About Sandra
Sandra McAndrew is a Licensed Professional Counselor (LPC) based in Texas with 14 years of experience. She focuses on helping people who are anxious, stressed, grieving, or wrestling with low self-esteem. She also supports people facing relationship strain, trauma and abuse, intimacy concerns, and challenges related to eating, sleeping, anger, career, or compassion fatigue.
Sandra uses a client-centered style that puts the person's goals first. Sessions are practical and focused on real problems.
Background and approach
She draws on cognitive behavioral strategies to notice and change unhelpful thoughts, and uses dialectical behavior techniques when emotions feel overwhelming. Her approach is collaborative and adaptable. Sandra listens closely, then tailors tools and skills to fit each person's daily life.
She emphasizes clear communication, improved coping, and step-by-step changes rather than quick fixes. People who come for help can expect straightforward techniques alongside supportive conversation. Work might include skill practice, setting small goals, and learning ways to manage stress and relationships more effectively.
Sandra offers sessions by phone, video, live chat, or text messaging. She guides people through a short matching process to get started and helps them set a pace that fits their schedule and needs.
Approaches that translate well to online therapy
Client-centered therapy focuses on listening and building a collaborative relationship. The therapist follows the person's lead, reflects concerns, and helps clarify goals so sessions feel relevant and manageable. This approach helps when people need empathy and practical problem-solving rather than a one-size-fits-all plan.Cognitive Behavioral Therapy, or CBT, teaches concrete ways to identify unhelpful thoughts and change patterns that feed anxiety or depression. It often includes short exercises and between-session practice, which adapt well to video or messaging formats for regular check-ins and homework.
Dialectical Behavior Therapy, or DBT, provides tools for managing intense emotions and improving distress tolerance. DBT skills such as grounding, emotion regulation, and interpersonal effectiveness can be introduced in short segments and reinforced through messages or brief phone check-ins.
Finding the right approach is part of the first sessions. The therapist will work collaboratively to match methods to personal goals, needs, and preferences, and adjust strategies as progress is made. Clients help set the pace and decide which tools feel most useful.
Online sessions offer flexibility for busy schedules. Video calls let people maintain face-to-face contact, phone sessions work when bandwidth is limited, live chat or text-based messaging suit quick check-ins or shorter reminders, and each format can fit different moments in a week. Licensed professionals use these options to make ongoing therapy more accessible and easier to fit into daily life.
Questions people ask
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What this counselor 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