About Tammara
Tammara Sand is a licensed clinical social worker with ten years in mental health practice. She works with people struggling with stress, anxiety, depression, trauma, and related concerns. Tammara brings a calm, straightforward style to sessions and focuses on practical steps that fit day-to-day life.
Tammara uses a mix of approaches to tailor care. She draws on client-centered work to build a trusting relationship and uses cognitive behavioral techniques to help change unhelpful thoughts and habits.
Background and approach
She also integrates mindfulness skills and emotionally-focused ideas to help process strong feelings. People come to her for a wide range of issues. Her areas include grief, ADHD, addictions, eating and sleeping problems, anger, self-esteem, and career-related stress.
She also supports people facing relationship strain, intimacy concerns, family-of-origin issues, and life transitions. Tammara has experience with trauma and abuse, dissociation, and complex mood concerns such as bipolar. She offers EMDR-informed methods for people who are processing traumatic memories and uses motivational interviewing for shifting behavior patterns.
Her approach is collaborative and direct. She helps people set clear goals, practices skills together in sessions, and adjusts plans as needs change. Sessions are offered in English and she sees people in Florida as well as international clients through online formats.
Therapeutic approaches for online work
Client-centered therapy emphasizes working at a persons pace and shaping sessions around what matters most to them; it helps when someone needs a nonjudgmental space to talk and make plans. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing them with practical exercises to reduce anxiety and depressive patterns. EMDR is an approach used for processing traumatic memories and reducing their emotional intensity through guided techniques that can be adapted for online sessions.Finding the right approach is part of the process. Tammara will collaborate with each person to choose and adjust methods based on goals, symptoms, and what feels most useful. She combines approaches when that better matches a person's needs and reviews progress together over time.
Online therapy offers flexibility with several formats: video calls for deeper conversation, phone sessions when video is impractical, live chat for brief check-ins, and text-based messaging for ongoing support between sessions. These options let people fit care around work, family, or varying energy levels while still working with a licensed professional to address anxiety, stress, trauma, and related concerns.
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What this therapist works with
Most often
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Chronic pain, illness, and disability
- Coaching
- Codependency
- 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
- Eating and food-related issues
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Florida, Michigan
- Languages
- English
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