Sandra McAndrew, LPC

Sandra McAndrew is a Licensed Professional Counselor (LPC) based in Texas with 14 years of clinical experience. She focuses on helping people manage stress, anxiety, depression, relationship and intimacy concerns, grief, and trauma. Sandra aims to build trust and respect in sessions while keeping conversations straightforward and practical.

Her style centers on listening first and tailoring care to each person. She uses client-centered techniques to follow the person's priorities, and she adds cognitive behavioral tools to address unhelpful thoughts and habits. Mindfulness and skills from dialectical behavior therapy are used when people need emotion regulation or grounding strategies.

Sandra helps people break big problems into smaller, doable steps. She teaches concrete skills for sleep, eating, anger, and attention challenges, and coaches around career stress, communication problems, and codependency. Work often includes setting short-term goals and practicing new ways of responding between sessions.

Sessions are conversational but focused on real-life changes. Sandra explains techniques in simple language and offers exercises people can try on their own. She pays attention to guilt, shame, control issues, and life-purpose questions when those topics come up.

People work with her when they want clear tools and steady support. She supports LGBT concerns and compassion fatigue among professionals. Sandra welcomes honest conversations and helps people move toward more manageable days.

How Sandra Uses CBT, Client-Centered Methods, and Mindfulness Online

Client-centered therapy focuses on understanding a person's priorities and building a collaborative relationship. In practice this means the therapist listens closely, reflects what she hears, and follows the goals the client sets for themselves.

Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and behaviors. It teaches practical exercises to change unhelpful thinking patterns and establish healthier routines, which can help with anxiety, depression, sleep, and eating concerns.

Mindfulness therapy offers simple attention and grounding practices to reduce stress and improve emotional regulation. These techniques pair well with skills from DBT when someone needs tools for managing strong emotions.

Finding the right approach is part of the work. Sandra will collaborate with each person to decide which methods fit their needs, goals, and preferences. Sessions often mix approaches so clients get both understanding and hands-on tools.

Online sessions are available by video calls, phone sessions, live chat, or text-based messaging. Video is useful for a full face-to-face conversation, phone can be easier when bandwidth is limited, and chat or messaging can fit quick check-ins or people who prefer written communication. These options make scheduling more flexible and help therapy fit into busy lives.