Koenig Coste
At Silver Lining Counseling, I believe that healthy relationships are the foundation of a fulfilling life — and that includes relationships affected by the challenges of dementia. I offer specialized counseling services for individuals and couples who are living with dementia, providing a compassionate, understanding, and supportive space to navigate the emotional and relational impacts of this journey.
Whether you're navigating the challenges of dementia, healing from infidelity, struggling with communication, or facing shifts in roles, identity, or intimacy — I’m here to help. With compassion, experience, and a personalized approach, I support individuals and couples in building stronger, more connected relationships and improving their overall quality of life.
Reach out today to schedule a consultation and take the first step toward a stronger, more connected, and fulfilling life — even amidst life’s challenges and changes.
Drop me a line for a 15-minute consultation to see if we are a good fit. This is your opportunity to ask me questions and see if we vibe. We can chat on the phone or video call.
FREE | 15 minutes
My couples counseling services are designed to help you improve your relationship concerns in a healthy manner. I enjoy helping romantic partners improve their relationship by addressing conflicts, fostering better communication, and increasing understanding, affection, and intimacy. I provide a neutral, safe space to explore any underlying issues, develop practical skills, and set realistic goals for strengthening your relationship. This will be a collaborative process for any couple, regardless of relationship stage, to work through problems, navigate life transitions, or simply enhance your connection.
$180 Intake appointment (up to 110 min.) | $140 per session (50min.) | $160 (90 min.)
Before you say, "I do" have you discussed your "dos and don'ts" and expectations for your future? My premarital counseling services are designed to help couples build a strong foundation for their marriage. We will work together to identify potential areas of conflict and develop strategies to resolve them before they become major issues down the road.
$180 Intake appointment (up to 110 min.) | $140 per session (50 min.) | $160 (90 min.)
Individual counseling services for those who are struggling with personal issues that are affecting their relationship. You will be provided a safe and supportive environment to help you work through problems and develop healthy coping strategies. I am able to offer therapy scholarships for individuals (financial support to aid those wanting to invest in their mental health and well-being). Scholarships are based on available slots. If you would like additional information, please feel free to email me at jamie@silverliningcounselingsc.com
$160 Intake appointment (up to 110 min.) | $135 per session (50 min.)
We can work together to help you adjust to your diagnosis, manage your fears about the future, and find strategies for coping with any stress or depression you may be feeling. My goal is to help you maintain your sense of self-worth and continue to engage in meaningful relationships and activities. I am able to offer therapy scholarships for individuals (financial support to aid those wanting to invest in their mental health and well-being). Scholarships are based on available slots. If you would like additional information, please feel free to email me at jamie@silverliningcounselingsc.com
$160 Intake appointment (up to 110 min.) | $135 per session (50 min.)
Caregiver support counseling services provides emotional and practical guidance for people caring for a loved one, offering skills to manage stress, reduce burnout, and improve decision-making. With my more than 25 years of experience working with this population, I can help caregivers cope with challenges like overwhelming responsibilities, fatigue, and anxiety, while also facilitating access to resources and fostering self-care practices to enhance your overall well-being.
I am able to offer scholarships for individuals (financial support to aid those wanting to invest in their mental health and well-being). Scholarships are based on available slots. If you would like additional information, please feel free to email me at jamie@silverliningcounselingsc.com
You can also contact the Family Caregiver Support Program at 864-242-9733 to inquire about their Caregiver Counseling Services Voucher.
$160 Intake appointment (up to 110 min.) | $135 per session (50 min.) | $160 (90 min.)
My family counseling services are designed to help families improve communication and resolve conflicts in a healthy manner. We will work together to identify the root causes of the problems and develop strategies to overcome them.
$200 Intake appointment (up to 110 min.) | $150 per session (50 min.) | $170 (90 min.)
On a limited basis, I also offer online counseling services for those who prefer to receive counseling from the comfort of their own home. The online counseling services are conducted via video conferencing and provide the same level of care and support as our in-person counseling services.
NOT recommended for couples/family counseling.

At Silver Lining Counseling, LLC, you will receive support and guidance to get you through whatever life has thrown at you. Jamie has over 25 years of hands-on experience that will be guiding you. She has worked with families in a local nursing home; and for over 10 years she was a Long-Term Care Ombudsman where she investigated abuse, neglect and exploitation in local long-term care facilities and another 10 years of her career she was the Program Director and Family Services Manager for a local non-profit educating and helping families and individuals with Alzheimer's or dementia. She also enjoys working with individuals navigate challenges with anxiety, stress, and depression.
Jamie is finishing up a two-year contract as a Fellow with Post-Degree Institute (PDI) at Emerge Family Therapy and is a Licensed Marriage & Family Therapist-Associate. She will have full licensure in South Carolina in January 2027. She enjoys working with a diverse client population that presents with a wide range of family, couple, and individual challenges.
Education | Certifications

I have seen what ineffective communication and denial has done to relationships and families and I am able to address a wide range of issues that can impact relationships, and to help families develop the skills they need to thrive. I’m committed to helping you, your relationship and/or your family improve their communication and relationships by addressing patterns of interaction and behavior.
My unique approach has helped countless clients find the strategies to overcome even the most daunting challenges. I take a collaborative, yet strategic approach when working with my clients, focusing on identifying and building on their strengths. I will work collaboratively with you to develop strategies for overcoming your challenges and building a stronger, more fulfilling relationships.
I believe in empowering individuals to navigate life's challenges and find their inner strength. I am dedicated to providing a safe and supportive environment for individuals, couples, and families.

