About Randall
Randall MacKendrick helps people facing stress, anxiety, depression, and problems in personal relationships. He provides straightforward support for everyday struggles like low self-esteem, trouble communicating, and handling major life changes. Randall draws on 35 years of experience as an LPC to guide practical work in therapy.
He listens first and shapes sessions around what matters most to each person. Conversations aim to increase self-understanding and build coping skills that fit day-to-day life.
How Randall works
Sessions are direct but respectful, with an emphasis on realistic, achievable goals. Randall uses a mix of approaches to meet different needs. Cognitive Behavioral Therapy helps people spot unhelpful thoughts and try new behaviors.
Client-Centered Therapy focuses on the person’s perspective and strengths. Psychodynamic ideas are used when exploring past patterns that keep repeating. He often combines short-term problem solving with deeper work on attachment and relationship patterns.
Topics Randall commonly addresses include abandonment concerns, commitment issues, communication problems, guilt and shame, and feelings of emptiness or isolation. He also supports people dealing with caregiver stress, divorce and separation, and infidelity. Sessions aim to be practical and conversational.
Randall works with each person to set small, measurable steps. Over time those steps build steadier mood, clearer relationships, and a stronger sense of purpose. He practices in South Carolina and conducts sessions in English.
The focus is on helping individuals move through difficult moments toward clearer choices and better daily functioning.
Randall lists 5 ways of working on the entry:
What Randall works with
The areas below are the ones Randall selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- Abandonment
- Attachment issues
- Caregiver issues and stress
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Emptiness
- Family problems
- Forgiveness
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexuality
- Social anxiety and phobia
- Women's issues
- Young adult issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 35 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | South Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches translate to online sessions
Client-Centered Therapy focuses on the person in front of the therapist, prioritizing listening and helping the client draw out their own solutions. This approach helps people who need support building self-trust, improving self-esteem, and making clearer choices in relationships.Cognitive Behavioral Therapy, or CBT, looks at thoughts, feelings, and actions together. It teaches simple techniques to notice unhelpful thinking and practice new behaviors, which can be especially useful for anxiety, depression, and stress management.
Finding the right approach is part of the work. The therapist will collaborate with the client to decide whether they need short-term problem solving, deeper exploration of past patterns, or a mix of both. Goals, preferences, and what feels useful in session guide that choice.
Online therapy offers several practical advantages. Video calls allow face-to-face conversation from wherever a person is that day. Phone sessions are useful when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging make brief check-ins and weekly tracking easier to fit into a busy schedule. These options make it simpler to keep momentum between sessions and to choose the format that fits life commitments.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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