About Sandra
Sandra Graham is a licensed counselor with 25 years of experience who focuses on helping people manage anxiety, depression, grief, and life changes. She works with individuals facing addiction, relationship struggles, parenting stress, and attention challenges like ADHD. Sandra aims to make the first step into therapy feel manageable and encouraging.
Her background includes work in a residential treatment center with children and adolescents ages 5 to 17. There she supported young people with co-occurring emotional, behavioral, and neurodevelopmental challenges.
Background and approach
She has also provided outpatient community mental health services and home-based counseling. In sessions she listens first and uses what each person already knows about their life. She draws on approaches such as acceptance and commitment ideas, cognitive behavioral techniques, and mindfulness to help people notice patterns and try small changes.
Attachment-based and client-centered ways of working guide her toward building trust and understanding personal history. Sandra often helps people address family of origin issues, communication problems, and the effects of trauma or loss. She also supports those coping with chronic illness, caregiver stress, and substance use problems.
Her approach is practical and steady, with focus on skills to manage mood, stress, and difficult memories. She is licensed in Tennessee and Kentucky as an LPC and Licensed Professional Clinical Counselor, and she offers care in English. The tone of her work is encouraging and hopeful, aimed at helping people move toward the life they want.
How these approaches work online
Acceptance and Commitment Therapy helps people notice unhelpful thoughts and focus on actions that match their values. It can be useful for anxiety, depression, and managing life changes by teaching practical steps to move forward.Cognitive Behavioral Therapy focuses on the link between thoughts, feelings, and behavior and uses clear strategies to change patterns that cause distress. It often helps with mood, stress, and attention-related struggles by teaching tools for daily use.
Attachment-Based Therapy emphasizes understanding early relationships and how they shape current connections. It supports work on relationship patterns, communication problems, and family of origin issues by helping people tell their story and try new ways of relating.
Finding the right approach is part of the work. The therapist will talk with the client about goals, preferred ways of working, and what has or hasn't helped before. Together they will decide which methods to try and adjust as progress is made.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to increase flexibility. Video lets people use face-to-face conversation; phone can be easier when bandwidth is limited or a check-in is needed. Live chat and text are useful for shorter check-ins and for fitting therapy into a busy day. These options make it easier to fit regular work on goals into everyday life.
Questions people ask
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What this therapist works with
Most often
- Addictions
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Narcissism
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Stress, Anxiety
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Tennessee, Kentucky
- Languages
- English
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