- ACT and CBT methods
- Emotion regulation skills
- Relationship repair work
About Sandra
Sandra Treston is a Florida licensed mental health counselor (LMHC) with 15 years of experience. She works with adults on concerns such as stress, anxiety, addictions, trauma and abuse, depression, relationship struggles, grief, and guilt and shame. Her approach aims to help people notice what is keeping them stuck and learn practical ways to move forward.
Sandra uses a mix of evidence-informed methods to guide sessions. She draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people identify unhelpful thoughts and take values-driven action. She also uses Client-Centered Therapy and elements of Dialectical Behavior Therapy to teach emotional regulation skills and improve day-to-day coping.
Sessions are conversational and action-oriented. Sandra listens for patterns in how someone reacts to stress or shame, then works with them to try small changes that build confidence. She emphasizes practical tools - breathing and grounding techniques, behavioral experiments, and clear steps for repairing relationships where needed.
Her background includes 15 years working with adults across a range of settings. That experience informs a straightforward style that mixes validation with concrete skill-building. People who carry guilt, religious or moral shame, or sticky regret often come for help sorting what to do next.
She asks new clients to complete a short matching questionnaire and schedule a first session through the platform. Costs vary by location and use a subscription that can be canceled at any time. Sessions are offered in English and international clients are not accepted.
Therapeutic approaches used in online sessions
Acceptance and Commitment Therapy (ACT) encourages people to notice painful thoughts and feelings without getting driven by them. It focuses on clarifying personal values and taking small actions that fit those values, which can help with guilt, shame, and meaning questions.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior. It uses simple experiments and skill practice to test unhelpful beliefs and build more helpful response patterns, often useful for anxiety, depression, and self-criticism.
Sandra treats finding the right approach as a collaborative process. She will work with each person to decide which methods fit their goals and what to try first. That choice is adjusted over time based on what helps the person make steady, manageable changes.
Confirm the current session options before booking, as formats are not specified here. Online sessions can help fit therapy into a busy life by reducing travel time and allowing shorter check-ins when needed. They also make it easier to practice coping skills in real-world contexts and to keep regular momentum between sessions.
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 guilt or shame does she address?
Sandra works with adults carrying guilt and shame related to relationships, past actions, family or faith, and ongoing patterns that cause regret. She also supports people coping with grief, addiction, and related mood concerns.
How does she approach feelings of shame?
She combines Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice painful thoughts and test new behaviors. Sessions include skill practice and short experiments to reduce avoidance.
What is her professional background?
She is a licensed mental health counselor (LMHC) with 15 years of experience working with adults in varied settings. That history shapes a practical, skills-focused style.
Where does she practice and what is her credential?
She holds a Florida LMHC credential and practices from Florida.
Does she see people in languages other than English?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How much do sessions cost?
Costs vary with location and are billed through a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting 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.