- Parenting support
- Self esteem work
- Career guidance
About Sandra
Sandra Pyram Loyer is a Rhode Island LMHC with 10 years of clinical experience. She works with young adults and adults on practical life pressures like career decisions, self-esteem, parenting concerns, and coping with major life changes.
Sandra focuses on everyday problems such as workplace stress, feeling stuck after school, loneliness, and questions about life purpose. She also addresses issues connected to adoption and foster care, blended family challenges, caregiver stress, and family of origin concerns. Her practice includes help with guilt, shame, post-traumatic stress, seasonal mood shifts, and women's issues.
Sessions are straightforward conversations that help people clarify what matters and choose doable next steps. Sandra uses evidence-based therapeutic techniques to help clients notice patterns, build practical coping skills, and set achievable goals. She explains options in plain language and keeps the work focused on what the client wants to change.
Sandra speaks English and Haitian Creole. She practices in Rhode Island as an LMHC and brings a perspective shaped by faith when clients request that focus. International clients are not accepted at this time.
To start, people complete a short matching questionnaire and schedule a first session. Pricing varies by location and uses a subscription model that can be canceled at any time.
Approaches you can expect and online access
Two common evidence-based approaches used in practice are cognitive-behavioral work and skill-based problem solving. Cognitive-behavioral techniques help people notice unhelpful thoughts and test them against reality, which can reduce worry and improve self-esteem. Skill-based problem solving focuses on breaking big problems into manageable steps and trying simple experiments to see what works.Another useful way of working is short-term goal-focused coaching that treats therapy like a series of practical check-ins. That approach can help with career direction, navigating early adulthood, and making decisions after major life changes. Choosing the right mix of methods is collaborative - the therapist and client decide together which techniques fit the client's needs and goals as sessions progress.
Session delivery options are not listed in the biography, so confirm current session formats before booking. Online work can make it easier to fit sessions into a busy life, for example by removing travel time, allowing a shorter check-in during a break, or avoiding the need to be on camera when that helps. Many licensed professionals adapt their approach to the rhythms of a client's week so therapy can be practical and sustainable.
Areas of expertise
Primary focus
Additional focus areas
Experience
10+ years
Listed in
Rhode Island
Languages
English, Haitian Creole
Frequently asked questions
What kinds of problems does she help with?
Sandra helps with career choices, low self-esteem, parenting questions, and coping with life transitions. She also works on issues like guilt, family problems, and feelings of isolation.
How does she approach therapy?
She uses evidence-based techniques and focuses on practical coping strategies. Sessions aim to identify patterns and set small, achievable steps.
How much clinical experience does she have?
She has 10 years of clinical experience working with adults on a range of life concerns and stressors.
What are her credentials and where is she located?
She is a Rhode Island LMHC practicing in Rhode Island.
Does she offer sessions in other languages?
Sessions are offered in English and Haitian Creole.
Can people outside the US work with her?
International clients are not currently accepted.
How does billing work and what does therapy cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I do to begin?
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.