A woman with blonde hair, wearing a blue and white floral dress, standing outdoors with arms crossed, smiling, behind a wire fence and surrounded by green trees.

Madison Lowe Askins, LPC

I am a Licensed Professional Counselor in South Carolina and the founder of Rising Tides Psychotherapy. I believe genuine connection and curiosity help us better understand ourselves, and that self-awareness is key to meaningful change. My approach is compassionate and collaborative, while recognizing that therapy should reflect the individual rather than follow a one-size-fits-all approach.

I work with children, teens, adults, and families across a range of concerns and stages of life. I have a particular passion for the treatment of Obsessive-Compulsive Disorder (OCD) and anxiety-related disorders. I also enjoy helping clients navigate relationships, identity, family changes, and the challenges that come with growing up.

An empty wooden chair on a sandy beach facing the ocean with waves, overcast sky, and some driftwood in the foreground.

My Approach

My approach to therapy is rooted in an existential perspective, which means I’m interested in more than simply reducing symptoms. I consider the whole person—their experiences, relationships, values, choices, environment, and the meaning they make of what happens in their lives.

I take an integrative approach to treatment, drawing from evidence-based methods based on each client’s individual needs. This may include CBT, ERP, ACT, DBT-informed skills, narrative approaches, mindfulness, and experiential interventions.

Rather than simply telling clients what to do, I value curiosity and collaboration. Therapy can be a place to ask questions, recognize patterns, challenge what may no longer be working, try something different, and better understand what matters to you.

Where Passion Meets Purpose

Animals have always been an important part of my life, and bringing that passion into my work as a counselor felt like a natural fit. My journey into experiential therapy began with horses and eventually led me to become a Certified Equine-Assisted Psychotherapist through EAGALA.

What started as a personal love for goats later grew into my own herd—and another way to bring together two parts of my life that mean a great deal to me. Today, my experiential work includes horses, goats, nature, and the farm environment as meaningful parts of the therapeutic experience.

The story continues beyond the therapy room—discover The Doting Goat and meet the herd behind it.

Meet the Herd
A woman smiling and holding a baby goat in a backyard with green trees and a wooden fence.
A wooden pier extending into a foggy body of water with trees faintly visible in the background.

My path to becoming a therapist began with a B.A. in Psychology from the University of North Carolina Asheville, where I also competed as a Division I cross-country and track athlete. I later earned my M.S. in Clinical Counseling from Charleston Southern University. I am currently pursuing my Ph.D. in Counseling & Psychological Studies at Regent University.

Since becoming a Licensed Professional Counselor in South Carolina, I have continued pursuing specialized training in OCD and anxiety treatment as well as experiential approaches.

Education and training shape the work I do, but I believe the relationship you have with your therapist matters just as much. My goal is to create a space where you can be curious, honest, challenged, and fully yourself.

The Journey Behind the Work