- Anxiety and phobia
- Treatment) Acceptance and Commitment Therapy
- Attachment-based work
About Sandra
Sandra Graham is an LPC, Licensed Professional Counselor, and also holds an LPCC, Licensed Professional Clinical Counselor, with 25 years of clinical experience in Tennessee and Kentucky. She works with people facing anxiety, depression, grief, relationship strain, parenting stress, addiction concerns, and trauma and abuse. Her background includes work with children and adolescents as well as adults. Sandra helps people who find social situations and interactions difficult to manage because anxiety or phobia get in the way.
She spent much of her career in a residential treatment center working with young people ages 5 to 17 who had co-occurring disorders and behavioral and neurodevelopmental challenges. She has also provided outpatient community mental health services and home-based counseling, so she is familiar with different settings where people receive support. That range informs how she plans practical steps for daily life.
Sandra uses straightforward psychological methods such as cognitive behavioral therapy and acceptance and commitment therapy to address unhelpful thoughts and to build values-based action. She also draws on attachment-based approaches to look at relationship patterns and on mindfulness techniques to help with moment-to-moment managing of strong feelings.
In sessions she works from the view that clients are the experts on their own lives and have strengths to use in change. She helps people identify small, doable actions and practice them between sessions. She also addresses family of origin and blended family issues, adoption and foster care concerns, and caregiver stress when these affect current wellbeing.
Sandra has long experience supporting people through life transitions, chronic illness and pain, addiction recovery, and issues around self-esteem, anger, and coping with loss. Sessions are conducted in English and she does not work with international clients.
How therapeutic approaches translate to online sessions
Acceptance and Commitment Therapy, or ACT, focuses on noticing thoughts and making choices that align with what matters to you. It can help with avoidance, anxiety, and moving toward practical goals. Cognitive Behavioral Therapy, CBT, targets the links between thoughts, feelings, and behavior and uses exercises to test and change patterns that keep problems going. Attachment-Based Therapy looks at how early relationship patterns influence current connections and helps people develop different ways of relating.Choosing an approach is a collaborative process. The therapist will talk with the client about what they want to address, try methods that fit their goals, and adjust the plan as they learn what works. Clients are invited to give feedback so sessions stay relevant to everyday life.
Session formats are not specified in the supplied biography, so confirm the current online options before booking. Online meetings can make it easier to fit therapy into a busy day, allow shorter check-ins when time is limited, and remove the need to travel. Therapists work with clients to schedule sessions that fit routines and to set practical between-session tasks that help transfer learning into real situations.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Tennessee, Kentucky
Languages
English
Frequently asked questions
What concerns does she address?
Sandra works with anxiety, depression, grief, relationship and family issues, addiction, trauma and related problems such as anger and self-esteem.
What is her therapeutic style?
She uses practical approaches like cognitive behavioral therapy, acceptance and commitment therapy, attachment-based work, client-centered techniques, and mindfulness to help people change unhelpful patterns.
How many years has she practiced?
She has 25 years of professional experience across residential treatment, outpatient community mental health, and home-based counseling.
What are her credentials and where is she based?
She holds LPC and LPCC credentials and practices in Tennessee with prior Kentucky licensure mentioned in her background.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How does billing and cost work?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.