Setting up an appointment and first steps:

Please email me to inquire about setting up the first appointment. It is helpful if you include a bit about why you are seeking counseling for yourself or your child (please include your child’s age) so I can make sure we’re a good fit. I will let you know if I have room in my schedule and what my availability is like.


Once we agree upon an initial appointment date and time, I’ll send you a link to a patient portal to complete all of the demographic, payment and intake information online. You’ll also sign my Disclosure and Notice of Privacy Practices through the portal. I do ask that these be completed before our first session.


Next step is that we meet, I ask a number of questions in the form of an assessment and we go from there!

Office Location:

My office is located in the Coleman Executive Suite’s Building at 222 W Coleman Blvd, Suite 211, Mount Pleasant, SC 29464.  LFC is conveniently located in Mount Pleasant, SC just at the base of the Ravenell bridge.  Our location provides quick and easy access to those living outside of Mount Pleasant and offers services to children and families all throughout the Lowcountry.  Our clientele consists of residents from Mount Pleasant, Downtown Charleston, Sullivan’s Island, Isle of Palms, West Ashley, John’s Island, Goose Creek, Folly Beach, James Island, North Charleston, Hanahan, and Summerville.

I’m looking for therapy for my child – how does this work?

Normally for children under 13 I meet with the parents first (without your child) to get a history and clear image of what is happening with your child.


Subsequent sessions all look diverse contingent on the issue, but generally I do a check-in with parent and child at the beginning of each session, then meet with the child alone for the remainder of the session.


I do not automatically check in with parents at the conclusion of the session again, but will communicate if we worked on skills, if there are things I want you to continue at home, etc. Often times, as we progress in the therapeutic process, we will advance into some parent only sessions as well.


If you are ready to move forward, email me at david@lowcountryfc.com to set up the initial parent meeting.

I think my teen could use therapy – how does this work?

Teens 13 and over get treated more individualistically in my therapy sessions. They do not get to call all the shots however, and I still prefer a parent be able to be in the first session with the teen, to provide history and concerns.


Subsequent sessions are usually with the teen only, though I am also happy and often do parent & teen sessions or family sessions as needed.  These are not just “complaining” sessions (though there is certainly space to vent). I use a variety of tools to teach communication and emotion regulation skills including CBT (cognitive behavioral therapy), provide tools for mindfulness, art, and specific concrete activities and worksheets to teach and discuss concepts. I am not particularly a “homework” kind of therapist however, unless the teen really wants it or is struggling to make progress without it.


I do not generally provide constant updates to parents about their teen’s therapy unless the teen wants me to, or if I have concerns the teen is suicidal and a danger to themselves, or if they tell me they are being abused. Please note that self-harm (cutting) or risky behavior (drugs, alcohol, sex) is protected under confidentiality and I do not tell parents about such behavior unless it is suicidal in nature. My ultimate goal however is to have the teen communicating with their parents about what is going on in their life, and not to be the middleman.


If you are ready to move forward, email me at david@lowcountryfc.com and we can set up an initial appointment.

Do you accept insurance?

At this time, Lowcountry Family & Children is NOT accepting any forms of insurance as payment.  My fee is $130 for a 55-minute session.  I have a sliding scale of $115 for a 45-minute session for client’s experiencing financial hardship.  I also offer a military discount to the children and families of active duty service members, and veterans.  I accept payment by cash, check, or credit card (Visa, MasterCard, Discover)

Payments are due at the time of service for in-person session.  Payment for video or phone sessions must be received prior to the session via credit, cash, or check.  I reserve the right to release your information to a collections agency to collect unpaid fees, if necessary.  At this time, Lowcountry Family & Children in Mt. Pleasant is not accepting any forms of insurance as payment, however, most insurance plans do cover my services.  I do not file the insurance claim.  Payment is due at the time of services, and then you are provided with a “superbill”.

Superbills are service receipts that provide all the information an insurance company needs to create a healthcare claim. There is information that a provider (me) needs to put on each bill including my NPI, Tax ID, License Number, Diagnosis code, and Service Code.
Clients who submit superbills to their insurance companies can potentially get reimbursed for out of network medical and therapeutic services.

Any reimbursement provided by an insurance company goes directly to the client.

I often recommend that you contact your insurance provider beforehand if you are interested in exploring this route. Tell them that you are considering entering yourself or your child into counseling with a service provider who is out of network but provides superbills for reimbursement.  They will let you know how much reimbursement they will provide with your plan.

Late Cancel and No-Show Policy:

Cancelations/rescheduling must be arranged at least 48 hours before the session by phone.  If a session is missed or canceled/rescheduled within 24 hours of the session, you will be charged a $100 cancellation fee.  In the case of inclement weather, a challenge with transportation, or any reason you are unable to reach my office for an in-person session, you can opt to attend the session via phone.  Otherwise, the session will be cancelled.

Do you do meet & Greet Sessions?

I do not do meet and greet sessions. A 20-minute meeting just isn’t valuable in my experience, and when I meet someone I want to jump in and get to know you (or your child).


The best way for both of us to know if this is a good fit is to meet for an hour. However, I am happy to answer any questions you might have prior to meeting.

Divorced Parents:

​ For the most part I like to try and meet both parents of child clients.  Before treatment begins, a disclosure will be signed consenting that you will not drag me to court or try to use your child’s therapy against the other parent or for your own agenda. My job is to be a support for your child, be neutral about the parents, and provide a safe place to process feelings.