About Sandra
Sandra McAndrew is a Licensed Professional Counselor (LPC) with 14 years of experience helping people navigate stress, anxiety, depression, and ADHD. She approaches therapy as a partnership built on trust and respect. Her style is direct and warm, aimed at helping people make steady, practical changes.
She uses a client-centered stance to keep sessions focused on each person's needs. That means listening first, then helping set goals together. Sandra blends practical skills with conversations about values, relationships, and everyday routines.
Background and approach
Cognitive Behavioral Therapy, or CBT, appears in her work to help identify unhelpful thoughts and build new coping habits. She also draws on Dialectical Behavior Therapy, DBT, skills for emotion regulation and managing intense reactions. Mindfulness techniques are used to help return attention to the present moment and reduce rumination.
Sandra helps people with relationship strain, intimacy concerns, grief, and trauma-related symptoms in ways that suit their pace. She also supports career and coaching goals, working on things like communication, control issues, and life purpose. Her approach emphasizes clear tools you can use between sessions.
Sessions are tailored to each individual's situation rather than a one-size-fits-all plan. Sandra aims to make therapy something people can fit into a busy life and use to make concrete progress over time.
Approaches that translate well to online therapy
Client-Centered Therapy focuses on listening and working at your pace. It helps when someone needs a supportive space to set goals and make decisions about relationships, work, or life changes. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions and teaches specific skills to change patterns that cause distress. DBT, Dialectical Behavior Therapy, offers practical strategies for managing strong emotions and improving communication.Finding the right approach is part of the work. Sandra collaborates with each person to decide which methods fit their needs and goals. That might mean trying CBT skills for anxiety, adding DBT tools for emotion regulation, and using client-centered conversations to shape long-term goals. The plan can change as progress is made and priorities shift.
Online options include video calls, phone sessions, live chat, and text-based messaging. Video calls let you work face-to-face from wherever you are, while phone sessions can be easier when bandwidth is limited. Live chat or text messaging can support quick check-ins or brief coaching-style contacts between sessions. These formats make it easier to fit therapy into a busy routine and to practice skills in real time.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- ADHD
- Anger management
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Depression
- Eating disorders
- Family conflicts
- Grief
- Guilt and shame
- Intimacy-related issues
- LGBT
- Life purpose
- Self esteem
- Sleeping disorders
Therapeutic approaches
- Experience
- 14 years
- Licensed
- Texas
- Languages
- English
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