About Sandra
Sandra Miramontes is a Licensed Marriage and Family Therapist with ten years of clinical experience. She speaks English and Spanish and works from Florida. Sandra aims to create a calm space where people can talk about stress, anxiety, grief, and relationship concerns in straightforward terms.
Sandra uses a mix of practical methods to match what each person needs. She commonly draws on cognitive behavioral techniques to address unhelpful thinking and acceptance and commitment ideas to clarify values and daily coping.
Background and approach
Attachment-based work and client-centered listening shape how she approaches relationship and intimacy issues. She has helped people manage mood difficulties such as depression and bipolar challenges, cope with life changes, and work through trauma and addiction concerns. Sandra also supports parents facing the strain of caregiving and people dealing with chronic illness or grief.
Her background includes training leading to licensure and a Master of Science degree in counseling, plus a Bachelor of Arts in psychology. Sessions focus on simple, usable skills and real-life changes. Sandra emphasizes clear goals, small experiments between sessions, and checking progress together.
Communication problems, codependency, commitment worries, and self-esteem struggles are common topics she addresses. Language options and a practical approach make it easier for people with busy schedules to get help. The first steps are brief and aimed at matching needs, so people can start with a plan that feels do-able.
How Sandra’s Approaches Work Online
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and choosing actions that match personal values. It helps when anxiety or stress make life feel stuck by teaching small steps toward meaningful activity. Cognitive Behavioral Therapy (CBT) looks at thinking patterns and teaches practical strategies to change behaviors and reduce distress, which can be helpful for anxiety, depression, and anger. Attachment-Based Therapy explores patterns in close relationships and helps people build safer ways of relating and connecting with others.Finding the right approach is part of the work. The therapist will discuss goals and try methods that fit the person’s needs and preferences. Together they track what helps and adjust the plan over time so sessions stay useful and focused on real-life change.
Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video is useful for deeper conversations and visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging let someone share updates or get quick support between sessions. These options make it simpler to fit therapy into a busy life while using the approaches above to address anxiety, relationships, grief, and stress.
Questions people ask
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What this therapist works with
Most often
- Relationship issues
- Trauma and abuse
- Intimacy-related issues
Also listed
- Abandonment
- Addictions
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Stress, Anxiety
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Eye Movement Desensitization and Reprocessing (EMDR)
- Gottman Method
- Hypnotherapy
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 10 years
- Licensed
- Florida, Tennessee
- Languages
- English, Spanish
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