About Sandra
Sandra McAndrew is a Licensed Professional Counselor (LPC) based in Texas who helps people facing stress, anxiety, depression, trauma and abuse, and relationship or intimacy concerns. She also supports those dealing with grief, self-esteem struggles, ADHD, eating or sleeping problems, anger, and career uncertainty. Her work includes focus on communication problems, codependency, guilt and shame, and finding life purpose.
Sandra views therapy as a partnership built on trust and honesty.
How Sandra works
She creates an empathetic, emotionally safe space and listens closely to what matters most to each person. Sessions are tailored to individual needs so conversations stay practical and focused on real change. Her approach blends client-centered care with evidence-based techniques.
Sandra uses Cognitive Behavioral Therapy to identify and change unhelpful thoughts and behaviors. She also draws on Dialectical Behavior Therapy to teach emotion regulation and interpersonal skills and uses mindfulness practices to help people calm reactivity and stay present. In sessions she works to build useful skills and tools for day-to-day life.
That can include managing anxious thoughts, improving communication, coping with loss, or addressing patterns like control issues or codependency. The pace and goals are set together so progress feels achievable. With 14 years of experience as an LPC, Sandra offers steady, practical support.
She welcomes straightforward conversation and helps people move from feeling stuck toward clearer choices and better coping.
Sandra lists 4 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.
- 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
Training and background
| Register | LPC |
|---|---|
| Years in practice | 14 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches and online care
Client-Centered Therapy focuses on listening and responding to what matters most to the person. It helps people feel heard and guides decisions about goals and next steps. Cognitive Behavioral Therapy (CBT) looks at how thoughts affect feelings and behavior and teaches practical steps to change unhelpful patterns. CBT is often used for anxiety, depression, and stress.Choosing an approach is a collaborative step. Sandra will work together with each person to identify goals, try techniques, and adjust methods based on what feels most helpful. The process emphasizes shared decision-making and practical progress rather than a fixed protocol.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging so people can fit therapy into busy lives. Video works well for more in-depth conversations and exercises, phone can be useful when bandwidth is limited, live chat allows quicker check-ins, and messaging supports ongoing reflection between sessions. These formats make it easier to keep appointments, manage scheduling conflicts, and continue work between meetings.
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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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