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SM Portrait of Sandra McAndrew

Sandra McAndrew

Compassionate counselor focused on practical change

LPC Texas

Experience
14 years in practice
Focus areas
Stress, Anxiety, Relationship, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
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About Sandra

Sandra McAndrew is a Licensed Professional Counselor (LPC) practicing in Texas who helps people address stress, anxiety, relationship challenges, trauma and abuse, low self-esteem, depression, and related concerns.

Background and approach

She draws on a collaborative, client-centered stance to create an empathic space where clients can explore their goals and build practical skills. With 14 years of experience, Sandra combines evidence-informed methods with attention to each person’s priorities and values.

Her work often incorporates cognitive behavioral strategies to identify and shift unhelpful thoughts and behaviors, along with mindfulness and dialectical techniques to manage emotion and increase moment-to-moment awareness.

Sandra also supports clients facing grief, intimacy-related issues, eating and sleeping struggles, anger, career questions, compassion fatigue, ADHD, and areas such as codependency, communication difficulties, guilt and shame, and life purpose. She adapts therapeutic tools to fit individual circumstances and emphasizes collaborative problem solving so clients can develop sustainable coping skills and clearer direction.

Integrating evidence-based approaches into online care

Many clients benefit from cognitive behavioral techniques that focus on identifying unhelpful thoughts and testing new behaviours; CBT is useful for anxiety, depression, and stress-related patterns and provides concrete skills to practice between sessions. Client-centered therapy emphasizes empathic listening and collaboration, allowing the person’s own goals and values to guide the work and creating space to explore identity, relationship concerns, grief, and life purpose. Dialectical behavior therapy offers emotion regulation, distress tolerance, and interpersonal effectiveness skills that can help when strong emotions or relationship patterns interfere with daily life.

Finding the right approach is part of the therapeutic process and will be decided together. Sandra will work collaboratively with each client to assess needs, preferences, and goals, and then adapt methods so therapy feels relevant and manageable rather than prescriptive.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to attend regularly, to practice techniques in real life between meetings, and to maintain continuity of care when routines change.

Frequently asked questions

What concerns does this therapist address?
Sandra supports a broad range of issues including stress, anxiety, relationship and intimacy-related challenges, trauma and abuse, depression, self-esteem, grief, eating and sleeping problems, anger, career concerns, compassion fatigue, and ADHD. She also focuses on codependency, communication problems, control issues, guilt and shame, and life purpose.
How would you describe her therapeutic style?
Her style is collaborative and client-centered, combining empathy with practical skill-building. Sandra works with clients to set goals and tailors interventions to each person’s needs.
What level of experience does she have?
She brings 14 years of clinical experience to her practice, applying that background to help clients navigate emotional and behavioral challenges.
What credentials and location should I know about?
Sandra holds the LPC credential and practices in Texas under licence TX LPC 68271.
Can I work with her if I live outside the United States?
She does not accept international clients at this time and provides services to clients located within the permitted region.
Which session formats are offered?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to provide options that fit different schedules and preferences.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are involved in getting started?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemDepression

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersAnger managementCareer difficultiesCoachingCompassion fatigueADHD

Additional focus areas

CodependencyCommunication problemsControl issuesGuilt and shameLife purpose

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness Therapy

Experience

14+ years

Licensed

Texas

Languages

English