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SO Portrait of Sandra Oteri

Sandra Oteri

Collaborative, integrative counseling for lasting change

LPC Pennsylvania

Experience
21 years in practice
Focus areas
Stress, Anxiety, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Sandra

Sandra Oteri is a Licensed Professional Counselor (LPC) practicing in Pennsylvania with over 21 years of experience in mental health. She guides clients through goal-focused work to improve wellbeing, drawing on an integrative approach that blends evidence-based techniques and person-centered support.

Background and approach

Her practice emphasizes collaboration, helping individuals build self-awareness, develop coping skills, and change unhelpful behaviors. Her style is interactive, respectful, and nonjudgmental, inviting clients to be active partners in their therapeutic journey.

Sandra often incorporates Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT) and attachment-informed methods to tailor care to each person's needs. She works with a wide range of concerns including stress, anxiety, depression, relationship and family issues, trauma and grief, self-esteem, workplace challenges, and various mood and anxiety disorders.

Sandra communicates in English and provides sessions via video calls, phone, live chat, or text-based messaging. Fees vary with location and therapist availability and are structured through a subscription model that can be canceled at any time.

To begin, prospective clients choose Start Therapy, complete a short matching questionnaire, and schedule according to her availability.

Therapeutic approaches and online care



Sandra frequently draws on Cognitive Behavioral Therapy (CBT), which helps people identify and shift unhelpful thoughts and behaviors to reduce symptoms like anxiety and depression, and Acceptance and Commitment Therapy (ACT), which supports noticing thoughts and feelings while clarifying values and committed action to move toward meaningful goals. She also uses attachment-informed ideas to explore relationship patterns and how early bonds influence current connections, useful for intimacy, communication, and codependency concerns.

Choosing the right approach is part of the therapeutic process, and Sandra treats that choice as a collaborative conversation. She works with clients to understand their goals, preferences, and practical needs, then adapts techniques and pacing so the method fits the person rather than forcing a single model.

Online therapy with her is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different lifestyles. These formats make it easier to fit regular sessions into busy schedules, access care from home, and maintain continuity of support when life changes occur, while allowing licensed professionals to deliver structured evidence-informed interventions.

Frequently asked questions

What concerns does Sandra commonly address?
She works with a broad range of issues including stress, anxiety, depression, trauma and abuse, relationship and family problems, grief, self-esteem, workplace difficulties, and mood disorders such as bipolar and panic disorder.
What is her therapeutic approach and style?
Her approach is integrative and collaborative, combining client-centered listening with evidence-based methods like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and attachment-informed techniques to match each client's needs.
How long has she practiced?
She has 21 years of experience working in the mental health field, supporting clients with a variety of challenges and backgrounds.
Where is she licensed to practice?
She holds LPC credentials in Pennsylvania and New Jersey with licence numbers PA LPC PC005865 and NJ LPC 37PC00455000 and sees clients based in Pennsylvania.
Can I work with her if I live outside the United States?
She does not accept international clients at this time and conducts sessions with clients located where her licensure permits practice.
What session formats does she offer?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription model that clients can cancel at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to her availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsSelf esteemDepression

Also works with

LGBTTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue

Additional focus areas

Attachment issuesCodependencyCommitment issuesCommunication problemsControl issuesDivorce and separationFamily problemsGuilt and shameMood disordersPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Social anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyPsychodynamic TherapySolution-Focused Therapy

Experience

21+ years

Licensed

Pennsylvania, New Jersey

Languages

English