Sacra Durandisse , MD, LCPC, LMHC

Sacra Durandisse is a licensed clinician with 27 years of experience who helps people manage stress, anxiety, and addiction-related concerns. She holds an MD and is credentialed as an LCPC and an LMHC. She brings a calm, straightforward approach and centers the work on each person’s strengths. She supports people coping with trauma and abuse and those working to rebuild self-esteem and motivation. She also helps clients navigate major life changes such as divorce and separation, and offers guidance around communication problems and workplace stress. Women’s issues are included among her focus areas. Her style emphasizes collaboration. She treats the person as the expert on their own story and helps them test practical steps toward change. Sessions often focus on building confidence, managing strong emotions, and reducing behaviors that cause harm. Over her career she has worked in settings across Maryland and the District of Columbia. That background gives her a range of experience with mood disorders, post-traumatic stress, and relationship-related struggles like control issues and forgiveness. Sessions are offered in English and international clients are accepted. She supports people who want help with money and financial issues, social anxiety, guilt and shame, and growing self-love. The aim is steady progress through realistic goals and clear tools.

Practical therapeutic approaches for online care

Evidence-based therapeutic techniques often used in clinical work include short-term problem-solving methods that focus on building coping skills and behavioral strategies to reduce anxiety and manage cravings. These approaches teach concrete steps people can try between sessions to see what works for them. Exposure-based and trauma-informed methods help people safely face and reduce the power of painful memories and social fears by practicing new responses in a gradual way.

Choosing the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and life demands, then recommend techniques to try. Over time the plan is adjusted based on what helps most and what fits the person’s schedule and comfort level.

Online therapy with video calls, phone sessions, live chat, or text-based messaging brings practical benefits. Video calls allow face-to-face conversation and visual cues. Phone sessions use less bandwidth and can fit a short break at work. Live chat and text messaging make it easy to check in between sessions and keep momentum when schedules are tight. These options increase flexibility and make consistent care easier to maintain.