Randi Senciboy , LCSW

Randi Senciboy is a Licensed Clinical Social Worker (LCSW) based in Missouri who provides care for people facing a wide range of emotional and behavioral challenges. She has worked with individuals experiencing suicidal and self-harming thoughts, depression, anxiety, histories of abuse and neglect, trauma, and grief, as well as clients navigating foster care and Department of Family Services involvement. Her practice also includes support for LGBTQ people and those managing chronic physical pain.

Her background spans multiple mental health settings, including suicide crisis lines, supported living services, case management, in-home social service care, and outpatient therapy where she has facilitated parenting classes. She has experience working with children as young as four years old, adolescents, adults, couples, and families, adapting interventions to meet developmental and relational needs.

Randi favors a client-centered approach that tailors care to what each person needs in the moment. She draws on trauma-informed methods and practical strategies to help clients build coping skills, repair relationships, and move toward their goals in a way that respects their identity and lived experience.

Therapeutic Approaches and Virtual Support

Randi Senciboy uses client-centered therapy to prioritize each person's perspective and goals, creating a supportive space where the therapist follows the client's lead and tailors care to their current needs. This approach helps with building trust, exploring identity, and addressing relationship or life role concerns.

She also draws on Trauma-Focused Therapy to help people process and recover from traumatic experiences. This method offers structured ways to understand how trauma affects thoughts, emotions, and behavior, and supports gradual healing for symptoms related to abuse, neglect, or crisis exposure.

Cognitive Behavioral Therapy (CBT) is used to identify and shift unhelpful thought patterns and behaviors, offering practical tools for managing anxiety, depression, and stress. CBT helps clients develop coping strategies and problem-solving skills they can use between sessions.

Finding the best approach is a collaborative process. Randi works with clients to assess needs, preferences, and goals and will adjust methods over time so the treatment fits the person rather than forcing a single model.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access to care. These options make it easier to fit therapy into busy schedules, maintain continuity during life changes, and choose the communication style that feels most comfortable.