Sandra Treston

Practical, compassionate therapy for rebuilding resilience

LMHC Florida

Experience: 15 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Sandra

Sandra Treston is a licensed mental health counselor (LMHC) with 15 years of experience who helps adults navigate stress, anxiety, addictions, trauma, grief, mood disorders, relationship struggles, and related challenges.

Background and approach

She frames difficult moments as opportunities for growth and works collaboratively with clients to identify unhelpful patterns, develop practical skills, and reclaim a sense of direction and purpose. Using a strengths-based, empathetic stance, Sandra blends evidence-informed methods to support emotional regulation, clearer thinking, and renewed motivation.

Her approach emphasizes practical tools and compassionate encouragement so clients can face obstacles directly while rebuilding confidence and resilience. She aims to help people rediscover their inner resources and create action plans that align with their values and goals.

Sandra maintains an open-minded, nonjudgmental presence and offers guidance, coaching, and support as clients practice new ways of coping. Based in Florida, she draws on a range of therapeutic influences to tailor work to each individual’s needs, helping them move toward greater wellbeing and a clearer sense of self.

How therapeutic approaches translate to online care

Sandra commonly uses Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) in her work. CBT focuses on identifying patterns of thinking and behavior that maintain distress and teaching practical strategies to shift those patterns, which can be useful for anxiety, depression, and coping skills. ACT emphasizes clarifying personal values and learning to accept difficult internal experiences while committing to meaningful action, which often helps with stress, grief, and life transitions.

Finding the right approach is treated as a collaborative process. Sandra partners with clients to explore which methods fit their needs, goals, and preferences, adjusting strategies over time so therapeutic work stays relevant and responsive to progress and setbacks.

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 maintain continuity of care, practice skills between meetings, and access support from wherever the client is located in Florida, helping therapy fit more naturally into daily life.

Frequently asked questions

What concerns does Sandra commonly address?

Sandra works with a broad range of concerns including stress, anxiety, addictions, trauma and abuse, depression, relationship and intimacy issues, grief, anger, bipolar and other mood disorders, and compassion fatigue.

What is her therapeutic style and approach?

She uses a strengths-based, empathetic, and nonjudgmental stance while integrating practical, evidence-informed methods such as CBT, ACT, DBT, EFT, and client-centered techniques to help clients build skills and insight.

How much clinical experience does she have?

Sandra has 15 years of experience working with adults across a variety of settings and presenting concerns, bringing that background into individualized treatment planning.

What are her credentials and where is she located?

She is a licensed mental health counselor with the credential FL LMHC MH-13990 and practices from Florida.

Does she work in languages other than English or accept international clients?

Sessions are offered in English, and she is not currently accepting international clients.

Which session formats are available?

Therapy is available through video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.

How are sessions paid for and what do they cost?

Cost varies with location and therapist availability; sessions are provided via a subscription model that can be canceled at any time.

What steps do I take to begin working together?

To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuse Self esteem Depression

Also works with

Relationship issuesGriefIntimacy-related issuesAnger managementBipolar disorderCoping with life changes Compassion fatigue

Additional focus areas

Body imageCodependencyCommitment issuesCommunication problemsDrug and alcohol addictionEmptinessFamily problemsForgivenessGuilt and shameInfidelityIsolation / lonelinessLife purposeMood disordersNarcissismPersonality disordersPostpartum depressionSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobia

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

15+ years

Licensed

Florida

Languages

English