Pre-Marital Counseling is a proactive approach that will help you both to prepare for the next step in your relationship. We will address potential pitfalls, learning how to set realistic expectations, and develop communication and conflict resolution skills. The goal? To ultimately build a stronger and healthier foundation for a successful relationship going forward.

Sometimes our "happily ever after" isn't what we expected. Sometimes it can be a build up of smaller issues or it can be a major disruption. Together, we will work to improve your relationship by addressing communication issues, conflict resolution, and other relationship challenges. This can be beneficial for couples at any stage of you
Sometimes our "happily ever after" isn't what we expected. Sometimes it can be a build up of smaller issues or it can be a major disruption. Together, we will work to improve your relationship by addressing communication issues, conflict resolution, and other relationship challenges. This can be beneficial for couples at any stage of your relationship, whether you are dealing with some life changes or seeking to rebuild a long-lasting marriage.

Throughout my 25 years of experience working with this unique population, I recognize that while one partner has a diagnosis, the disease affects both of you deeply, reshaping roles, communication, and your shared future. This is a supportive space for couples navigating the complex and emotional journey of a dementia or other neurocogni
Throughout my 25 years of experience working with this unique population, I recognize that while one partner has a diagnosis, the disease affects both of you deeply, reshaping roles, communication, and your shared future. This is a supportive space for couples navigating the complex and emotional journey of a dementia or other neurocognitive diagnosis. We will focus on strengthening your relationship by providing tools and strategies to manage the challenges of cognitive decline together.

This is a great opportunity for you to develop a support system with people who understand what you are experiencing.
This is a unique option ONLY for individuals living with dementia.
Join us virtually any Tuesday at 11am EST.
Register in advance for this meeting:

The local support groups create a safe, confidential and supportive environment to voice concerns, ask questions, develop mutual support and learn from the experiences of others.
Click to learn more about more

The Silver Lining Support Sessions is a unique opportunity that allows individuals and couples on the journey of living with neurocognitive disorders to meet just once or up to five times to:
*$100 per session | 50 minutes | up to 5 appointments
25 Woods Lake Road, Suite 407 Greenville, South Carolina
Jamie A. Guay, BS-Psychology, MMFT, LMFT-A 864-309-0041 jamie@silverliningcounselingsc.com Visit my Psychology Today profile: https://www.psychologytoday.com/us/therapists/jamie-ann-guay-greenville-sc/1360444
I have availability Tuesdays-Thursdays.
I offer limited evenings and early afternoon on Saturdays.


