- Strengths-based support
- Adoption and foster care
- 25 years experience
About Sandra
Sandra Graham is a licensed counselor with 25 years of experience working in Tennessee and Kentucky. She focuses on practical help for common struggles like anxiety, depression, grief, parenting stress, and addiction. Sandra centers the work on each person's strengths and goals, and aims to make therapy a straightforward, hopeful process.
She began her career in residential treatment centers working with children and adolescents ages 5 to 17 who had co-occurring disorders and behavioral or neurodevelopmental challenges. That early work is paired with long experience in outpatient community mental health and home-based counseling. These settings shaped a hands-on approach to daily problems and family concerns.
Sandra uses several clinical approaches to match what a person needs. She draws from Cognitive Behavioral Therapy to address unhelpful thinking and from Acceptance and Commitment Therapy and mindfulness to build coping skills. Attachment-based and client-centered methods guide how she listens and supports people through relationship and adoption-related issues.
Parents and caregivers often find her background helpful when dealing with blended family dynamics, attachment worries, or the stresses of caring for someone with chronic illness. She also works with people facing trauma, substance use challenges, ADHD, and life transitions.
Sandra emphasizes collaboration. She asks questions, listens for strengths, and helps set small, achievable steps. To start, visitors use the site’s matching process to request sessions and schedule according to availability.
How therapeutic approaches shape online care
Online work can use several of Sandra's core approaches in clear, practical ways. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with small behavioral experiments to reduce anxiety and depressive symptoms. Acceptance and Commitment Therapy (ACT) helps people notice difficult feelings, clarify values, and take committed action toward meaningful goals. Attachment-Based Therapy pays attention to relationship patterns and helps people repair and build healthier connections, which is often useful for parenting and adoption-related concerns.Choosing the right approach is part of the process. Sandra collaborates with each person to pick techniques that fit their goals, lifestyle, and what they find most helpful. That means sessions can shift over time as needs change, with practical exercises and check-ins used to measure progress together.
Session formats are not specified in the biography, so confirm current options before booking. Online therapy can still make it easier to fit appointments into a busy life - it can reduce travel time, allow shorter check-ins between commitments, or make it simpler to keep continuity during life transitions. Licensed professionals can adapt exercises, homework, and mindfulness practices for remote sessions so the work stays focused and usable in day-to-day life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Credentials
Tennessee, Kentucky
Languages
English
Frequently asked questions
What kinds of concerns does Sandra address?
She works with a wide range of issues including anxiety, depression, grief, addiction, parenting and relationship struggles. Adoption and foster care concerns and attachment issues are listed among her focus areas.
How would you describe her therapy style?
Her style is practical and collaborative, combining listening with tools to manage thoughts, emotions, and behavior. She uses approaches like CBT, ACT, and mindfulness to help people build skills.
What background does she bring to sessions?
She has 25 years of professional experience, including work in residential treatment centers, outpatient community mental health, and home-based counseling with children and adolescents.
What credentials and location are listed for her?
She holds LPC and LPCC credentials and practices in Tennessee, with licensing history that includes Tennessee and Kentucky.
Which languages are supported in sessions?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are costs handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What steps are needed to begin therapy?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.