- Addictions
- Anxiety
- Trauma
About Sandra
Sandra Graham is a Licensed Professional Counselor (LPC) and Licensed Professional Clinical Counselor (LPCC) with 25 years of experience in Tennessee and Kentucky. She works with adults on issues such as addiction, depression, anxiety, stress, relationship difficulties, grief, self-esteem, career concerns, bipolar disorder, ADHD, parenting challenges, trauma, and family matters. Sandra brings practical support and a straightforward style to sessions.
Her background includes work in a residential treatment center with children and adolescents, plus outpatient community mental health and home-based counseling. That range exposed her to co-occurring disorders, emotional and behavioral challenges, and complex family dynamics.
Sandra uses methods that help people notice thoughts and feelings, choose actions that match their values, and practice new ways of coping. Those methods include Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Mindfulness Therapy, Attachment-Based Therapy, and Client-Centered Therapy.
In sessions she focuses on helping clients build on strengths they already have. Conversations tend to be direct and practical. Sandra guides people through loss, relationship strain, parenting stress, addiction concerns, and career transitions.
She also has experience supporting people affected by adoption and foster care, abandonment, blended family issues, caregiver stress, chronic illness and pain, communication problems, control issues, dissociation, domestic violence, and family of origin wounds. Her work includes attention to the challenges faced by LGBT clients and those coping with life changes.
If you want straightforward help with early adult stresses like leaving home, first jobs, or feeling behind, Sandra offers long experience and a practical approach to move forward.
How Sandra’s approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice their thoughts and choose actions that match what matters to them. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviors, which can help with anxiety, mood, and stress. Attachment-Based Therapy looks at relationship patterns and how early connections influence current relationship challenges.Finding the right approach is part of the process. Sandra will work collaboratively to identify which methods feel most useful for a person’s goals and preferences. That means trying practical exercises, reviewing what helps, and adjusting the plan together over time.
Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit sessions around school, work, or caregiving responsibilities. It can allow shorter check-ins when schedules are tight, or let someone attend without commuting. Licensed professionals can use these formats to keep therapy consistent while people manage early adult pressures such as first jobs, moving out, or balancing study and work.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Tennessee, Kentucky
Languages
English
Frequently asked questions
What issues does she commonly address?
Sandra works with concerns including addiction, depression, anxiety, relationship problems, grief, parenting stress, bipolar disorder, ADHD, and family issues.
What is her therapeutic style?
She uses practical, evidence-informed approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Mindfulness, Attachment-Based, and Client-Centered methods in sessions.
How long has she practiced?
She has 25 years of professional work experience in residential, outpatient, and home-based settings.
Where is she licensed and based?
Sandra holds LPC in Tennessee and LPCC in Kentucky and is based in Tennessee.
Does she offer sessions in other languages?
Sessions are offered in English.
Can people outside the US work with her?
She is not accepting international clients at this time.
How are sessions paid for?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
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.