01 · Who Randal works with

Randal works with stress, Anxiety, addictions and relationship issues

Randal lists 14 specialisms and 24 further focus areas. Specialisms are the subjects Randal chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Randal's own words

What Randal says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hi there! My name is Randy. I'm a Licensed Clinical Mental Health Counselor with 10 years of experience in the field.

My ideal client is ready to begin a journey of self-improvement and positive change. While my primary expertise is in treating addictions, I use the principles learned in recovery for all areas of behavioral health and wellness, from work-life balance and mental disorders to trauma histories, and relationship dynamics. We all struggle with something, but often we need expert guidance to get unstuck and move forward. That's where I come in. Together, we will identify your core issues (and strengths) and develop goals designed to maximize your potential and increase your quality of life. Let's get started!

Your mental health is important to me, because mental health is the key to a productive and happy life. I believe most problems we face stem from unhealthy belief systems and problematic thinking. Fortunately, we can all learn to change the way we think. In doing so, we change our lives for the better!

Randal Withers, on the BetterHelp listing · read 9 Oct 2026

03 · How Randal works

The 5 approaches Randal lists, in plain English

These are the clinical methods Randal lists. The descriptions are Maker Therapy's, not Randal's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Randal runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Randal practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Randal's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Randal at this point.

2. Naming Randal specifically

   BetterHelp matches algorithmically by default, so asking for Randal is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Randal.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Randal

Built from what Randal actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Randal's - Randal has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCMHC

Licensed in

North Carolina

Licence

NC LCMHC 11110

Licence number

11110

Licence expires

30 Jun 2027

NPI

1548656622

Years in practice

10

Gender

Male

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Randal's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Randal. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.