No one has to face dementia alone. The support groups are a safe, confidential and supportive environment to voice concerns, ask questions, develop mutual support and learn from the experiences of others. You can learn about Alzheimer's disease, diagnosis, living with Alzheimer's and caregiving techniques
About the Disease:
10 Warning Signs of Alzheimer's — Learn the 10 Warning Signs of Alzheimer's disease, hear from people who have the disease, and find out how to recognize the signs in yourself and others.
Understanding Alzheimer's and Dementia — Learn about the difference between Alzheimer's and dementia, stages, risk factors and more.
Dementia Conversations: Driving, Doctor Visits, Legal & Financial Planning — Learn to have honest and caring conversations about common concerns when someone begins to show signs of dementia.
Effective Communication Strategies — Learn to decode the verbal and behavioral messages delivered by someone with dementia, and identify strategies to help you connect and communicate at each stage of the disease.
Understanding and Responding to Dementia-Related Behavior — Learn about some of the common triggers for behaviors associated with dementia, how to assess the person’s needs, and how to intervene effectively in this educational training program for non-professional caregivers.
Living with Alzheimer's: For Caregivers — Early Stage — In the early stage of Alzheimer’s
disease, families face new questions as they adjust. This three-part program provides practical answers to the questions that arise in the early stage.
Living with Alzheimer's: For Caregivers — Middle Stage — In the middle stage of Alzheimer’s disease, care partners now become hands-on caregivers. During this three-part series, you will hear caregivers and professionals discuss helpful strategies to provide safe, effective and comfortable care.
Living with Alzheimer's: For Caregivers — Late Stage — In the late stage of Alzheimer’s disease, caregiving typically involves new ways of connecting and interacting with the person with the disease. In this two-part series, you’ll hear from caregivers and professionals about resources, monitoring care and ways to engage in meaningful connections.
Programs for people living with Alzheimer's
Living with Alzheimer's: For People with Alzheimer's — For individuals living with Alzheimer's: The diagnosis of Alzheimer’s disease is life-changing and leads to many questions. In this three-part program, you will hear from others who have been where you are, and will learn what you need to know to navigate this chapter of your life.
Living with Alzheimer's: For Younger-Onset Alzheimer's — For individuals living with younger-onset Alzheimer's: This program offers answers to questions about younger-onset (also known as early-onset) Alzheimer’s disease. Hear from those directly affected and learn how to ease the impact throughout the course of the disease.
Support Groups will meet monthly | Classes will meet as applicable
Please reach us at jamie@silverliningcounselingsc.com
if you cannot find an answer to your question(s).
Silver Lining Counseling, LLC can help your marriage by providing a safe and supportive environment for you and your partner to work through your issues. My years of experience and education can help you improve communication, resolve conflicts, and strengthen your relationship.
I understand that using insurance for therapy is important to many clients, and this is a great question. There are a few key reasons many counselors, including me, choose not to bill insurance directly:
To use insurance, therapists are required to provide a mental health diagnosis and often submit progress notes. This information becomes part of your permanent medical record.
For many people, therapy is about personal growth, relationships, grief, or stress — not necessarily a mental illness. Not accepting insurance allows me to keep your therapy private and focused on your goals, without needing to “justify” treatment to a third party.
Insurance billing is complex and time-consuming. Submitting claims, managing denials, and verifying coverage can take hours each week — time I’d rather spend supporting my clients and improving the quality of care. By working outside of insurance, I can be fully present in the work we do together.
Insurance companies may limit the number of sessions or require certain types of treatment. By not working through insurance, I am free to tailor therapy to your needs, without outside restrictions or timelines. You get care based on what’s best for you — not what’s approved by an insurance policy.
Insurance reimbursement rates are often far below the cost of providing quality care. Not relying on insurance allows me to sustain a practice that is ethical, responsive, and personalized — without cutting corners.
I do offer receipts for out-of-network reimbursement (called superbills), which some clients use to get partial reimbursement from their insurance. I am happy to help you explore that option..
Our first session together is 110 minutes. This allows us time to review paperwork, discuss what made you decide to pursue therapy, and collaboratively discuss what goals you would like to achieve.
Subsequent sessions are typically 50 minutes (longer sessions are available for an additional fee if needed). During these sessions we will collaboratively work toward your goals. We will discuss any challenges that are holding you back and how to overcome these challenges. As each client has a unique story and unique goals, my therapeutic approach will be adapted to address your specific needs.
How long a person remains in therapy depends on a variety of factors. Most importantly, it depends on the goals you are looking to achieve. For short-term goals, most clients are able to see positive change and end therapy in less than six months. If a client is looking to work through deeper issues, this may require more time. Clients are always free to terminate therapy or reduce the frequency of therapy sessions when they feel ready. My job is to help you work toward positive change and prepare to deal with life’s challenges on your own.
Yes, I am a Licensed Marriage and Family Therapist Associate (LMFT-Associate) in the state of South Carolina. I am currently practicing under the supervision of Hitha Srivatsan, LMFT-Supervisor Candidate, as required by the licensing board. My work is guided by ethical standards and the supervision process is to ensure quality care and continued professional development.
It's not uncommon for one partner to be hesitant about attending counseling. I encourage you to come in for a consultation on your own, and we can discuss ways to encourage your partner to attend counseling with you.
Yes! As a licensed marriage and family therapist associate (LMFTA) I received education and training in relational therapy. I believe our well-being is impacted by the systems (family, culture, religion, work, friend group, etc.) we are a part of. Having members of our support system be a part of the process can be helpful. Prior to bringing someone with you to therapy, we will collaborate on what the goals of the session will be, and how this person fits into the process of you reaching your goals.
I work with people ages 18 and older. If you are experiencing challenges with your child, I can support you as you navigate these challenges and work with you to provide a systemic perspective on ways you can influence positive change. I can also refer you to another therapist who specializes in working directly with children.
We may collect information, such as name, phone number, and email address.
Use of information collected: We may use the information we collect to perform the services requested including billing, customer service, appointment reminders and other administrative requests. Sharing of information collected: We may share information we collect with payment processors, legal authorities, partners so that these service providers can perform their normal duties. We do not share, sell, rent, or trade any information provided with third parties for promotional purposes. As a current or prospective customer, you understand that you can text us STOP at any time to opt out of receiving SMS text messages from us. You can text us HELP at any time to receive help. You understand that the messaging frequency may vary. Messaging & data rates may apply.
Your mobile information will not be shared with any third parties/affiliates for marketing/promotional purposes. All policies are followed as per CTIA guidelines 5.2.1. At any time if you want your information to be removed, you can contact us via our email address or regular mail."
"You agree to receive informational messages (appointment reminders, account notifications, etc.) from Silver Lining Counseling, LLC. Message frequency varies. Message and data rates may apply. For help, reply HELP or email us at jamie@silverliningcounselingsc.com.
You can opt out at any time by replying STOP.
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