About Sandra
Sandra Graham is a licensed professional counselor who offers steady, practical support for people facing stress, anxiety, depression, grief, and addiction. She brings 25 years of clinical experience and a calm, straightforward style to sessions. Sandra speaks English and provides care from Tennessee.
Her background includes work in residential treatment settings with children and adolescents and roles in outpatient community mental health and home-based counseling. That variety means she has seen many ways problems show up and different paths toward improvement.
Background and approach
She focuses on helping people manage emotions, improve self-esteem, and navigate life changes. Sandra uses therapies that teach skills people can use every day. She draws on cognitive behavioral techniques to change unhelpful thinking and behaviors.
She also uses Acceptance and Commitment Therapy to help people identify values and take meaningful steps despite difficult feelings. Attachment-based ideas guide her work when relationships and early wounds matter. Client-centered listening helps clients feel heard while they decide what matters most.
Mindfulness practices are offered to help lower stress and increase present-moment noticing. Sandra aims to meet clients where they are and build practical plans together. She encourages small steps and highlights strengths already present.
If someone prefers therapy that mixes skill-building with supportive listening, Sandra provides both in a straightforward way.
Approach-focused care available online
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small, committed steps even when feelings are hard. It is useful for anxiety, depression, and life changes. Cognitive Behavioral Therapy (CBT) teaches concrete strategies to spot unhelpful thoughts and change patterns of behavior, which can reduce symptoms of anxiety, depression, and some stress-related problems. Attachment-Based Therapy looks at how early relationships shape current patterns and can help when trust, closeness, or family history affect present relationships.Choosing the right approach is a shared process. Sandra will work with each person to match methods to their goals, needs, and preferences, and will adjust the plan as progress unfolds. The aim is collaboration so the work feels personally meaningful and practical.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make scheduling easier. Video is good for longer therapy work and face-to-face conversation, while phone sessions use less bandwidth and can fit into a break at work. Live chat or text messaging can be a brief check-in option or a way to get support between longer sessions. These formats increase flexibility and let people choose what fits their daily life.
Questions people ask
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What is her therapeutic style like?
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What this counselor 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