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Sandra Miramontes

Sandra Miramontes

LMFT · Florida

Calm, practical therapy for life transitions

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  • Values-based work
  • Emotion skills
  • Spanish available

About Sandra

Sandra Miramontes is a Licensed Marriage and Family Therapist who helps people manage stress, anxiety, grief, and relationship challenges. She speaks English and Spanish and brings ten years of clinical experience to her work. Sandra aims to make conversations straightforward and useful for everyday life.

Sandra adapts her approach to match each person's needs. She uses practical tools from cognitive behavioral therapy to spot unhelpful thinking patterns. She also draws on acceptance and commitment strategies to help people live in line with their values. Attachment-based ideas inform her work on closeness and trust, and she incorporates skills from dialectical behavior therapy when emotional regulation is a focus.

In sessions she focuses on clear goals and simple practices you can try between meetings. That might look like learning breathing and grounding techniques, trying a new way to talk about a concern, or testing a small behavior change. She invites clients to shape the pace and goals of therapy.

People often come to Sandra for help with adoption and foster care related stress, attachment issues, parenting concerns, or transitions such as grief and caregiving. She encourages questions about fit and next steps before scheduling.

Approaches that guide online work

Acceptance and Commitment Therapy (ACT) invites you to clarify what matters most and to take small actions that reflect those values. It can help when worry, avoidance, or confusing decisions get in the way of living the life you want. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing different ways of thinking and acting to reduce distress and improve daily functioning. Attachment-Based Therapy looks at patterns in close relationships and helps people create more reliable ways of connecting and responding to others.

Sandra treats finding the right approach as a team effort. She will talk with each person about goals and preferences and then try methods that fit those aims. If something doesn't suit you, she will adjust the plan and try alternatives together.

Confirm current session options before booking, as specific formats are not listed in the biography. Online therapy can make it easier to fit meetings into a busy schedule, allow shorter check-ins when that works better, and reduce travel time. It also lets people continue work through moves or changing life demands. Licensed professionals can use these tools to support progress in the same ways they do in person, while adapting exercises and communication to the session format.

Areas of expertise

Primary focus

Relationship issuesTrauma and abuseIntimacy-related issuesAnger managementSelf esteem

Also works with

Stress, AnxietyAddictionsGriefParenting issuesCareer difficultiesBipolar disorderDepressionCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodHypnotherapyImago Relationship TherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

10+ years

Credentials

Florida, Tennessee

Languages

English, Spanish

Frequently asked questions

What concerns does Sandra address?

Sandra works with people facing relationship strain, trauma and abuse, intimacy issues, anger, low self-esteem, stress, anxiety, addictions, and grief. She also focuses on adoption and foster care topics and caregiving or life transitions.

What is her therapeutic style like?

Her style is practical and collaborative, using clear goals and exercises you can try between sessions. She blends tools from cognitive and acceptance-based approaches with emotion-focused and skills work as needed.

How much clinical experience does she have?

She has about ten years of clinical experience working with people from varied cultural backgrounds. That time includes work with issues like attachment, chronic stress, and coping with major life changes.

What credentials and region are listed?

She holds a Master of Science in Counseling and a Bachelor of Arts in Psychology and is a Licensed Marriage and Family Therapist (LMFT) in Florida and Tennessee. Her location is listed as Florida.

Which languages are supported?

Sessions are offered in English and Spanish.

Can international clients work with her?

International clients are not accepted at this time.

What do sessions cost?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin therapy?

Click the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

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