
  • Comfortable handling complex trauma
  • Brings genuine optimism to sessions
  • Willing to adapt approach to the client

Watch out: Review volume is modest, so confirm current availability directly.

Services: child adolescent counseling, mental health counseling, career life coaching

4
Pilar Reyna, Counselor

Pilar Reyna, Counselor

score 72/100
5 from 7 reviews
A judgment-free space for hard conversationscompassionategood listenerjudgment free

Why it ranks fourth

Every review Pilar Reyna has received is five stars, with clients describing her as patient and genuinely invested rather than going through the motions. The review count is small, so treat this as a strong early signal rather than a long track record.

Pros

  • Compassionate and patient with every client
  • Creates a judgment-free environment

Watch out: Only a handful of reviews so far, worth confirming experience with your specific age group or issue.

Services: mental health counseling, child adolescent counseling, career life coaching

5
Thriveworks Counseling & Psychiatry Columbia

Thriveworks Counseling & Psychiatry Columbia

score 72/100
4.2 from 153 reviews
Building trust with anxious kidsgood listenercompassionateskilled staff

Why it ranks fifth

This Thriveworks location has a large review base and specific praise for counselors who build trust with anxious children and support families managing anxiety and depression. It also carries a serious complaint about a medication management incident, so it's best suited to families focused on talk therapy rather than psychiatric prescribing here.

Pros

  • Skilled at building trust with children specifically
  • Supportive with anxiety and depression
  • Appointments reported to move quickly
  • Online therapy option available

Watch out: A serious complaint describes a medication being stopped abruptly without proper monitoring; separate the therapy team from psychiatric care when booking.

Services: grief trauma counseling, mental health counseling, child adolescent counseling, career life coaching

6
Stephanie L McKenny, Counselor

Stephanie L McKenny, Counselor

score 63/100
4 from 8 reviews
Confidence-building with take-home toolswelcoming officegood listenerprofessional demeanor

Why it ranks sixth

Stephanie McKenny gets credit for practical homework assignments and helping clients build confidence and boundary-setting skills, which suits adolescents working on assertiveness. Reviews are mixed on professionalism and scheduling consistency, so it's fair to call this a solid but uneven option.

Pros

  • Attentive listening at the client's own pace
  • Assigns practical homework between sessions

Watch out: Some reviewers cite unprofessional conduct in session and scheduling gaps from time away.

Services: mental health counseling, child adolescent counseling, career life coaching

7
Rene'e Hampton, Counselor

Rene'e Hampton, Counselor

score 72/100
5 from 6 reviews
Trauma work with a directgoal-focused stylecompassionategood listener

Why it ranks seventh

Rene'e Hampton brings 25-plus years of experience and a Certified Clinical Trauma Professional credential, with reviewers describing sessions as focused and growth-oriented rather than open-ended. The five reviews are all five-star, though the small sample and gap since the most recent review means it's worth checking current availability.

Pros

  • 25+ years of clinical trauma experience
  • Clear, goal-focused session style

Watch out: Very few reviews and the most recent activity is dated, so confirm she's currently taking new clients.

Services: grief trauma counseling, mental health counseling, child adolescent counseling

8
Psychology Services Center

Psychology Services Center

score 59/100
3 from 9 reviews
Low-cost assessments on a sliding scaleflexible schedulinghard to reachinsurance hassles

Why it ranks eighth

Psychology Services Center stands out for affordability, with a sliding scale that opens the door to families who can't pay full private-practice rates, plus assessment services covering ADHD and autism. Reviews are genuinely mixed, though, with one long-term client reporting real progress and another describing dismissive treatment.

Pros

  • Affordable sliding-scale pricing
  • Structured, goal-oriented therapy approach

Watch out: Complaints cite unresponsive administrative staff, inconsistent communication, and one assessor accused of inaccurate reporting.

Services: mental health counseling, substance abuse counseling, child adolescent counseling

9
Sandra Mccloy, Psychologist

Sandra Mccloy, Psychologist

score 53/100
5 from 1 reviews
Evidence-based therapy from a licensed psychologistcompassionategood listenerskilled staff

Why it ranks ninth

Dr. Sandra McCloy holds a PhD in Educational Psychology and a regional testing director role, and her single review describes years of meaningful progress attributed to her warmth and practical guidance. The review count is minimal, so this is more a credentials-based pick than a sentiment-proven one.

Pros

  • PhD-level licensed psychologist
  • Uses evidence-based approaches like CBT and ACT

Watch out: Only one review on record, so there isn't much sentiment data to lean on yet.

Services: child adolescent counseling, mental health counseling, career life coaching

10
Melissa Miller, Psychologist

Melissa Miller, Psychologist

score 31/100
Autism spectrum and neuropsychological testing

Why it ranks tenth

Melissa Miller is a licensed clinical psychologist whose listed services include neuropsychological testing and autism spectrum assessments, useful for families needing formal evaluation alongside therapy. There is no review history yet, so this pick rests on credentials rather than client feedback.

Pros

  • Licensed clinical psychologist
  • Offers neuropsychological testing
  • Autism spectrum assessments available

Watch out: No reviews on file yet, so there's no client sentiment to confirm fit.

Services: mental health counseling, child adolescent counseling, career life coaching

Last updated 2026-08-17