Randi Senciboy , LCSW

Randi Senciboy is a Licensed Clinical Social Worker (LCSW) practicing in Missouri with seven years of clinical experience supporting people through a range of mental health concerns. She works with individuals, couples, families, and children as young as four, addressing issues such as suicidal and self-harming thoughts, depression, anxiety, trauma, histories of abuse and neglect, grief, chronic physical pain, and challenges related to foster care and DFS cases.

Her background includes direct work on suicide crisis lines, supported living services, case management, in-home social service care, and outpatient mental health therapy, plus facilitation of parenting classes. These varied roles inform a practical, experienced approach to care that attends to both immediate needs and longer-term goals.

Randi centers her work on client-centered principles, adapting interventions to meet each person where they are and emphasizing collaboration, respect, and individualized strategies. She integrates evidence-based tools and a strengths-focused perspective to help clients navigate relationship issues, identity and LGBT-related concerns, attention and mood disorders, parenting and family dynamics, and other life transitions.

Approaches That Guide Online Care

Randi uses client-centered therapy to create an atmosphere of respect and collaboration, focusing on each person's goals and strengths so the work reflects what matters most to them. Cognitive Behavioral Therapy (CBT) is also part of her practice - it helps people identify and change unhelpful thinking and behavior patterns and can be useful for anxiety, depression, and stress-related concerns. Trauma-Focused Therapy is applied when past traumatic events are affecting daily functioning; this approach supports processing trauma in a paced, supportive way and can reduce the impact of traumatic memories.

Choosing the right approach is a collaborative process. Randi works with clients to understand their needs, preferences, and goals and will adjust methods over time to find the best fit for the individual or family.

Online therapy offers practical flexibility - sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate work, family, and mobility needs. This range of options helps make consistent care more accessible and allows therapists and licensed professionals to maintain continuity of support across changing circumstances.