- Client-centered care
- CBT techniques
- Addressing guilt and shame
About Randall
Randall MacKendrick is an LPC - Licensed Professional Counselor in South Carolina with 35 years of clinical experience. He focuses on stress, anxiety, relationship concerns, self-esteem, depression, and coping with life changes. He also lists guilt and shame among the issues he addresses.
Randall uses plain conversation and practical steps when working with people. He listens to what matters most and helps clients name their feelings and patterns. Sessions often focus on skills for managing anxiety, improving communication, and handling big life changes.
His approach draws on client-centered methods, cognitive behavioral ideas, and psychodynamic thinking. That means he pays attention to current thoughts and behaviors, and also to past patterns that keep repeating. He combines these with solution-focused techniques to set concrete short-term goals.
In sessions he balances active problem solving with reflective discussion. He may suggest experiments between meetings, and he helps clients track what changes or doesn’t. The style is direct and practical, with attention to how feelings like guilt or shame affect everyday choices.
Randall has worked with adults on issues such as abandonment, attachment struggles, caregiver stress, commitment concerns, and problems around forgiveness and infidelity. He offers straightforward support aimed at clearer decision making and steadier day-to-day coping.
How his approaches translate online
Client-centered work focuses on the person’s perspective, listening closely to what matters and shaping sessions around the client’s concerns. Online sessions can replicate that conversational approach so the therapist learns what the client wants to change and why.Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and test small behavioral changes. In an online setting this often means setting brief between-session tasks, reviewing what happened, and adjusting plan steps during video or phone meetings.
Psychodynamic ideas look at recurring patterns and where they may have started. Online meetings can provide space to notice how patterns show up now and to link current feelings to past experiences in clear, step-by-step ways.
Finding the right mix of methods is part of the work. The therapist will collaborate with the client to decide which approaches fit their goals, needs, and personal style. That choice can change as therapy progresses.
The original biography did not list which session formats are offered. Confirm the available formats before booking so you know what to expect. Online sessions can make it easier to fit therapy into busy days, allow shorter check-ins when needed, and let people meet without traveling. These practical benefits help people keep consistent work on issues like guilt, shame, anxiety, and relationship problems.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
South Carolina
Languages
English
Frequently asked questions
What kinds of problems does he work with?
He works with stress, anxiety, relationship concerns, self-esteem, depression, and coping with life changes. He also addresses issues such as abandonment, attachment, caregiver stress, forgiveness, and guilt and shame.
How does he approach feelings of guilt or shame?
He blends client-centered conversation with cognitive and psychodynamic ideas to identify patterns that keep those feelings active. Work typically looks at current thoughts and past patterns and sets practical steps to test change.
What experience does he bring to therapy?
He has 35 years of experience as a practicing counselor, working with adults on mood, relationship, and life transition issues.
What are his credentials and where is he based?
He is an LPC - Licensed Professional Counselor in South Carolina and provides care from that location.
Does he work in other languages or accept international clients?
Sessions are offered in English. He does not accept international clients at this time.
What session formats does he offer?
The original biography does not list specific session formats. Confirm current session options before booking to know which formats are supported.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started with him?
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 or thinking about harming yourself, use the crisis numbers.