- Stress and anxiety
- Relationship issues
- Family and parenting
About Sandra
Sandra Butler is an LPC, Licensed Professional Counselor, and LCPC with 18 years of clinical work based in Nevada. She focuses on stress, anxiety, relationship struggles, family and parenting concerns, and depression. Sandra works with young adults facing life transitions as well as other adults managing complex family or relationship issues.
Sandra uses plain, practical conversation to help people sort through what feels overwhelming. She listens for patterns in how thoughts and emotions affect behavior and helps people identify concrete steps forward. Sessions often include working on communication, boundary setting, and coping skills for anxiety and low mood.
Her background includes long experience with family-of-origin problems, blended family issues, divorce and separation, and challenges like abandonment or codependency. She also supports people dealing with guilt, shame, impulsivity, infidelity, isolation, and the aftermath of disasters or domestic violence.
Sandra draws on evidence-based therapeutic techniques to guide sessions. She works collaboratively to help clients recognize how past experiences influence present reactions and to develop healthier ways of managing stress. When clients wish, she will incorporate their faith or spirituality into conversations.
People who meet with Sandra can expect straightforward, goal-focused work that balances understanding with practical change. If someone is unsure how to begin, she asks a few questions to clarify priorities and then helps set manageable steps toward those goals.
How evidence-based techniques guide online sessions
Many of Sandra's methods come from evidence-based therapeutic techniques that focus on changing unhelpful thoughts and behaviors and on building concrete coping skills. Cognitive Behavioral Therapy (CBT) helps people notice and shift thought patterns that fuel anxiety or depression, and then practice different responses to those thoughts in daily life.Solution-focused approaches emphasize small, achievable goals and what is already working. These methods are useful for people who want brief, goal-oriented work to handle specific problems like communication breakdowns or parenting stress.
Choosing the best approach is part of the work together. The therapist and client review needs, goals, and preferences and then try techniques that fit those priorities. This is a collaborative process and adjustments are made as progress and feedback guide the plan.
Confirm the current session options before booking so you know how sessions are scheduled and delivered. Online therapy can make it easier to fit counseling into a busy week, reduce travel time, and allow check-ins during work or school breaks. It also permits session types that may use less bandwidth or a shorter format for quick check-ins, depending on what the therapist supports.
Areas of expertise
Primary focus
Additional focus areas
Experience
18+ years
Listed in
Nevada, Michigan
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, relationships, family and parenting concerns, and depression. Additional areas include abandonment, codependency, grief, infidelity, and loneliness.
What is her therapy style like?
Her style is practical and collaborative, focused on identifying patterns and building coping skills. Sessions emphasize clear steps and improved communication.
How much clinical experience does she have?
She has 18 years of experience working with adults on relationship, family, and mood concerns. That work includes blended family issues and high-conflict separation.
What credentials does she hold and where is she based?
She holds LPC and LCPC credentials and practices from Nevada. The credentials listed are MI LPC and NV LCPC as provided.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions paid for and what do they cost?
Cost varies with location and sessions use a subscription that can be canceled at any time. Specific pricing depends on the selected plan and location.
How do I begin working with her?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session. That process guides you to your initial appointment.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.