About Sandra
Sandra Graham offers focused support for people dealing with addiction, anxiety, depression, grief, parenting stress, and relationship problems. She is a Licensed Professional Counselor (LPC) and a Licensed Professional Clinical Counselor (LPCC) with 25 years of experience. Sandra writes plainly and meets people where they are in the moment.
Sandra's background includes residential treatment work with children and adolescents, outpatient community mental health, and home-based counseling. Over her career she has helped people facing trauma, loss, self-esteem struggles, mood swings, and challenges related to attention and behavior.
How Sandra works
She has also worked with military children and families. Her approach centers on helping people notice what matters to them and take small, workable steps toward it. She uses methods that include Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and client-centered listening.
Sandra combines practical skills with steady support so clients can try new ways of coping. Sessions often involve talking through recent problems, learning tools to manage strong emotions, and practicing simple exercises between meetings. Sandra pays attention to family background, attachment concerns, and the impact of past loss or abandonment when these are part of the picture.
She works with a wide range of concerns including addiction, parenting strain, chronic illness, domestic violence effects, and blended family issues. Sandra aims to help people build on their strengths and move toward clearer goals at a pace that fits them.
Sandra lists 8 ways of working on the entry:
What Sandra works with
The areas below are the ones Sandra selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Registers | LPC, LPCC |
|---|---|
| Years in practice | 25 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Tennessee |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online support
Acceptance and Commitment Therapy (ACT) helps people name what matters to them and take small steps toward those values even when emotions are strong. ACT can be useful for anxiety, depression, addiction, and coping with life changes.Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with real-life experiments. CBT teaches concrete skills for mood management, anxiety reduction, and changing patterns that keep problems going.
Finding the right approach is part of the work. Sandra will collaborate with each person to choose methods that fit their needs, goals, and daily life. She adjusts tools and pacing as clients try strategies and report what helps most.
Online therapy offers multiple ways to connect: video calls for fuller face-to-face conversation, phone sessions when low bandwidth or hands-free convenience is needed, and live chat or text messaging for brief check-ins, quick skill practice, or flexible scheduling. These options make it easier to fit counseling into busy days, follow up between sessions, and continue progress from different locations.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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