Therapy looks different for everyone. At Rising Tides, we tailor care to each client’s needs, goals, experiences, and strengths while staying collaborative, compassionate, and grounded in evidence-informed approaches.
Our clinicians offer services for adolescents, adults, couples, parents, caregivers, and families, with in-person and telehealth options available throughout South Carolina. We also offer experiential and animal-assisted therapy for clients who may not respond as well to traditional talk therapy, or as an additional therapeutic tool to support engagement, insight, emotional regulation, and meaningful progress.
Therapy That Meets You Where You Are
Our Services
Individual Counseling & Psychotherapy
Individual therapy is available for children, teens, and adults and is tailored to each client’s needs, goals, and stage of life.
OCD & ERP
Evidence-based treatment for OCD and related anxiety concerns using Exposure and Response Prevention (ERP).
Family Transitions
Support for children, teens, and families navigating separation, divorce, changing family structures, and related stress.
Support for couples and individuals working through communication challenges, recurring conflict, boundaries, trust, and relationship changes.
Couples & Relationships
A different way to engage in therapy through animals, nature, movement, and the farm environment, either alongside or as an alternative to traditional talk therapy.
Experiential & Animal-Assisted Therapy
Finding The Right Fit
Our clinicians bring different strengths, areas of focus, and approaches to therapy. Explore each therapist below to learn more and find the best fit for your needs.
Madison “Maddie” Lowe Askins, M.S., LPC, NCC
Works with children, teens, adults, and families, with a particular focus on OCD, anxiety, ADHD, family transitions, and experiential therapy.
Savasha Butler, M.S., LPCA
Works with teens, adults, couples, parents, and caregivers navigating anxiety, ADHD, relationships, stress, and life transitions.
Rates, Insurance, and Payment
Rates and insurance participation vary by clinician.
Each therapist’s individual page includes current session fees, availability, insurance participation, and out-of-network options.
Rising Tides accepts debit and credit cards, as well as HSA/FSA cards. Depending on the clinician and insurance plan, insurance billing, superbills, or Thrizer may also be available.
Clients who are uninsured or choosing not to use insurance are entitled to receive a Good Faith Estimate of the expected cost of care under the No Surprises Act.
A Good Faith Estimate can be provided upon request and will outline the anticipated cost of services based on the information available at that time.
Good Faith Estimate
West Ashley Office — In-person sessions are available at 1 Carriage Ln., Bldg. B, Ste. 102, Charleston, SC
Johns Island Farm — Farm-based and animal-assisted sessions are available by appointment only.
Telehealth — Secure, HIPAA-compliant virtual sessions are available for clients located in South Carolina.
Locations & Session Options
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Complete the contact form, email us, or call/text the office to let us know what kind of support you’re looking for.
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If we’re accepting new clients, we’ll schedule a complimentary 15-minute consultation with your designated provider.
Maddie or Savasha will then answer questions and discuss next steps.
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If you decide to move forward, your initial appointment will be scheduled in the West Ashley office or through secure telehealth.
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Ongoing therapy is individualized around your needs and treatment goals, with experiential or farm sessions incorporated when clinically appropriate.