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Sandra McAndrew is a Licensed Professional Counselor (LPC) who helps people manage anxiety, depression, grief, stress, and relationship struggles.

01About Sandra

Sandra McAndrew is a Licensed Professional Counselor (LPC) who helps people manage anxiety, depression, grief, stress, and relationship struggles. She uses straightforward talk and practical tools so clients can make changes that matter. Her style is warm and down-to-earth and aims to make difficult topics easier to work through.

Sandra treats trauma and abuse, codependency, issues around intimacy, and problems with sleep or eating. She also supports people facing career questions, compassion fatigue, and feelings of guilt or shame.

Background and approach

Her work includes concerns related to ADHD and LGBT issues, and she pays attention to communication and control problems that get in the way of daily life. Her approach begins by listening closely to what each person needs. Sandra combines client-centered care with techniques from cognitive behavioral therapy and dialectical behavior therapy.

She introduces skills for mood management, clearer thinking, and better emotional regulation as needed. Sandra frames therapy as a partnership where trust and honesty guide progress. Sessions focus on developing practical skills and clearer patterns of thinking.

She helps people set realistic goals and build steps they can use between appointments. Clients in Texas will find that Sandra has 14 years of experience working with adults. She keeps explanations simple and offers tools people can try right away.

The aim is steady improvement rather than quick fixes, with adjustments made as life changes.

02Credentials

LPC (Texas)
License 68271 · expires May 2027
NPI
1700209376 · national provider identifier

Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.

03Focus areas and approaches

Everything Sandra lists on their public professional profile, in their own terms.

Methods Sandra names

These are the methods Sandra names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.

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04Online support

Therapeutic approaches and online care

Client-centered therapy focuses on listening and responding to each person's experience. The therapist follows the client's lead, reflects feelings, and helps people identify what matters most to them. This approach is useful for building trust and clarifying goals.

Cognitive behavioral therapy, or CBT, breaks problems into thoughts, feelings, and behaviors. It teaches concrete tools to change unhelpful thinking and to develop new habits that reduce anxiety and depression. Dialectical behavior therapy, or DBT, adds skills for managing intense emotions and improving interpersonal effectiveness, which can help with anger, relationship problems, and emotional overwhelm.

Finding the right approach is part of the process. The therapist will work collaboratively to match methods to a client's goals and preferences. Together they review what helps and adjust techniques as needed so sessions remain practical and relevant.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation, phone sessions use less bandwidth, live chat can be a shorter check-in, and text messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into a busy schedule and to use the format that feels most comfortable.

05Questions people ask

What concerns does Sandra commonly address?

Sandra works with stress, anxiety, depression, trauma and abuse, grief, relationship and intimacy issues, and concerns around self-esteem. Her specialties also include ADHD-related challenges, compassion fatigue, eating and sleeping problems, and career or life-purpose questions.

How would you describe her therapy style?

She emphasizes a warm, client-centered style that values trust and honesty. Sessions focus on practical steps, clear communication, and building skills to manage emotions and behavior.

What is her professional background?

Sandra has 14 years of clinical experience supporting adults with a range of concerns. Her practice blends listening with concrete tools designed to help people make steady progress.

What credentials and location are listed for Sandra?

She is a Licensed Professional Counselor, listed as LPC, and practices in Texas.

Which languages are sessions offered in?

Sessions are offered in English.

What session formats are available?

Therapy is offered through video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How is cost handled for sessions?

Cost varies with location and therapist availability and is billed through a subscription that can be canceled at any time.

How do I begin working with Sandra?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

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