Sandra Graham , LPC, LPCC

Sandra Graham is a licensed counselor with 25 years of experience helping people through difficult life moments. She works with adults facing anxiety, depression, addiction, grief, relationship strain, parenting challenges, and issues related to identity and self-esteem. Sandra lists Women’s issues among her areas of focus and offers practical, down-to-earth support for people who feel stuck or overwhelmed.

Her career includes work in a residential treatment center with children and adolescents aged 5 to 17 who had co-occurring disorders and behavioral or developmental challenges. She also provided outpatient community mental health services and home-based counseling, which gave her a range of real-world clinical experience.

In sessions she uses several approaches to match what a person needs. She draws on cognitive behavioral techniques to notice unhelpful thinking and on acceptance and commitment ideas to clarify values and take workable steps. Attachment-informed and client-centered ways of working guide how she listens and builds trust.

Sandra helps people facing family conflict, blended family issues, adoption and foster care concerns, and caregiver stress. She also supports those dealing with trauma, domestic violence, substance use, chronic illness, and the mixed emotions that follow separation or loss.

Her style emphasizes practical tools, steady support, and a belief that clients are experts in their own lives. She encourages small, achievable steps and celebrates progress along the way.

How Sandra’s Approaches Work Online

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to a person and taking small steps toward those values, even when difficult feelings are present. It helps with anxiety, depression, grief, and life transitions by shifting focus from getting rid of uncomfortable emotions to building a meaningful life.

Cognitive Behavioral Therapy (CBT) helps people notice patterns of thought and behavior that keep problems going, then practices new ways of responding. It is useful for anxiety, depression, stress, and coping with addictive urges by teaching concrete skills and short exercises to try between sessions.

Finding the right approach is part of the process and the therapist works together with each person to decide what fits best. This means discussing goals, trying techniques, and adjusting methods based on what helps most over time.

Online therapy offers flexibility for busy days. Video calls let people have an in-depth conversation with visual cues. Phone sessions need less bandwidth and can be easier during a short break. Live chat and text messaging suit quick check-ins, brief coaching, or when someone prefers typing to talking. These options make it easier to keep therapy consistent around work, caregiving, or other demands.