About Sandra
Sandra Treston is a licensed mental health counselor (LMHC) based in Florida who helps people manage stress and anxiety. She supports those coping with depression, addictions, trauma, relationship struggles, grief, and life changes. Sandra brings 15 years of practical experience to her work and offers a calm, nonjudgmental presence.
Sandra uses a strengths-based, client-centered style. She listens closely and helps people notice what already works for them. Then she teaches hands-on skills to reduce distress and build healthier habits.
Background and approach
Sessions are straightforward and focused on real-life changes. Her approach mixes practical tools from cognitive behavioral work with acceptance strategies that help people live by their values. She also draws on emotion-focused methods for relationship and intimacy concerns, and dialectical skills for intense emotions.
Sandra may include trauma-focused techniques when clients want to process difficult memories. In sessions she emphasizes small, doable steps. That might mean learning grounding and coping techniques, practicing communication skills, or setting boundaries.
Sandra helps people turn insights into daily routines that make life feel more manageable. She encourages collaboration and clear goals. Together clients identify what matters most and build a plan that fits their life.
Sandra describes therapy as a partnership aimed at rediscovering resilience and moving toward a more satisfying life.
Therapeutic approaches for online care
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take committed steps toward those values while accepting difficult thoughts and feelings. It is often useful for chronic anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce symptoms like anxiety and depression. CBT is practical and skill-oriented for everyday challenges. Emotionally-Focused Therapy (EFT) concentrates on understanding emotions in close relationships and improving how people connect and respond to one another, which can help with intimacy and communication problems.Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what feels most helpful. Together they will choose or blend approaches so sessions match the client’s needs and comfort level.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video is useful for deeper conversation and interactive exercises. Phone sessions can work when bandwidth is limited or for shorter check-ins. Live chat and text-based messaging let people send brief updates, ask questions between meetings, or fit therapy into busy days. These options make it easier to attend sessions from varied locations and schedules.
Questions people ask
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What this therapist works with
Also listed
- Anger management
- Bipolar disorder
- Body image
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Emptiness
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Mood disorders
- Narcissism
- Personality disorders
- Postpartum depression
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 15 years
- Licensed
- Florida
- Languages
- English
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