About Sandra
Sandra Treston helps people who are struggling with stress, anxiety, depression, addiction, trauma, relationship pain, grief, and issues around self-esteem and intimacy. She is a licensed mental health counselor (LMHC) practicing in Florida with 15 years of experience. Sandra speaks plainly and focuses on practical steps people can use right away.
Sandra aims to create a calm, nonjudgmental space where people can talk through what is overwhelming them. She listens for strengths and builds on what is already working.
Background and approach
Sessions usually focus on clear goals and small, doable actions to change daily habits and thoughts. Her approach blends several evidence-informed methods. Sandra uses acceptance and commitment ideas to help people make room for difficult feelings while committing to actions that matter.
She also uses cognitive behavioral techniques to identify and shift unhelpful thinking patterns. Sandra often applies client-centered listening so people feel heard and understood as they work on recovery from addiction, mood challenges, or trauma. When emotional skills are needed, she brings in dialectical behavior strategies to teach emotion regulation and coping tools.
Practical concerns like body image, codependency, communication problems, infidelity, and life transitions are part of her caseload. She also addresses compassion fatigue, bipolar and other mood disorders, personality-related struggles, and issues such as guilt, shame, and loneliness. Sandra focuses on steady progress and helping people reconnect with their values and sense of purpose.
How Sandra’s Approaches Work Online
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, then pick concrete actions that match their values. It can be useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns; it often helps with anxiety, mood difficulties, and coping with stress. Client-centered therapy focuses on listening, empathy, and building trust so people feel understood as they work toward change.Choosing the best approach is usually a collaborative process. The therapist will talk with the person about their goals, try techniques that fit those goals, and adjust methods over time. That partnership makes it easier to find what feels most helpful and sustainable.
Online sessions offer flexibility and straightforward access to ongoing care. Video calls allow face-to-face conversation for deeper exploration, while phone sessions can work when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging make it easier to fit brief updates or skills practice into a busy day. These options help people maintain momentum and practice new habits between sessions.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Anger management
- Bipolar disorder
- Body image
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Emptiness
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Mood disorders
- Narcissism
- Personality disorders
- Postpartum depression
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 15 years
- Licensed
- Florida
- Languages
- English