- Relationship strain
- Anxiety and stress
- CBT and ACT methods
About Sandra
Sandra Miramontes is a Licensed Marriage and Family Therapist (LMFT) with ten years of clinical experience, licensed in Florida and Tennessee. She works with people facing relationship strain, anxiety, depression, trauma, stress, and life transitions. Sandra also helps with issues like addiction, grief, self-esteem, and career concerns. She speaks English and Spanish.
Sandra uses a mix of practical therapies rather than one fixed method. She adapts her approach to the problem someone brings. That can mean focusing on thoughts and behaviors, strengthening attachment patterns, or teaching skills for emotional regulation.
Her training includes a Master of Science in Counseling and a Bachelor of Arts in Psychology. Sandra has provided counseling to people from a variety of cultural backgrounds. Her work draws on approaches such as Acceptance and Commitment Therapy, attachment-based work, client-centered methods, cognitive behavioral techniques, and dialectical behavior strategies.
In sessions she listens to the immediate concern and then suggests concrete steps to try between meetings. Those steps might include specific skills practice, short experiments to test new ways of relating, or exercises for managing strong emotions. The focus is on day-to-day changes that make life more manageable.
People often come to her feeling stuck after big changes - leaving home, job transitions, relationship breakups, or illness. Sandra aims to help people sort priorities, improve communication, and build routines that support better coping. She will discuss goals and practical next steps in the first appointments.
How her therapeutic approaches work online
Sandra uses Acceptance and Commitment Therapy (ACT) to help people notice difficult thoughts and choose actions aligned with their values. ACT often helps when someone feels stuck or overwhelmed by worry and self-judgment.She also draws on attachment-based therapy to look at how early relationship patterns shape current connections. This work focuses on communication, trust, and emotional responsiveness in close relationships.
Finding the right approach is part of the work. Sandra will review goals, what has or hasn’t worked before, and preferences about techniques. Together she and the client pick strategies to try and check progress as therapy continues.
Confirm current session options before booking so you know which formats are offered. Online sessions can make it easier to fit therapy into a busy day, shorten travel time, and allow quieter check-ins during work breaks or between classes. Some approaches lend themselves to skills practice or worksheets that are easy to use in online appointments, while others focus on conversation and building new ways of relating.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Florida, Tennessee
Languages
English, Spanish
Frequently asked questions
What concerns does she commonly address?
Sandra works with relationship issues, trauma and abuse, anxiety, depression, addiction, grief, parenting stress, career changes, and related challenges.
What is her therapeutic style like?
She adapts methods to the problem and uses practical, skills-based work such as CBT, DBT techniques, ACT strategies, and attachment-informed conversation.
How much experience does she have?
She has ten years of clinical experience providing counseling to people from diverse cultural backgrounds.
What credentials and location should I know about?
Sandra is an LMFT licensed in Florida and Tennessee and is based in Florida.
Can I see her in English or Spanish?
Sessions are offered in English and Spanish.
Does she work with international clients?
She is not currently accepting international clients.
How are sessions billed and what is the cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a 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.