Best child & adolescent counselors in West Columbia, SC
Picks are ranked by score and relevance to child & adolescent counseling, so a lower overall score can rank higher here.
At a glance
| # | Business | Score | Rating | From | Best for |
|---|---|---|---|---|---|
| 1 | LifeStance Therapists & Psychiatrists Columbia | 86 | 4.9 (97) | — | Medication management plus therapy |
| 2 | Thriveworks Counseling & Psychiatry Columbia | 89 | 4.7 (288) | — | Wide clinician choice with telehealth |
| 3 | Annie Old, Counselor | 82 | 5 (20) | — | Trauma-informed one-on-one care |
| 4 | Pilar Reyna, Counselor | 72 | 5 (7) | — | A judgment-free space for hard conversations |
| 5 | Thriveworks Counseling & Psychiatry Columbia | 72 | 4.2 (153) | — | Building trust with anxious kids |
| 6 | Stephanie L McKenny, Counselor | 63 | 4 (8) | — | Confidence-building with take-home tools |
| 7 | Rene'e Hampton, Counselor | 72 | 5 (6) | — | Trauma work with a direct, goal-focused style |
| 8 | Psychology Services Center | 59 | 3 (9) | — | Low-cost assessments on a sliding scale |
| 9 | Sandra Mccloy, Psychologist | 53 | 5 (1) | — | Evidence-based therapy from a licensed psychologist |
| 10 | Melissa Miller, Psychologist | 31 | — | — | Autism spectrum and neuropsychological testing |
Ranked picks

LifeStance Therapists & Psychiatrists Columbia
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

Thriveworks Counseling & Psychiatry Columbia
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

Annie Old, Counselor
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

Pilar Reyna, Counselor
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

Thriveworks Counseling & Psychiatry Columbia
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

Stephanie L McKenny, Counselor
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

Rene'e Hampton, Counselor
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

Psychology Services Center
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

Sandra Mccloy, Psychologist
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

Melissa Miller, Psychologist
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