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Christine Sande

Christine Sande, LCMHC

Licensed counselor - Anxiety and Addictions

North Carolina

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Credentials
LCMHC
License
LCMHC, North Carolina / 17334
NPI
1588317424
Experience
3 years
Languages
English, Italian
Location
North Carolina
  • Stress management
  • Addiction support
  • Trauma and abuse

About Christine

Christine Sande is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with three years of professional experience. She works with people facing stress, anxiety, addictions, trauma and abuse, and anger, and offers direct, practical help for these concerns.

Christine focuses on clear, conversational sessions. She listens to what feels most pressing and helps people set short-term goals. Sessions often center on identifying patterns, building coping skills, and practicing ways to respond differently in stressful situations.

Her work also addresses depression, relationship strain, grief, eating concerns, parenting stress, self-esteem, career transitions, bipolar disorders, and managing life changes. Christine pays attention to how family dynamics, blended household issues, and communication problems affect everyday life.

She supports those dealing with substance use, domestic violence fallout, codependency, control issues, jealousy, and isolation. First responder issues, forgiveness, guilt and shame, body image, and life purpose conversations are also part of her practice.

Sessions are offered in English and Italian. Christine uses evidence-based therapeutic techniques and shapes the conversation to practical steps clients can try between sessions. The focus is on steady, manageable progress rather than quick fixes.

How evidence-based approaches guide online sessions

Christine uses evidence-based therapeutic techniques that focus on practical tools and observable changes. One common approach emphasizes skill-building for anxiety and stress - teaching breathing, behavioral experiments, and stepwise exposure to feared situations to reduce avoidance and increase confidence. Another approach focuses on relapse prevention and coping strategies for addictions, helping people recognize triggers, plan alternatives, and strengthen routines that support recovery.

Finding the right approach is part of the work together. She will review your concerns, goals, and preferences and recommend methods to try. The choice is collaborative and can be adjusted as you see what helps most in real life.

Confirm current session formats before booking, as this profile does not list specific delivery options. Many people find online sessions convenient for fitting therapy into busy schedules, allowing shorter check-ins, easier access when travel or time is limited, and fewer disruptions to daily routines. If you need a particular arrangement, ask about the available session types when you schedule so you can match therapy to your day.

Areas of expertise

Also works with

Relationship issuesGriefEating disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesADHD

Additional focus areas

Blended family issuesBody imageCodependencyCommunication problemsControl issuesDivorce and separationDomestic violenceDrug and alcohol addictionFamily problemsFirst responder issuesForgivenessGuilt and shameIsolation / lonelinessJealousyLife purposeMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressSelf-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issues

Experience

3+ years

Listed in

North Carolina

Languages

English, Italian

Frequently asked questions

What kinds of problems does she help with?

She works with stress, anxiety, addictions, trauma and anger, plus related issues such as depression, relationship strain, grief, and self-esteem.

What is her general approach in sessions?

She uses evidence-based therapeutic techniques focused on practical steps, skills practice, and clear goal-setting to address day-to-day challenges.

How much clinical experience does she have?

She has three years of professional experience as a clinician working with the concerns listed in her profile.

What are her credentials and where is she based?

She is an LCMHC licensed in North Carolina and practices with that credential in that state.

Which languages are supported during sessions?

Sessions are offered in English and Italian.

Can I work with her if I live outside the United States?

International clients are not accepted; sessions are provided to people within the jurisdictions she is licensed to serve.

How are fees handled?

Cost varies with location and sessions are provided through a subscription model that can be canceled at any time.

What steps do I take to begin?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to get started.

Christine SandeLCMHC

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