Randi Senciboy, LCSW

Randi Senciboy is a licensed clinical social worker who uses a client-centered approach to help people facing stress, anxiety, depression, trauma, and relationship concerns. She brings a practical style and aims to make sessions feel straightforward and approachable. Randi works from Missouri and meets people where they are in life. Randi has seven years of professional experience in mental health settings. Her background includes time on suicide crisis lines, supported living services, case management, in-home social service care, and outpatient therapy. She has also facilitated parenting classes and worked with foster care and Department of Family Services (DFS) cases. Her work addresses a wide range of issues including trauma and abuse, LGBT concerns, chronic physical pain and illness, grief, ADHD, bipolar mood challenges, and compassion fatigue. She also helps people handle relationship and intimacy questions, parenting strain, communication problems, and work or career stress. Randi draws on several approaches to guide sessions. She uses Client-Centered Therapy to follow the person’s lead. Cognitive Behavioral Therapy, or CBT, helps identify and shift unhelpful thoughts and behaviors. Trauma-Focused Therapy and Internal Family Systems are part of her toolbox when deeper trauma work or parts-based exploration is needed. Her style is practical and collaborative. Randi helps people set small goals, try concrete strategies between sessions, and check what’s working. People who are coping with chronic pain, life changes, or complicated grief will find focused, down-to-earth support.

How these approaches translate to online therapy

Client-Centered Therapy focuses on following the person's lead and building a supportive therapeutic relationship. In practice this means the therapist listens carefully, reflects what she hears, and helps clients set priorities and goals that feel manageable. Cognitive Behavioral Therapy, or CBT, breaks down problems into thoughts, feelings, and actions. It offers simple tools to test and shift unhelpful thinking and try new behaviors between sessions, which many people find useful for anxiety, depression, and stress. Trauma-Focused Therapy brings attention to safety, pacing, and processing when past events are causing current distress. This approach can help people who are coping with abuse, grief, or the effects of chronic illness. Finding the right approach is part of the work together. The therapist will talk with clients about their goals and preferences, try techniques, and adjust the plan based on what helps. That collaborative process guides whether sessions emphasize coping skills, behavioral experiments, parts work, or trauma processing. Confirm the available session formats before booking, as they are not listed here. Online therapy can make it easier to fit sessions into a busy life - for example, by avoiding travel time, allowing shorter check-ins during a workday, or reducing the need to arrange childcare. Talk with the therapist about practical needs and scheduling to find what fits best.