Randi Senciboy, LCSW

Randi Senciboy is a Licensed Clinical Social Worker (LCSW) practicing in Missouri. She works with people facing a range of challenges, including suicidal and self-harming thoughts, depression, anxiety, histories of abuse and neglect, foster care and Department of Family Services cases, trauma, LGBTQ concerns, chronic physical pain, and grief. Her practice also addresses stress, relationship and family difficulties, ADHD, parenting concerns, intimacy-related issues, and coping with life changes.

Randi has provided care across multiple settings, including suicide crisis lines, supported living services, case management, in-home social service care, and outpatient mental health therapy, and she has facilitated parenting classes. She has worked with clients as young as four years old as well as with families, couples, and individuals. She emphasizes client-centered care, adapting interventions to meet each person where they are and tailoring support to current needs.

Randi draws on a range of therapeutic methods when appropriate, including client-centered techniques, cognitive behavioral strategies, solution-focused interventions, trauma-focused methods, and Internal Family Systems. As a Licensed Clinical Social Worker, she aims to create practical, compassionate plans that address symptoms and everyday functioning while honoring each person’s goals and lived experience.

Therapeutic approaches and online care

Client-Centered Therapy focuses on creating a respectful, empathetic space where the client’s priorities guide the work. The therapist listens closely, reflects understanding, and supports a person’s own problem solving and growth - a helpful fit for issues like low self-esteem, relationship concerns, and life transitions.

Cognitive Behavioral Therapy (CBT) teaches practical skills to identify unhelpful thoughts and change patterns of behavior. It is commonly used for anxiety, depression, stress management, and developing coping strategies that can improve daily functioning.

Trauma-Focused Therapy provides structured ways to address the impact of past traumatic events, helping reduce distressing reactions and improve safety and emotional regulation. It can be useful for people processing abuse, neglect, or other traumatic experiences.

Finding the right approach is part of the therapeutic process. Randi will work collaboratively with each person to determine which methods best match their needs, goals, and preferences, adjusting the plan as progress is made.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. These options can make scheduling easier, reduce travel time, and allow people to engage in care from settings that feel most comfortable for them, while still working with licensed professionals and therapists to address their concerns.