Sandra Treston, LMHC

Sandra Treston is a licensed mental health counselor (LMHC) with 15 years of experience helping adults cope with stress, anxiety, depression, relationship challenges, grief, and addictions. She takes a direct and compassionate approach and focuses on building practical skills people can use right away. Sandra aims to help clients regain balance and move toward the life they want. Sandra works in a strength-based, nonjudgmental way. She listens carefully, offers clear feedback, and helps people set small, doable goals. Sessions often include skill-building for emotion regulation, communication, and coping with big life changes. Her background spans multiple clinical settings over a 15-year career in Florida. That experience informs a flexible style that blends evidence-based methods with attention to each person’s values and priorities. She uses approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotion-Focused Therapy, and client-centered work. In a typical session Sandra helps people identify patterns that cause pain, practice different ways of responding, and build steps toward healthier routines. She supports people dealing with intimacy-related issues, codependency, body image, infidelity, and challenges tied to mood and personality disorders. Her goal is to be a steady, encouraging partner in change. Sandra helps people clarify what matters most, reduce overwhelming feelings, and put a workable plan into action. She invites people to start with small steps and notice the progress they make along the way.

How Sandra’s Approaches Fit into Online Work

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small actions that match those values. It helps people tolerate difficult feelings while still moving toward what matters. Cognitive Behavioral Therapy (CBT) looks at the thoughts and behaviors that keep problems going and teaches practical skills to change them. It is often used for anxiety, depression, and stress. Emotionally-Focused Therapy (EFT) helps people identify and express core emotions in ways that improve connection and reduce reactive patterns. It can be useful for intimacy-related concerns and communication problems.

Finding the right approach is a collaborative process. The therapist will work with each person to decide which methods fit their needs, goals, and personal preferences. Sessions can mix techniques so the approach evolves as progress is made.

Confirm the current session options before booking, as formats were not specified in the biography. Online therapy can make it easier to fit sessions into a busy life, allow quick check-ins when needed, and reduce travel time. It also lets people practice skills in moments that feel relevant, like a break during the day or after a stressful interaction. Talk with the therapist during the matching process about which session rhythm and format will work best for your routine.