Randall MacKendrick

Randall MacKendrick is an LPC - Licensed Professional Counselor in South Carolina with 35 years of clinical experience. He works with adults who are feeling stuck, anxious, or down and who want help with relationships, self-esteem, or coping with life changes. Randall also focuses on concerns such as abandonment, attachment issues, caregiver stress, and questions about life purpose.

He uses clear, practical conversations to help people make sense of what they are feeling. Sessions often involve looking at current thoughts and behaviors, tracing patterns from earlier relationships, and setting small goals to try between meetings. Randall draws on client-centered ideas alongside cognitive and psychodynamic methods to do this.

In practice he balances listening with direct feedback. He will help identify unhelpful thinking, test new ways of relating, and notice recurring themes that come from past experiences. Solution-focused elements help keep the work goal-oriented and concrete.

Randall has worked across a broad range of relationship and mood difficulties for three and a half decades. That experience shapes how he notices repeated patterns and offers alternative approaches. He invites straightforward discussion about values, commitments, and what matters next in day-to-day life.

People who come to him often want to feel more steady, improve communication, or find clearer direction after a change. He asks practical questions, suggests experiments to try between sessions, and reviews progress as part of the process.

How his approaches translate to online work

Randall commonly blends client-centered methods with Cognitive Behavioral Therapy (CBT) and psychodynamic ideas. Client-centered work focuses on listening and responding to what matters to the individual, helping clarify priorities and values. CBT looks at the link between thoughts, feelings, and behaviors and is useful for stress, anxiety, and low mood by testing new ways of thinking and acting. Psychodynamic work traces patterns from past relationships to current problems and can help when repetition and attachment issues are a focus.

Choosing an approach is part of the collaborative process. He will discuss different methods with each person, weigh what feels most useful, and adjust the plan based on goals and progress. The client and therapist decide together which techniques to try and when to shift focus.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit sessions around work and family commitments, allow shorter check-ins when schedules are tight, and reduce travel time. Many people find it simpler to try an approach from home and then adjust the format as needed to suit everyday life and practical constraints.