Therapy For High-Achievers & Healers Navigating Burnout, Trauma & Anxiety

You Can’t Pour from an Empty Cup.

Virtual Therapy in South Carolina,
North Carolina, Georgia & more

For the High-Achievers Quietly Falling Apart

You've read the books, done the work and kept it together for everyone around you. But something underneath still isn't shifting - and you're starting to wonder if it ever will.

At Foothold Counseling, we work differently. This is therapy that goes beneath the surface.

Telehealth therapy in North Carolina, South Carolina, Georgia, Maine, Kentucky, New Jersey & Florida.
Currently accepting new clients.

Sunlight shining through a canopy of palm leaves.

You're the one everyone else leans on. Who do you lean on?

You've probably been described as driven, capable, and "so put together." On the outside, you look like you have it handled. On the inside? There's a restlessness you can't quite name - a low hum of disconnection, even when your life looks right on paper.

Maybe it's burnout that hasn't lifted no matter how many changes you make. Maybe it's a pattern you keep repeating - in relationships, in how you show up at work, in how you talk to yourself - and you're exhausted from trying to figure it out alone. Maybe you've had therapy before, and it helped for a while, but it never really got to the root of what's going on.

You're not broken. You don't need to be fixed.
Your nervous system has been doing exactly what it learned to do.
The question is - are you ready to understand it differently?

You might be in the right place if...

  • You've tried talk therapy and still feel stuck

  • You're smart and self-aware and you're still in the same loops

  • You shut down emotionally or default to logic when things get hard

  • You're a helper, healer, or caregiver who takes care of everyone but yourself

  • You want real transformation - not just another coping skill to add to the list

This Is Not Your Average Therapy Practice.

At Foothold Counseling, we believe your mind and body are inseparably connected - and that real healing has to work with both. We're not here to hand you a worksheet and call it a session. We're here to help you understand what's actually driving your patterns, regulate your nervous system, and create change that actually holds.

Our approach draws from some of the most effective, research-backed modalities available - Brainspotting, Somatic Experiencing, and Functional Medicine-informed care - alongside traditional approaches when they serve you. We pay attention to what works for you specifically, not what looks good on a treatment plan.

This is therapy that takes you seriously. Expect honest conversations, direct feedback, and a space where you don't have to perform wellness or have it all figured out before you walk in.

Change doesn’t come from forcing or fixing yourself. It comes from understanding yourself - and trusting that your brain and body already know how to move toward healing.
— Sandy Boone, LPC, Founder & Clinical Director

How We Help

Whether you're working through trauma, navigating anxiety, rebuilding after burnout, or simply trying to understand yourself better - we have a path forward for you.

A woman with red hair smiling while sitting by a window in a cafe or restaurant, with a potted plant and a smartphone on the wooden table.

Individual Therapy

One-on-one support for adults ready to go deeper. We work with anxiety, burnout, trauma, ADHD, life transitions, identity shifts and more. Thoughtful, direct, and tailored to you.

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Couples Therapy

Connection is possible, even when it feels far away. We help partners build healthier communication, move through conflict and find their way back to each other.

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Teen Therapy

A steady, supportive space for young people navigating big emotions, identity questions, stress, and change. We meet teens where they are - without judgment.

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Somatic Experiencing

Your body holds what your mind can't always access. Somatic Experiencing works with the nervous system to gently release stored stress and trauma - helping you feel more at home in yourself.

Learn More →

Real People. Real Therapy.

Every therapist at Foothold was chosen for more than their credentials. We're a small, intentional practice because we believe quality care requires real relationship. We're not a matching service. We're a team - and we want you to find the right fit.

  • Picture of Sandy Boone, LPC

    Sandy Boone, LPC

    Sandy specializes in nervous system-based healing, trauma, burnout and functional medicine-informed mental health. She uses Brainspotting & Somatic Experiencing to help clients who are ready to stop managing symptoms and start understanding what's actually going on. She's direct, warm, occasionally sarcastic, and genuinely invested in your growth.

  • Photo of Savannah Spivey, LMFTA

    Savannah Spivey, LMFTA

    Savannah specializes in couples therapy, first-time parents, and teens and adolescents. She brings warmth, patience, and a systemic lens to every session - helping people put words to what they're feeling and build real connection from there.

  • Photo of Jordan Bray, LPC-A

    Jordan Bray, LPC-A

    Jordan works with adults navigating trauma, anxiety, depression, substance use, and life transitions - including military veterans and women's health concerns. Her approach is active, values-driven, and built on genuine collaboration.

What People Are Saying

"I knew you would get to the root cause of what's going on - and not just treat a symptom."

~ Former Client

"Sandy is a compassionate, insightful practitioner who goes above and beyond. She provides a specialized, holistic approach that has genuinely changed my life. I recommend her emphatically to anyone and everyone."

~ Lacey Pickett,
Licensed Mental Health Professional

"I never understood the power of the relationship between a therapist and a client. I do now."

~ Former Client

Serving Clients Across South Carolina, North Carolina, Georgia and Beyond

Foothold Counseling offers telehealth therapy to clients across South Carolina and North Carolina - our primary home - as well as Georgia, New Jersey, Kentucky, Maine, and Florida. All sessions are conducted virtually, giving you access to specialized, trauma-informed care wherever you are.

We work with adults, teens and couples who are ready to stop treading water and start making real progress - regardless of which state they're in.


A stone archway with inscriptions for Wake Forest University and the dates 1834 and 2023, framed by blossoming white flowers on a bright, clear day.

We may be a great fit if you're looking for...

  • A trauma therapist in South Carolina or North Carolina

  • Telehealth therapy for anxiety, burnout, or nervous system dysregulation

  • A couples therapist you can see from home

  • Teen or adolescent therapy across multiple states

  • Somatic therapy, Brainspotting, or Neurofeedback services online

  • A therapist who balances science with a holistic, whole-person approach

Ready to Actually Feel Different?

You don't have to figure this out alone - and you don't have to be in crisis to deserve support. The next step is simple: a free 15-minute consultation to talk about where you are, what you're looking for, and whether Foothold is the right fit.

No pressure. No commitment. Just a real conversation.