Sandra Miramontes, LMFT

Sandra Miramontes is a Licensed Marriage and Family Therapist who focuses on helping people handle stress, anxiety, relationship struggles, and major life changes. She speaks English and Spanish, and she draws on ten years of clinical experience to offer straightforward support. Sandra aims to make therapy practical and relatable for busy people and concerned parents.

She uses Cognitive Behavioral Therapy to help people notice and change unhelpful thinking and behavior patterns. She also draws on Acceptance and Commitment Therapy to help clients clarify values and build goals that feel meaningful. Attachment-based ideas inform work around intimacy and communication problems.

Sandra blends these approaches depending on a person's needs. Sessions often include goal setting, learning coping skills, and practicing new ways of relating. She pays attention to issues like grief, addictions, depression, bipolar mood management, and compassion fatigue.

Her background includes a Master of Science degree in counseling and a Bachelor of Arts in psychology. She holds the LMFT credential and has worked with people from diverse cultural backgrounds for a decade. Sandra lists licenses in Florida and Tennessee and bases her practice in Florida.

In therapy she focuses on small, manageable steps. That might mean short skill-building exercises between sessions, talking through a hard moment, or making a plan for a big life transition. The work is collaborative and paced to each person's comfort and goals.

How these approaches translate to online work

CBT helps people spot and change unhelpful thoughts and behaviors. Online sessions using CBT often focus on practical exercises, homework, and clear steps to reduce anxiety, manage mood, or tackle avoidance. Acceptance and Commitment Therapy (ACT) emphasizes living by your values and accepting difficult feelings while taking action toward what matters. In remote sessions ACT can support goal-setting and brief experiments you can try between meetings. Attachment-Based Therapy looks at how early relationships shape current ways of connecting and communicating. Through video or talk sessions, this approach addresses patterns in intimacy and helps people practice new interactions.

Choosing the right approach is a collaborative process. The therapist will discuss goals, try strategies, and adjust methods based on what helps most. Clients and the therapist review progress together and shift focus when needed to find better fits for each issue.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for in-depth work and role-play, phone can be a lower-bandwidth option, live chat suits quick check-ins, and messaging supports brief reflections or skill practice. These options make it easier to fit therapy into work, school, or caregiving schedules while keeping continuity between sessions.