Randall MacKendrick, LPC

Randall MacKendrick is a licensed professional counselor with 35 years of practice in South Carolina. He helps people facing stress, anxiety, low self-esteem, depression, and the strain of life changes. Randall aims to make therapy straightforward and useful for everyday problems.

He listens first to understand what matters most to each person. Sessions focus on clear goals and practical steps people can try between meetings. He uses talk, question-and-answer, and short exercises to help clients test new ways of thinking and behaving.

Randall draws on several approaches to fit different needs. Cognitive Behavioral Therapy (CBT) is often used to spot unhelpful thoughts and change patterns that worsen mood or worry. He also brings a client-centered stance that keeps the person's concerns and values front and center.

In longer-standing or deeper concerns, he may draw on psychodynamic ideas to look at how past relationships influence current feelings and reactions. Solution-focused techniques are used for quick problem solving and building immediate coping skills when people need fast relief.

Randall works with issues such as abandonment and attachment struggles, caregiver stress, commitment and control problems, communication difficulties, and the pain of separation or infidelity. He also supports people dealing with guilt, shame, loneliness, and questions about life purpose.

His style is direct yet respectful, aiming to help people gain understanding and practical tools. He encourages realistic goals and steady steps toward change, tailoring each plan to the individual.

How therapeutic approaches map to online work

Randall commonly uses Cognitive Behavioral Therapy and a client-centered approach when working online. CBT focuses on identifying and testing unhelpful thoughts and behaviors, which translates well to structured online work with worksheets, behavioral experiments, and clear homework. Client-centered work emphasizes active listening and reflecting the person's concerns, which helps build trust through video or phone conversations.

He may also use psychodynamic ideas when it helps to understand patterns that repeat across relationships. That approach looks at past experiences and recurring emotional themes to deepen self-understanding and can be explored over a series of online sessions when someone wants to examine longer-term patterns. Choosing which approach to use is collaborative; the therapist and the person will discuss goals, preferences, and what feels most helpful and then adjust the plan as they learn what works.

Online formats offered include video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions around work, caregiving, or travel, allow shorter check-ins by message when needed, and provide alternatives when bandwidth or camera use is a concern. Many people find the flexibility helps them maintain steady progress and try new coping strategies between meetings.