Sandra Crisp, LPC - Therapist in Texas

Trauma and grief
CBT and ACT methods
Emotion regulation skills

About Sandra

Sandra Crisp is an LPC - Licensed Professional Counselor in Texas with 13 years of clinical experience. She works with people facing depression, grief, addictions, trauma and abuse, and related struggles such as low self-esteem and attachment concerns.

Sandra commonly sees people managing more than one issue at a time, for example grief alongside chronic illness or addiction combined with trauma. She talks with clients about clear goals and then helps them shape practical steps they can try between sessions. The approach is collaborative and action-oriented rather than lecture-based.

Her work draws from several evidence-informed methods. Sandra uses cognitive behavioral techniques to map thoughts and behaviors, and she brings in acceptance and commitment ideas to help people notice what matters and take values-consistent action. Dialectical behavior skills show up for emotion regulation and tolerating distress when feelings feel overwhelming.

Attachment-based and client-centered elements influence how she builds the relationship in session. That means listening for patterns from past relationships and staying focused on the client's experience in the moment. Sessions often combine understanding what happened with concrete tools to manage symptoms and improve everyday functioning.

Sandra has a background in mental health and rehabilitation counseling and additional work with chemical dependency and trauma. People choose her when they want straightforward, practical help untangling shame, guilt, loss, and the behaviors that follow. She asks clients to set goals and then supports them while they try different strategies.

How her approaches translate to online work

Sandra uses Acceptance and Commitment Therapy (ACT) to help people clarify what matters to them and take small steps toward those values, which can be useful for issues like depression, grief, and addiction. She also draws on Cognitive Behavioral Therapy (CBT) to identify patterns in thoughts and behaviors and to build practical coping strategies for daily life.

Choosing the right approach is part of the work together. She will talk with each person about their goals and preferences, and then recommend methods to try. That determination is collaborative and may shift as therapy progresses.

Confirm the session formats she currently offers before booking. When available, online sessions can make it easier to fit appointments into a busy schedule, reduce travel time, and allow shorter check-ins when needed. These practical benefits help people keep therapy consistent while they apply skills between meetings.

Areas of expertise

Primary focus

Addictions Trauma and abuse Grief Self esteem Depression

Additional focus areas

Abandonment Aging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issues Body imageCancerCaregiver issues and stress Chronic pain, illness, and disabilityCo-morbidityCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelity Isolation / loneliness Jealousy Life purpose Men's issues Midlife crisis Mood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issues Young adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

13+ years

Listed in

Texas

Languages

English

Frequently asked questions

What concerns does she help with?

Sandra works with depression, grief, addictions, trauma and abuse, and related issues like low self-esteem and attachment problems.

How does she approach guilt and shame?

She uses cognitive behavioral techniques and acceptance and commitment ideas to help people notice thoughts and take values-based action while addressing shame and guilt.

What is her clinical style like?

Sessions are collaborative and practical. She helps clients set goals and develop action plans to try between appointments.

How much experience does she have?

She has 13 years of experience working in mental health and rehabilitation counseling contexts.

What are her credentials and where is she based?

She is an LPC - Licensed Professional Counselor licensed in Texas and practices from there.

Does she work in languages other than English or with international clients?

Sessions are offered in English and she accepts international clients.

How are sessions billed and what does it cost?

Cost varies with location; sessions use a subscription model that can be canceled at any time.

How do I start a first session?

Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.