- Addictions
- Parenting support
- Attachment issues
About Sandra
Sandra Graham is a Licensed Professional Counselor (LPC) and Licensed Professional Clinical Counselor (LPCC) practicing in Tennessee with 25 years of experience. She has worked in residential treatment with children and adolescents and in outpatient and home-based settings. Sandra focuses on practical problems such as anxiety, depression, grief, and relationship stress.
She helps people who are coping with trauma, loss, addictions, and changes in family structure. Sandra also offers support for parenting concerns, blended family issues, and attachment difficulties. Her background includes work with youth who had co-occurring disorders and neurodevelopmental challenges.
Her approach draws on methods like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and client-centered work. Sandra uses mindfulness techniques and motivational interviewing to help people notice patterns and make different choices. Sessions tend to focus on clear steps a person can try between meetings.
She emphasizes the person’s own strengths and practical problem solving. Sandra writes straightforward goals with the person and checks progress along the way. Her history in community mental health and home-based counseling informs a hands-on, down-to-earth style.
People often come to her for help with stress, anger, self-esteem, parenting strain, and coping with life transitions. She can talk through ways to handle communication problems, control struggles, and feelings of abandonment or emptiness. Sandra’s experience spans substance concerns, bipolar mood challenges, and family of origin patterns.
Therapeutic approaches that translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then commit to actions that match their values. It can be useful for anxiety, stress, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on the links between thoughts, feelings, and behaviors and uses practical exercises to change unhelpful habits; it is often used for depression, anxiety, and mood regulation. Attachment-Based Therapy looks at how early relationships affect current patterns and helps people recognize and shift those patterns in relationships and parenting.Finding the right approach is part of the work. Sandra will collaborate with each person to choose techniques that match their goals, preferences, and daily life. She will check in and adjust methods as progress or needs change.
Confirm the available session formats before booking to know what is offered. Online sessions can make it easier to fit meetings around work, child care, or other responsibilities. Some formats let people use audio only for lower bandwidth or a shorter check-in, while other formats allow for face-to-face conversation when preferred. The emphasis is on making therapy manageable alongside everyday commitments rather than on a specific platform.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Tennessee, Kentucky
Languages
English
Frequently asked questions
What kinds of problems does she address?
Sandra works with anxiety, depression, trauma and abuse, addictions, parenting challenges, relationship problems, grief, anger, self-esteem, bipolar concerns, ADHD, and related family issues including blended family challenges.
How would she describe her therapeutic style?
She uses practical, goal-oriented methods drawing on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, mindfulness, and client-centered approaches to help people notice patterns and try new strategies.
How much experience does she have?
She has 25 years of professional experience across residential treatment, outpatient community mental health, and home-based counseling.
What are her credentials and where is she based?
She holds LPC and LPCC credentials and practices in Tennessee with licensure noted for TN LPC and KY LPCC.
Does she work in languages other than English or with international clients?
Sessions are offered in English. She is not accepting international clients at this time.
What session formats are offered?
Confirm current session options before booking to know which formats are available for scheduling.
How does payment or cost work?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.