Sandra McAndrew , LPC

Therapeutic Approaches and Online Care

Client-Centered Therapy centers on the client's own goals and experiences, with the therapist providing empathetic listening and support to help the individual clarify values and make choices. This approach is especially helpful for people seeking a validating, collaborative space to explore emotions and decisions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors; it offers practical strategies for managing anxiety, depression, and stress by building new coping skills. Dialectical Behavior Therapy (DBT) combines acceptance and change strategies and teaches skills in emotion regulation, distress tolerance, and interpersonal effectiveness, which can be beneficial for intense emotions and relationship difficulties.

Sandra approaches the selection of methods as a collaborative process. She works with clients to determine which combination of approaches best fits their needs, goals, and preferences, adjusting the plan as progress unfolds. That collaborative stance helps tailor sessions to what matters most to each person.

Online therapy with Sandra includes options such as video calls, phone sessions, live chat, and text-based messaging, offering flexibility for busy schedules and different comfort levels. These formats make it easier to access care from home, reduce travel time, and maintain continuity of care across changing circumstances. Licensed professionals can effectively adapt therapeutic techniques to remote formats, helping clients practice skills and work toward their goals in ways that fit everyday life.