Sandra Terifaj , LMFT

Sandra Terifaj is a licensed marriage and family therapist with 35 years of experience in clinical work and supervision. She helps people navigate stress, anxiety, addictions, trauma, eating concerns, depression, grief, intimacy issues, and self-esteem struggles. Sandra also pays attention to codependency, narcissism, personality disorder patterns, and women's issues when they come up in therapy.

Sandra works collaboratively and keeps sessions focused on the concerns you bring. She uses a blend of approaches so conversations stay practical and relevant. Expect calm listening, direct reflection, and tools you can try between sessions.

Her background includes decades in private practice and supervising interns at nonprofit agencies. That mix means she’s used to both one-on-one care and training newer clinicians. Her California license is LMFT, which appears after her name as a professional credential.

In sessions Sandra helps people look at patterns that cause pain and then test small changes. She draws on ideas from client-centered work, psychodynamic thinking, and cognitive behavioral strategies. That combination supports understanding emotional roots and building new habits.

Sandra aims to create an approachable atmosphere where people can talk honestly and make steady progress. She favors clear, simple steps and moments of reflection. Her pace adapts to each person’s needs and goals.

How Sandra's Approaches Work Online

Client-centered therapy focuses on listening and understanding the person's experience. The therapist follows your lead, reflects feelings, and helps you clarify goals and values, which can be useful for stress, grief, or self-esteem work.

Cognitive Behavioral Therapy, or CBT, looks at thought and behavior patterns that keep problems going. Online CBT sessions often include practical exercises and small behavior experiments to try between appointments, helpful for anxiety, depression, and some eating concerns.

Finding the right approach is part of the work. Sandra will discuss goals and preferences and then try methods that fit. She adapts techniques over time based on what helps you make steady changes.

Online formats give flexibility for different needs. Video calls let you use visual cues for deeper dialogue, phone sessions work when bandwidth is limited, live chat supports shorter check-ins, and text-based messaging can help with ongoing reflections or quick support. These options make it easier to fit therapy into a busy schedule and to keep momentum between meetings.