- Guilt and shame
- Communication problems
- Parenting concerns
About Sandra
Sandra Butler is an LPC, LCPC (Licensed Professional Counselor) practicing in Nevada with 18 years of clinical experience. She works with adults facing stress, anxiety, relationship strain, parenting pressures, and depression. Her practice also addresses guilt and shame alongside related concerns like abandonment, infidelity, and isolation.
Sandra uses straightforward, practical conversation to help people name what’s happening and make small, doable changes. She asks questions, tracks patterns, and offers strategies you can try between sessions. Sessions may include looking at how past family experiences affect current choices, and discussing coping tactics for overwhelming feelings.
Her approach draws on evidence-based therapeutic techniques to help clients rethink unhelpful thoughts and build better responses to stress. Sandra also brings in solution-focused ideas and motivational interviewing to set clear, realistic goals. When it fits the client’s values, faith and spirituality may be part of the discussion.
She often works with relationship concerns such as communication problems, codependency, blended family issues, and separation. She also supports people dealing with trauma reactions, impulsivity, and the emotional aftermath of domestic violence or disaster. The focus is on practical steps rather than labels.
Sandra emphasizes learning skills to manage anxiety, grief, and difficult self-judgment so daily life feels more manageable. She helps clients identify patterns that keep guilt and shame active and then practice different ways of responding. If scheduling or session format matters to you, confirm options before booking.
How evidence-based approaches translate to online sessions
Many of Sandra's methods come from evidence-based therapeutic techniques. Cognitive Behavioral Therapy (CBT) helps people notice and change patterns of thinking that feed anxiety, depression, and shame. It focuses on specific thoughts and behaviors you can test between sessions. Solution-focused ideas concentrate on identifying practical next steps and small goals to move forward rather than rehashing every problem.Finding the right approach is a collaborative process. Sandra will work with each client to determine which methods fit their needs, goals, and preferences. She adjusts strategies over time based on what is and isn’t helpful so the plan stays practical and grounded in everyday life.
The original biography does not list specific online session formats, so confirm current options before booking. Online work can make it easier to fit sessions into a busy schedule, allow shorter check-ins when needed, and reduce travel time. Therapists and licensed professionals can still use the same CBT and solution-focused techniques through remote appointments, adapting exercises and homework to suit the session format chosen.
Areas of expertise
Primary focus
Additional focus areas
Experience
18+ years
Listed in
Nevada, Michigan
Languages
English
Frequently asked questions
What kinds of problems does she help with?
Sandra works with stress, anxiety, relationship issues, parenting concerns, depression, and related topics such as guilt and shame, abandonment, and infidelity.
How would she approach feelings of shame or guilt?
She uses evidence-based techniques to help people recognize unhelpful thoughts and practice different responses. The work focuses on concrete skills and short-term steps.
How much clinical experience does she have?
She has 18 years of experience working with adults on mood, relationship, and family-related concerns.
What are her professional credentials and where does she practice?
She holds LPC and LCPC credentials and practices in Nevada.
Can sessions be conducted in other languages or for international clients?
Sessions are offered in English and she is not currently accepting international clients.
What session formats are available?
The original biography does not specify session formats; please confirm current session options before booking.
How does billing and cost work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to begin?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.