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SM Portrait of Sandra McAndrew
Online therapist

Sandra McAndrew

Supportive, practical counseling for everyday struggles

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Credentials
LPC
Experience
14 years
Licensed in
Texas
Languages
English
Format
Online sessions

About Sandra

Sandra McAndrew is a Licensed Professional Counselor who focuses on helping people manage stress, anxiety, depression, grief, and relationship concerns. She practices from Texas and brings 14 years of experience to conversations about life purpose, communication problems, and codependency. Sandra offers a calm, straightforward style that aims to make therapy feel manageable for busy parents and caregivers.

She uses a client-centered way of working, which means sessions are shaped around each person’s needs and goals.

Background and approach

Sandra also draws on Cognitive Behavioral Therapy to help identify unhelpful thoughts and build practical skills. Mindfulness and Dialectical Behavior Therapy techniques are used when needed to manage strong emotions and improve self-regulation. In sessions she focuses on clear, usable tools.

That might include mood-management strategies, problem-solving steps, improving communication, or steps to address control issues and guilt. Conversations are practical and paced to match what a person can try between meetings. Sandra also addresses topics such as intimacy-related issues, eating and sleeping concerns, compassion fatigue, ADHD, and LGBT-related challenges.

She tailors work to each person’s situation rather than using a one-size-fits-all approach. Her goal is to help people notice change, build skills, and move toward the life they want. People meet her expecting a steady, respectful approach and a focus on real-world tools.

She helps clients set small, achievable goals and tracks progress over time.

Therapeutic approaches and online care

Client-Centered Therapy places the person’s goals and values at the center of sessions. It focuses on listening, empathy, and shaping each meeting to what matters most to the client. This approach helps when someone needs a therapist who adapts to their pace and priorities.

Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It uses straightforward exercises to challenge unhelpful thoughts and build new coping skills, which can help with anxiety, depression, and stress-related problems. Dialectical Behavior Therapy, or DBT, adds skills for managing intense emotions and improving interpersonal effectiveness when emotions feel overwhelming.

Finding the right approach is part of the work together. The therapist will collaborate with clients to decide which methods fit best based on needs, goals, and personal preference. That plan can change as progress is made.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into a busy schedule, allow follow-up between meetings, and support consistent care when in-person visits are not possible. Licensed professionals can use these formats to teach skills, practice new ways of communicating, and track progress over time.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What concerns does Sandra address?
Sandra works with issues such as stress, anxiety, depression, grief, relationship and intimacy-related issues, trauma and abuse, self-esteem, eating and sleeping problems, anger, career concerns, ADHD, and compassion fatigue.
How would you describe her therapeutic style?
She uses a client-centered approach that shapes sessions around each person’s goals and needs, while offering practical tools and straightforward guidance.
What is her professional background?
She has 14 years of counseling experience working with a range of mental health and life concerns.
What credentials and location are listed?
She is a Licensed Professional Counselor with license TX LPC 68271 and practices from Texas.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or through text-based messaging.
How are fees and payment handled?
Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule sessions according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
14 years
Licensed
Texas
Languages
English

Next step

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