Sandra Graham , LPC, LPCC

Sandra Graham is a licensed counselor practicing in Tennessee and Kentucky with 25 years of clinical experience. She holds LPC and LPCC credentials - LPC stands for Licensed Professional Counselor and LPCC stands for Licensed Professional Clinical Counselor - and has built a career working with children, adolescents, and adults across a range of settings.

Her background includes work in a residential treatment center (RTC) serving children and teens ages 5 to 17 who presented with co-occurring disorders, emotional and behavioral challenges, and neurodevelopmental needs. She has also provided care in outpatient community mental health programs and through home-based counseling, gaining experience with family systems, parenting concerns, and specialized populations such as military children and families.

Sandra’s clinical skill set encompasses helping clients cope with anxiety, stress, depression, grief and loss, trauma, self-esteem difficulties, relationship and family problems, and addictions. She emphasizes a strengths-based, client-centered approach, viewing each person as the expert on their own story and helping them build on existing resources. Beginning therapy can take courage, and Sandra aims to support and encourage clients as they work toward greater authenticity and well-being.

Therapeutic Approaches for Online Work

Acceptance and Commitment Therapy (ACT) invites clients to notice and accept difficult thoughts and feelings while focusing on actions that align with personal values. In online sessions this approach can help people dealing with anxiety, depression, stress, and major life changes by clarifying priorities and building flexible coping strategies.

Attachment-Based Therapy examines patterns in close relationships and how early experiences shape emotional bonds. Delivered remotely, this work can help with attachment issues, adoption and foster care concerns, blended family challenges, and relationship repair by exploring relational needs and defensive patterns.

Cognitive Behavioral Therapy (CBT) looks at the connections between thoughts, feelings, and behaviors and teaches practical skills for changing unhelpful patterns. Online CBT can be well suited to addressing symptoms of anxiety, depression, and problematic coping such as substance use by offering structured tools and homework between sessions.

Choosing the right approach is part of the therapeutic process. Sandra collaborates with each client to determine which methods fit best based on their needs, goals, and preferences, and may blend techniques from different approaches as progress unfolds. Online therapy with video calls, phone sessions, live chat, or text-based messaging provides flexibility and accessibility, allowing clients to engage in counseling from locations that work for their schedule and daily life.