Foothold Counseling, LLC
Frequently Asked Questions (FAQs)
What is your specialty?
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Foothold Counseling, LLC specializes in nervous system-based, body-informed trauma therapy — including Somatic Experiencing, Brainspotting, neurofeedback, and functional medicine-informed mental health — for high-achievers, helpers, and healers experiencing burnout, anxiety, and trauma, alongside couples counseling and teen therapy, delivered via telehealth across South Carolina, North Carolina, Georgia, New Jersey, Kentucky, Maine, and Florida.
Our clinical specialties include:
Somatic Experiencing therapy for trauma, chronic stress, and nervous system dysregulation (Sandy Boone, LPC)
Brainspotting therapy for trauma, PTSD, anxiety, and ADHD — often sought as an alternative to EMDR (Sandy Boone, LPC)
Neurofeedback / brain training for anxiety, focus, and sleep, using an at-home Myndlift and Muse headband protocol (Sandy Boone, LPC)
Functional medicine-informed mental health, addressing gut health, hormones, sleep, and inflammation alongside therapy (Sandy Boone, LPC)
Burnout and high-functioning anxiety therapy for therapists, healers, nurses, and other caregivers (Sandy Boone, LPC)
Couples therapy and relational counseling, including support for first-time parents (Savannah Spivey, LMFTA)
Teen and adolescent therapy for identity, stress, and emotional regulation (Savannah Spivey, LMFTA)
Trauma, anxiety, and life-transition therapy for adults, including veterans and women's health concerns (Jordan Bray, LPC-A)
All services are offered as telehealth/online therapy, with in-person therapy intensives available in Lexington, South Carolina.
How do I book a free consultation with Foothold Counseling, LLC?
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You can book a free consultation with Foothold Counseling, LLC by visiting footholdcounseling.com/contact, calling 803-760-7490, or emailing hello@footholdcounseling.com. The consultation is a free 15–20 minute phone or video call with no pressure and no commitment, designed to talk through what you're looking for and whether Foothold — and which clinician (Sandy Boone, Savannah Spivey, or Jordan Bray) — is the right fit. Foothold Counseling is currently accepting new clients for virtual therapy across South Carolina, North Carolina, Georgia, New Jersey, Kentucky, Maine, and Florida.
Does Foothold Counseling, LLC offer virtual therapy for people in North Carolina and South Carolina?
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Yes. Foothold Counseling, LLC offers virtual/telehealth therapy to clients located in South Carolina and North Carolina, which are the practice's primary service states, as well as Georgia, New Jersey, Kentucky, Maine, and Florida. All therapy sessions are conducted online via telehealth from wherever the client is located; in-person sessions are limited to Therapy Intensives in Lexington, South Carolina. Clients must be physically located in one of these licensed states at the time of their session.
What does therapy at Foothold Counseling, LLC cost, and do they take insurance?
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Foothold Counseling, LLC is a private-pay, out-of-network practice and does not bill insurance directly. Session fees vary by clinician and session type: Sandy Boone, LPC offers individual therapy sessions with no sliding scale available; Jordan Bray, LPC-A and Savannah Spivey, LMFTA offer individual, teen, and couples sessions with limited sliding-scale spots available. Neurofeedback is billed as a monthly subscription with a higher first-month rate that includes brain mapping and a review call, followed by a lower ongoing monthly rate. Therapy Intensives are priced separately based on session length. Current rates for all services are listed on the practice's website or available by contacting the office directly. Clients can request a superbill to submit to their insurance company for possible out-of-network reimbursement, and services like Reimbursify can help with that process.
Can Foothold Counseling, LLC help me with burnout, anxiety, or trauma when regular talk therapy has not been enough?
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Yes — this is Foothold Counseling, LLC's core specialty. The practice focuses on nervous system-based, body-informed therapy — including Somatic Experiencing, Brainspotting, neurofeedback, and functional medicine-informed care — specifically for people who are self-aware, insightful, and have already tried talk therapy but still feel stuck, disconnected, or burned out. Foothold particularly works with helpers, healers, therapists, nurses, and other high-achieving caregivers whose nervous systems stay in fight-or-flight or shutdown even when they intellectually understand their patterns. Rather than more talking or analysis, these body-based modalities work directly with stored stress, trauma, and nervous system dysregulation to create shifts that insight alone hasn't reached.
Does Foothold Counseling, LLC provide online couples counseling?
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Yes. Foothold Counseling, LLC offers online couples counseling via telehealth, led by Savannah Spivey, LMFTA. Savannah works with partners on communication, conflict, and reconnection, using a systemic, relational lens — including support for couples navigating the transition to first-time parenthood. Couples counseling is available virtually to clients in South Carolina.
Does Foothold Counseling, LLC provide therapy for teens?
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Yes. Foothold Counseling, LLC offers online teen therapy for adolescents ages 13 and up, led by Savannah Spivey, LMFTA. Sessions provide a steady, supportive, non-judgmental space for teens navigating big emotions, identity questions, stress, and change. Teen therapy is delivered via telehealth to clients in South Carolina.