Randall MacKendrick , LPC

Randall MacKendrick is a licensed professional counselor with 35 years of experience helping people manage stress, anxiety, depression, and relationship concerns. He practices in South Carolina and focuses on practical steps clients can use right away. Randall works with adults who want clearer communication, better self-esteem, and help coping with life changes.

Randall takes a straightforward, compassionate approach. Sessions often start by identifying the problem that feels most urgent. He then helps clients set small, manageable goals and practices to try between sessions. The aim is steady improvement rather than quick fixes.

He uses a mix of approaches tailored to each person. Cognitive Behavioral Therapy techniques are used to notice and shift unhelpful thoughts and behaviors. Client-Centered Therapy gives space for people to be heard and to build insight at their own pace.

Psychodynamic ideas are brought in when early relationships seem to shape current patterns. Solution-Focused methods help clients spot strengths and what’s already working. Systemic perspectives look at how relationships and roles influence stress and conflict.

Randall offers clear explanations and concrete tools so clients can practice new ways of relating and coping. He helps with specific concerns such as attachment or abandonment feelings, caregiver stress, infidelity, guilt and shame, and finding life purpose. The work is collaborative and paced to each person's needs.

Therapeutic approaches and online care

Randall commonly draws on Client-Centered Therapy and Cognitive Behavioral Therapy to guide online work. Client-Centered Therapy focuses on listening and reflecting so people can find their own answers and build self-understanding. Cognitive Behavioral Therapy helps identify unhelpful thought patterns and tests small behavioral changes to reduce anxiety and low mood.

He also integrates Psychodynamic ideas when patterns from earlier relationships seem to affect current choices. That approach looks at recurring themes and helps connect past experiences to present reactions. Together these methods give options - practical skills, deeper self-reflection, or both - depending on what the person needs.

Finding the right approach is part of the process and is decided collaboratively. The therapist will discuss goals, preferences, and what methods feel most useful, then adjust over time based on progress and feedback.

Online therapy offers flexible ways to work. Video calls allow face-to-face conversation when nuance matters. Phone sessions are useful when bandwidth is limited or a simpler check-in is preferred. Live chat and text-based messaging are options for brief reflections, quick questions, or ongoing support between longer sessions. These choices make it easier to fit therapy into a busy life while keeping the focus on workable steps and real changes.