Online Therapy for Adults in South Carolina
Telehealth therapy for trauma and complicated relationship dynamics in the Upstate, licensed statewide.
At a Glance
Therapist: Haley Speer, LISW-CP Licensed Independent Social Worker, Clinical Practice (9104) in South Carolina
Format: All sessions conducted via secure video
Fee: $180 per 55-minute session. Please do not hesitate to ask about a sliding scale adjustment if you need one.
Also licensed in: North Carolina, Tennessee, New York, Florida, Kentucky, and Arkansas (useful if you split time between SC and another state)
Who I Help
I work with adults who are smart, self-aware, and still stuck. Most of my clients are well into adulthood (30s - 60s), though I occasionally work with with young adults and college students when the fit is right. The people I work with tend to carry a lot, professionally, relationally, and often physically. At some point, the load becomes too heavy to keep going the same way.
I most often work with people facing:
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Burnout and chronic stress that builds quietly over year
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Chronic illness and medical trauma, including years of feeling dismissed, misunderstood, or failed by the healthcare system, as well as specific frightening experiences
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High-control or high-pressure upbringings (religious, cultural, or familial), and the beliefs and patterns instilled early that still run in the background
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Complex family dynamics, both overinvolved and neglectful, and childhood roles that no longer fit adult life
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Complicated relationship patterns with partners, parents, friends, or siblings, and the ongoing question of what you actually want from relationships
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Long-term recovery from self-harm, disordered eating, or substance misuse, for people with several years of stability who are ready to work on the patterns underneath.
Training & Clinical Background
I earned my Master of Social Work from the University of South Carolina in 2008 and became independently licensed in 2012.
I started my career providing trauma treatment to adults in Greenville, including facilitating a batterers intervention program and educational work with domestic violence victims and divorcing parents. I have extensive knowledge of relationship harm and it's on-going effects. I trained in Cognitive Processing Therapy (CPT) through the Medical University of South Carolina. Llater, at Cherokee Health Systems (now River Valley Health), a Federally Qualified Health Center serving a rural, underserved community in East Tennessee, I used CPT regularly to treat adults with PTSD. I also facilitated DBT skills groups, an ACT group for chronic pain, and a process group for serious and persistent mental illness.
From 2019 to 2025, I worked as a therapist for Headspace, the mindfulness and mental health platform, supporting high-functioning adults dealing with trauma, anxiety, obsessive-compulsive patterns, and low motivation. I also developed and led a training on evidence-based trauma treatment for the clinical team.
No matter the setting, my approach centers on building a trusting, respectful relationship first. I'm trained and experienced in several evidence-based modalities, including:
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Dialectical Behavior Therapy (DBT)
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Cognitive Processing Therapy (CPT)
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Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
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Exposure & Response Prevention (ERP)
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Acceptance & Commitment Therapy (ACT)
I draw from a wide range of evidence-based techniques, but the care I provide isn't cookie cutter or one size fits all. We adjust pace and focus based on what you're ready for.
Serving All of South Carolina, with Deep Roots in the Upstate
I'm licensed to provide telehealth therapy throughout South Carolina. The Upstate is home. I grew up in Simpsonville and Mauldin, lived in Greenville as an adult, and my family is still in South Carolina. I've watched Greenville, Spartanburg, and the surrounding communities change dramatically over the past few decades.
That history matters to how I work. In the South, religion and church culture can be deeply sustaining, and they can also be where harm happens. My clinical approach is secular, I don't bring specific religious belief into the room, but I do care about yours, or your lack of one, or your confusion about what you believe now.
Whether you're in Greer, Columbia, Chapin, Aiken, Charleston, Mount Pleasant, or elsewhere in South Carolina, we can work together through secure telehealth sessions. Whether you've lived here your whole life, just arrived, or made it home somewhere in between, I'll meet you where you are.
Is This a Good Fit?
This work may be especially right if:
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You are managing life relatively well on the outside but feel deeply exhausted and frustrated underneath.
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You have had therapy that was just okay. Maybe you did not quite click, or you got coping skills that helped briefly, but whatever shifted did not last.
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You are curious about your own patterns, not only looking to manage symptoms.
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You can sit with some discomfort. Insight does not always feel good right away.
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You want a therapist who will be honest with you, not just validating.
This is probably not the right fit if:
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You are in active crisis or need same-day or emergency support. Please call or text 988, or go to your nearest emergency room.
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You are currently experiencing active substance use, active self-harm, or active eating disorder symptoms that need a higher level of care or a specialized program.
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You are seeking court-mandated therapy, custody evaluations, or documentation for legal purposes.
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You want purely skills-based symptom management with little interest in what lies underneath. Most clients start with a concrete problem and find the deeper work along the way. Some finish in months and others stay over a year.
A Note on History and Recovery
I work with adults who have a history of self-harm, eating disorders, or substance misuse, specifically those who are in stable, long-term recovery and are looking to understand and address the patterns that drove those struggles in the first place.
I do not specialize in active eating disorder treatment, active addiction treatment, or acute self-harm intervention, as that level of care requires a different kind of support than what I provide.
I do work with clients who experience suicidal thoughts without a current plan or intent. Having these thoughts is not uncommon, and therapy is often exactly the right place to address it: thoughtfully, honestly, without panic. What I'm not set up to provide is crisis intervention or emergency response. If you are in crisis, please call or text 988, or go to your nearest emergency room.
Practical Details
Format Telehealth (secure video); occasional in-person near Greenville/Spartanburg for clinical purposes
Who I see Adults (30's - 60's, occasionally younger adults or college students)
States licensed South Carolina, North Carolina, New York, Tennessee, Florida, Kentucky, Arkansas
Session length 55 minutes
Fee $180 per session (sliding scale available). Payment is due at the time of session.
Insurance Limited availability through Alma. Superbill provided; clients verify out-of-network benefits directly
First step Free 30-minute consultation