- Stress and anxiety
- Addictions and recovery
- CBT and ACT methods
About Sandra
Sandra Treston is a Florida licensed mental health counselor (FL LMHC) with 15 years of experience helping adults navigate major life changes. She lists stress, anxiety, addictions, trauma and abuse, depression, relationship and intimacy-related issues, grief, anger, bipolar disorder, and compassion fatigue among her core concerns. Sandra also focuses on life purpose, body image, codependency, and substance use issues.
Sandra works in a straightforward, skills-focused way. She listens to what feels most pressing and then helps people try practical steps that fit their day-to-day lives. Sessions include talking through patterns, learning coping tools, and practicing new ways of responding when stress or strong emotions arise.
Her work draws on several approaches: Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and client-centered methods. These approaches are used to address difficult memories, painful relationship dynamics, addictive behaviors, and low mood. Sandra explains techniques and then practices them with clients so concepts become useful outside sessions.
Sandra aims to help people reconnect with what matters to them and build consistent habits that support that direction. She emphasizes concrete steps over vague promises and encourages steady progress through small changes. Time together is used to set goals, try new responses, and review what works.
To begin, prospective clients follow the platform flow to complete a short matching questionnaire and schedule an initial session. Costs vary by location and are billed through a cancellable subscription.
How therapy approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small committed steps toward them. It helps when someone feels stuck or unsure what matters after a life change. Cognitive Behavioral Therapy (CBT) teaches practical ways to notice and shift unhelpful thoughts and behaviors. It is useful for anxiety, depression, and patterns that keep people feeling stuck. Emotionally-Focused Therapy (EFT) looks at recurring relationship and attachment patterns and works to change how people express and respond to emotion in close connections.Finding the right approach is part of the work. The therapist will talk with the client about goals and preferences, and together they will try methods that fit those aims. That collaborative process may involve using more than one approach across sessions to address different concerns as they come up.
Confirm the session formats before booking because the biography does not list them. One practical benefit of online sessions is that they can fit more easily into a weekday routine, letting people schedule therapy around work or caregiving. Some formats also allow shorter check-ins when time is limited or audio-only options when bandwidth is low. Online work makes it possible to practice techniques at home and discuss how those attempts went at the next meeting, which helps apply new skills to everyday life.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
Florida
Languages
English
Frequently asked questions
What kinds of issues does she address?
She works with stress, anxiety, depression, addictions, trauma, relationship and intimacy issues, grief, anger, bipolar mood concerns, compassion fatigue, and related areas such as body image and codependency.
How would she describe her therapeutic style?
She uses a practical, skills-focused approach that combines talking through patterns with exercises to try between sessions.
How long has she been practicing?
She has 15 years of clinical experience working with adults in a range of settings.
What credentials and region apply to her practice?
She is a licensed mental health counselor, FL LMHC, practicing from Florida.
Can I work with her if I live outside the United States?
She does not accept international clients; sessions are offered in English to people within the supported region.
What session formats are available?
Confirm current session options before booking, as the biography does not list specific formats.
How are fees handled?
Costs vary with location and sessions are billed through a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.