About Sandra
Sandra Miramontes is a Licensed Marriage and Family Therapist (LMFT) based in Florida. She focuses on helping people who are dealing with relationship strain, anxiety, depression, trauma, and the stress of life changes. Sandra speaks English and Spanish and draws on a decade of clinical experience to support practical healing.
Sandra uses straightforward methods in sessions. She helps people notice patterns that get in the way and practices new skills together.
How Sandra works
Sessions are conversational and goal-oriented, with attention to emotions, behavior, and daily routines. Her work often centers on attachment, communication, and managing intense emotions. She draws from approaches such as acceptance and commitment work, cognitive behavioral strategies, and dialectical behavior tools to help with mood, anger, and addictive patterns.
These methods are used to make everyday life feel more manageable. Sandra trained in counseling and psychology and earned a Master of Science in Counseling after completing a Bachelor of Arts in Psychology. She holds LMFT credentials and has about 10 years of clinical practice experience across diverse cultural backgrounds.
People can expect help with parenting challenges, grief, career stress, chronic illness issues, and concerns around self-esteem and intimacy. She also works with people facing compassion fatigue, caregiver stress, adoption and foster care questions, and relationship communication problems.
Sandra lists 21 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Eye Movement Desensitization and Reprocessing (EMDR)
- Gottman Method
- Hypnotherapy
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
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.
- Relationship issues
- Trauma and abuse
- Intimacy-related issues
Also listed
- Abandonment
- Addictions
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Stress, Anxiety
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 10 |
| Languages | English, Spanish |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Practical approaches for online emotional work
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, then commit to actions that reflect their values. It is useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with real-life experiments, which can reduce symptoms of anxiety, depression, and mood swings. Attachment-Based Therapy looks at how early bonds shape current relationships and supports people in building safer, more trusting connections.Finding the right approach is part of the work. The therapist will talk with the person about their goals, symptoms, and preferences and together choose methods that feel like a good fit. This collaborative process allows methods to be adjusted as progress and needs change.
Online therapy offers practical flexibility. Video calls let people read facial cues and have deeper conversations. Phone sessions work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging make short check-ins or daily skill practice easier to fit into a busy schedule. These options help people maintain continuity of care while balancing work, family, and health needs.
Start online instead of waiting
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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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