About Sandra
Sandra Graham is a Licensed Professional Counselor (LPC) and Licensed Professional Clinical Counselor (LPCC) with 25 years of experience. She works with people facing anxiety, depression, grief, addiction, and parenting stress. Sandra is based in Tennessee and draws on a long career in residential, outpatient, and home-based settings.
Her early work included a residential treatment center serving children and adolescents ages 5 to 17 who had co-occurring disorders and behavioral or neurodevelopmental challenges.
Background and approach
She has also provided outpatient community mental health services and home-based counseling, giving her a broad view of how life stressors show up at home, school, and work. In sessions she helps people talk through loss, low self-esteem, relationship strain, trauma, and family problems.
She uses practical tools to manage anxiety, anger, and mood changes and supports people coping with life transitions and chronic health concerns. Sandra often draws on approaches such as cognitive behavioral techniques, mindfulness, Acceptance and Commitment Therapy, attachment-based work, and a client-centered stance. She emphasizes strengths the client already has and helps build small, doable skills that fit daily life.
Parents and individuals who prefer a calm, steady clinician will find a straightforward style. Sandra encourages incremental progress and celebrates practical wins. She aims to help each person move toward goals that matter to them.
Therapeutic approaches that translate to online care
Many clients benefit from cognitive behavioral therapy, which focuses on identifying unhelpful thought patterns and trying practical behavior changes. CBT can help with anxiety, depression, and stress by teaching specific skills to test and shift thoughts and routines.Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and improve focus. These techniques often pair well with CBT and can be used when feeling overwhelmed, during grief, or to manage chronic pain and persistent worry.
Finding the right approach is part of the work together. The therapist uses a collaborative process to match methods to a person’s goals, needs, and preferences and may combine tools from different approaches as progress is made.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules and comfort levels. Video calls allow face-to-face conversation, phone sessions can be easier when bandwidth is limited, live chat can provide a shorter check-in, and messaging supports ongoing brief contact between sessions. These formats make it easier to keep consistent work while juggling school, work, or caregiving responsibilities.
Questions people ask
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What this therapist works with
Most often
- Addictions
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Narcissism
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Stress, Anxiety
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Tennessee, Kentucky
- Languages
- English
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