Sandra Treston, LMHC

Sandra Treston is a licensed mental health counselor (LMHC) with 15 years of clinical experience helping adults manage stress, anxiety, depression, addictions, trauma, and relationship struggles. She speaks plainly and listens closely to understand what is draining energy or causing pain. Sandra focuses on practical steps people can use right away to feel steadier and more in control.

Her sessions combine structured skills with empathic listening. She draws on cognitive behavioral therapy to identify unhelpful thoughts and build new habits. She also uses acceptance and commitment ideas to help people clarify values and act on what matters to them.

Sandra uses a strengths-based, nonjudgmental style. She offers ideas, gentle challenges, and real-world tools while remaining responsive to each person’s pace. She helps people map small changes that add up to meaningful progress.

Over the years she has worked in a range of settings with adults facing mood disorders, grief, trauma, intimacy issues, and addiction concerns. That background informs a practical approach to coping with life changes, managing anger, and rebuilding self-esteem.

Sessions typically focus on clear goals and repeatable skills. Sandra helps people practice new behaviors between sessions and adjusts the plan as needs shift. Her aim is to help clients move from feeling stuck toward clearer choices and steadier days.

How therapy approaches translate to online work

Client-centered therapy centers the person's experience and values, offering empathic listening and collaborative goal setting to help people feel heard and guided. Cognitive behavioral therapy (CBT) focuses on spotting and changing unhelpful thoughts and behaviors, with clear exercises and homework to build new habits that reduce anxiety and improve mood. Acceptance and Commitment Therapy (ACT) combines acceptance of difficult feelings with committed actions toward personal values, which helps when coping with chronic stress or life transitions.

Finding the right mix of approaches is part of the work. Sandra will talk with each person about goals, preferences, and what has or hasn't helped in the past. Together they will choose methods that fit a person's situation and adjust the plan as progress is made.

Online therapy offers flexible ways to connect. Video calls are useful for face-to-face conversation and skills practice. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging let people send timely thoughts or use written tools between sessions. These options make it simpler to fit therapy into busy routines and to try different formats until one feels comfortable.