- Addictions
- Family of origin
- CBT and ACT
About Sandra
Sandra Graham is an LPC (Licensed Professional Counselor) and LPCC (Licensed Professional Clinical Counselor) licensed in Tennessee and Kentucky, with 25 years of experience. She has worked in residential treatment settings with children and adolescents and in outpatient and home-based counseling. Her practice addresses anxiety, depression, grief, relationship and family concerns, and issues such as self-esteem and coping with life changes.
She has hands-on experience supporting young people with co-occurring disorders, behavioral and neurodevelopmental challenges, and has worked in community mental health. That background informs how she talks through family patterns and current struggles. Sandra often helps people connect present-day difficulties to earlier family roles and expectations.
Sandra uses several approaches to help people make practical changes. She draws on Cognitive Behavioral Therapy to identify unhelpful thinking and behavior patterns. She also uses Acceptance and Commitment Therapy to help people clarify values and take action that matters to them.
Attachment-Based Therapy and Client-Centered methods shape how she approaches relationships and communication concerns. Mindfulness techniques are used to reduce reactivity and support stress and emotion management. These methods are applied in straightforward ways during sessions.
Her experience includes work with addictions, trauma and abuse, parenting challenges, LGBT concerns, bipolar disorder, ADHD, chronic illness and caregiver stress, and family of origin issues. Sandra frames sessions around a person’s strengths and practical next steps. To begin, clients follow the site process to view online therapy options and schedule an initial session.
Therapeutic approaches used in online sessions
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for family-of-origin patterns that leave someone feeling out of step with their goals.Cognitive Behavioral Therapy (CBT) focuses on identifying thinking and behavior patterns that keep problems going and testing new, more helpful ways of responding. CBT is often used for anxiety, depression, and stress related to family roles.
Attachment-Based Therapy looks at how early relationships shape expectations in current relationships. It can help people understand closeness, boundaries, and patterns they repeat from childhood.
Choosing the right approach is part of the work. Sandra will collaborate with each person to decide which methods fit their needs, goals, and preferences. That choice can change over time as practical results and priorities become clearer.
Confirm the current session formats before booking, since specific options are not listed here. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, or reduce travel time. Therapists can adapt exercises, homework, and mindfulness practices to the online setting so progress continues between meetings.
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?
She works with anxiety, depression, grief, addiction, relationship and family issues, and related concerns such as self-esteem and anger.
Which therapeutic approaches does she use?
Her work uses Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Attachment-Based Therapy, Client-Centered Therapy, and Mindfulness Therapy.
How much experience does she have?
She has 25 years of professional experience in residential treatment, outpatient community mental health, and home-based counseling.
Where is she licensed and based?
She holds LPC and LPCC credentials and is licensed in Tennessee and Kentucky, practicing from Tennessee.
What languages are supported?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions scheduled and paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.