- Stress and anxiety
- Relationship issues
- Life purpose concerns
About Randall
Randall MacKendrick is an LPC - Licensed Professional Counselor in South Carolina with 35 years of experience. He works with adults who feel stuck by stress, anxiety, depression, relationship problems, low self-esteem, and life changes. He also focuses on issues such as attachment and abandonment, caregiver strain, commitment and communication problems, and questions about life purpose.
Randall uses straightforward conversation to help people understand what is getting in the way. Sessions often involve looking at thought patterns, past relationship dynamics, and practical steps to manage day-to-day stress. He combines client-centered listening with techniques drawn from cognitive behavioral and psychodynamic traditions.
In practice he helps people set realistic goals and try small changes to see what helps. He pays attention to how early relationships influence current choices and to habits of thinking that keep problems active. He also works on concrete skills such as communication and coping strategies for caregiver stress or role changes.
People come to him when they feel empty, overwhelmed by guilt or shame, or unsure how to move forward after a breakup or major life shift. He talks through options, tests what works, and adjusts plans as needed. The emphasis is on clear steps and steady progress rather than grand promises.
Randall conducts his practice in South Carolina and offers services in English. He asks new clients to complete a short matching questionnaire and schedule an initial session to begin the work.
Therapeutic approaches used and online sessions
Randall uses Client-Centered Therapy to follow a person's concerns and build understanding through attentive listening and reflection. This approach helps when someone needs to clarify values, sort through confusion, or feel heard while they make choices.He also uses Cognitive Behavioral Therapy (CBT) to identify unhelpful thinking and test alternative behaviors. CBT is practical for anxiety, low mood, and for learning skills to manage daily stress and relationship patterns.
Finding the right approach is part of the work. Randall will collaborate with each person to choose methods that match their goals and preferences, and he will adjust tactics if something does not help. That process is shared and decision based rather than one-size-fits-all.
Confirm current session formats before booking so you know which options are available. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-in meetings when needed, and avoid travel time. Some people prefer video for visual cues while others pick audio for a lower bandwidth option; discuss preferences when you schedule to see what suits your routine.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
South Carolina
Languages
English
Frequently asked questions
What concerns does he address related to life direction?
He works with adults on life purpose questions, emptiness, and adapting after major changes such as separation or career shifts.
How does he approach someone who feels stuck?
His style combines client-centered conversation with cognitive behavioral and psychodynamic ideas to identify patterns and try practical changes.
What experience does he bring to this work?
He has 35 years of clinical experience working with stress, depression, anxiety, and relationship difficulties.
What are his credentials and where does he practice?
He is an LPC - Licensed Professional Counselor in South Carolina and practices in that state.
In which languages can I work with him?
Sessions are offered in English.
Can international clients arrange sessions?
International clients are not currently accepted.
How are sessions scheduled and what does it cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.