Online Therapy for Adults in South Carolina
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Telehealth therapy for burnout, chronic stress, and complicated relationship dynamics in the Upstate, licensed statewide.
Provider & Licensure
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.
Payment: Due at the time of the appointment, collected via a secure online system.
Insurance: I am in-network with select insurance plans through Alma when space allows. Check my Alma profile or contact me to ask. For private pay clients, I can provide a monthly superbill for possible out-of-network reimbursement; it's best to check with your provider ahead of time about your out-of-network benefits.
Also licensed in: North Carolina, Tennessee, New York, Florida, Kentucky, and Arkansas (useful if you split time between SC and another state)
Training & Clinical Background
I earned my Master of Social Work from the University of South Carolina in 2008 and became independently licensed in 2012 — 18 years in the field, 14 of them as a fully licensed clinician.
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 — early grounding in how relationship harm actually happens. I trained in Cognitive Processing Therapy (CPT) through the Medical University of South Carolina, and later, at Cherokee Health Systems, a Federally Qualified Health Center serving a rural, underserved community in East Tennessee, I used CPT regularly to treat adults with PTSD and facilitated DBT skills groups, an ACT group for chronic pain, and a process group for serious and persistent mental illness.
From 2019 to 2024, 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 a specific religious framework 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 Greenville, Spartanburg, 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, this work can meet you where you are.
Who I Help
I work with adults, who are smart, self-aware, and still stuck. Most of my clients are in their 30s, 40s, and 50s, though I work with young adults 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 continue in the same way.
My work tends to be a strong fit for:
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Burnout and chronic stress — the kind that accumulates quietly over years
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Chronic illness and medical trauma — including people who've spent years feeling dismissed, misunderstood, or failed by the healthcare system and those who had a specific traumatic experience
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High-control or high-pressure upbringings — whether religious, cultural, or familial in nature; examining the beliefs and patterns instilled early that are still running in the background
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Complex family dynamics — overinvolved families and neglectful ones, roles from childhood that no longer fit adult life
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Complicated relationship patterns — with partners, parents, friends, siblings, or the ongoing question of what you actually want from relationships
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Adults in long-term recovery — people with several years of stability from self-harm, disordered eating, or substance misuse who are ready to do deeper work on the patterns underneath
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.
Is This a Good Fit?
This work may be especially right for you if:
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You're managing life relatively well on the outside but deeply exhausted and frustrated underneath
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You've had therapy before that was just "okay" — maybe y'all didn't quite click, maybe it gave you coping skills or a place to talk that helped briefly, but whatever shifted didn't last
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You're genuinely curious about your own patterns, not just looking to manage symptoms
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You can tolerate sitting with some discomfort — insight doesn't 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're in active crisis or need same-day or emergency mental health support — please call or text 988, or go to your nearest emergency room
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You're currently experiencing active substance use, active self-harm, or active eating disorder symptoms requiring a higher level of care or a specialized treatment program
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You're seeking court-mandated therapy, custody evaluations, or documentation for legal purposes
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You're looking for purely skills-based, symptom-management therapy with no interest in the patterns underneath (most clients start with a concrete problem and discover the deeper work along the way — some finish in months, others stay over a year — but symptom relief alone isn't what this work is built for)
Practical Details
Format Telehealth (secure video); occasional in-person near Greenville/Spartanburg for clinical purposes
Who I see Adults, including college students and young adults
States licensed South Carolina, North Carolina, New York, Tennessee, Florida, Kentucky, Arkansas
Session length 55 minutes
Fee $180 per session (sliding scale available)
Insurance Limited availability through Alma. Superbill provided; clients verify out-of-network benefits directly
First step Free 30-minute consultation