- Anxiety and stress
- Addictions support)
- ACT CBT DBT methods
About Sandra
Sandra Treston is a Licensed Mental Health Counselor (LMHC) practicing in Florida with 15 years of experience. She works with adults dealing with stress, anxiety, addictions, trauma and abuse, self-esteem, depression, relationship strain, grief, and intimacy-related issues, among other concerns.
Sandra uses clear, practical methods in sessions. She focuses on helping people notice what’s not working, name their patterns, and try different responses. Sessions include skills practice, talking through recent problems, and step-by-step planning for small changes.
Her work draws on several evidence-based approaches, including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. Those methods are used to help with mood shifts, anxiety, problems with boundaries, and impulse-related behaviors. Sandra also uses client-centered and emotionally-focused ideas to keep conversations focused on what matters most to the person in front of her.
Clients can expect straightforward feedback and practical tools to use between sessions. Sandra describes difficult moments as signals to examine habits and try alternatives. She encourages active work outside of sessions, such as practicing new communication skills and testing small behavioral changes in everyday life.
Her background includes 15 years of clinical work across settings with adults facing a wide range of issues. Sandra practices in Florida and holds the credential LMHC. Sessions are conducted in English and international clients are not accepted at this time.
How Sandra uses therapeutic approaches online
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, avoidance, and low motivation. Cognitive Behavioral Therapy (CBT) focuses on the links between thoughts, feelings, and behaviors and teaches practical tools to test and change unhelpful patterns. CBT often helps with anxiety, low mood, and problem-focused symptom relief. Dialectical Behavior Therapy (DBT) offers skills for emotion regulation, distress tolerance, and clearer communication, which can be helpful for mood swings, intense emotions, and relationship conflicts.Finding the right approach is part of the work. Sandra will talk with the client about goals, try methods in session, and adjust what they use based on what proves useful. That collaborative process helps decide whether ACT, CBT, DBT, or a blend fits best for a particular concern.
Confirm current session options before booking so you know how sessions are offered. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and remove travel time. They also let clients practice skills in the places where their problems happen and bring real-life examples to the session. If you have questions about formats or pacing, mention them in the matching questionnaire so scheduling can reflect your practical needs.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
Florida
Languages
English
Frequently asked questions
What concerns does she handle?
Sandra works with stress, anxiety, addictions, trauma and abuse, self-esteem, depression, relationship and intimacy-related issues, grief, anger, bipolar and related mood concerns.
What is her therapeutic style?
She uses practical, skills-based work with clear feedback and planning. Sessions mix talking, skills practice, and concrete steps to try between meetings.
How much experience does she have?
She has 15 years of experience working with adults in a range of clinical settings.
What credentials and location apply?
She holds the credential LMHC and practices in Florida.
Which languages are available?
Sessions are offered in English only.
Can international clients work with her?
International clients are not currently accepted.
How does pricing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.