About Sandra
Sandra McAndrew is a Licensed Professional Counselor (LPC) with 14 years of experience. She helps people who are feeling overwhelmed by stress, anxiety, depression, grief, relationship struggles, or trauma. Her style is warm and straightforward so families and individuals can start where they are and make steady progress.
She uses a client-centered approach that keeps the person's goals front and center. Sandra listens closely and adapts sessions to what matters most in each person's life.
Background and approach
She also uses practical skills from cognitive behavioral therapy to tackle unhelpful thoughts and behaviors. Dialectical behavior therapy techniques are used when emotions feel intense or hard to manage. Mindfulness practices are offered for people who want calmer focus and better sleep.
Sessions aim to teach tools that can be used between appointments, not just talked about in the room. Sandra works with issues like self-esteem, intimacy-related concerns, eating and sleeping problems, anger, career questions, and compassion fatigue. She also addresses ADHD-related challenges, codependency, communication problems, control issues, guilt and shame, and questions about life purpose.
Clients in Texas meet with her for video, phone, live chat, or text-based messaging sessions. She explains options and helps people choose what fits their schedules and needs.
Using practical therapy methods online
Client-centered therapy focuses on the person's own goals and experiences. In online sessions the therapist listens carefully and reflects back what matters most, helping people clarify their next steps and feel heard. This approach is useful for relationship concerns, grief, and questions about life purpose.Cognitive behavioral therapy (CBT) teaches concrete skills to change unhelpful thoughts and behaviors. Online CBT often includes short exercises, homework, and step-by-step plans to reduce anxiety or improve sleep. Many people find these tools helpful for managing stress and mood.
Dialectical behavior therapy (DBT) offers techniques for emotion regulation and coping when feelings feel overwhelming. Practical skills such as grounding, distress tolerance, and communication can be practiced during sessions and reviewed between meetings.
Finding the right approach is a team effort. The therapist will work collaboratively to choose and adjust methods based on a person's goals, preferences, and how they respond. That means approaches can be mixed and changed as progress is made.
Online therapy provides flexibility through video calls, phone sessions, live chat, or text-based messaging. Video is useful for more in-depth work and face-to-face conversation. Phone sessions use less bandwidth and can fit into a work break. Live chat and text-based messaging are helpful for brief check-ins, skill coaching, or ongoing support between longer sessions. These options help people keep therapy consistent around busy lives.
Questions people ask
What kinds of concerns does Sandra help with?
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What is her professional background?
Where is she based and what credential does she hold?
Which languages are available for sessions?
Can people outside the United States work with her?
What session formats does she offer?
How are costs handled and how do I begin?
What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- ADHD
- Anger management
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Depression
- Eating disorders
- Family conflicts
- Grief
- Guilt and shame
- Intimacy-related issues
- LGBT
- Life purpose
- Self esteem
- Sleeping disorders
Therapeutic approaches
- Experience
- 14 years
- Licensed
- Texas
- Languages
- English
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