Sandra Graham, LPC, LPCC

Sandra Graham is a licensed counselor with 25 years of hands-on experience. She works with people facing stress, anxiety, depression, addiction, and relationship strain. Sandra emphasizes practical steps and steady support for everyday struggles. Her background includes work in a residential treatment center with children and adolescents ages 5 to 17. She has also provided outpatient community mental health services and home-based counseling. That range gives her experience with co-occurring disorders, behavioral and neurodevelopmental challenges, and family dynamics. Sandra uses several approaches in sessions, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Client-Centered Therapy. She blends skills training, values-based planning, and steady listening to help people notice what matters and take actionable steps. Mindfulness and attachment-informed ideas also appear in her practice when helpful. People come to her for help with grief, low self-esteem, trauma, parenting stress, coping with life changes, and issues tied to adoption or foster care. She also has experience supporting those dealing with substance use and complex family history. Sessions focus on what the client needs right now, and on building durable coping skills. Sandra is licensed as a Licensed Professional Counselor, LPC, and as a Licensed Professional Clinical Counselor, LPCC. She practices in Tennessee and offers services in English. She invites people who are ready to take the first step to try a matching questionnaire and schedule a session.

How her approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people clarify personal values and take small, meaningful actions toward them. It is often used for anxiety, stress, and life transitions and focuses on what matters most rather than only on symptoms.

Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical skills to shift unhelpful patterns. It is useful for anxiety, depression, and coping with everyday problems.

Client-Centered Therapy prioritizes the client's perspective and creates space for them to lead the pace of work while the therapist offers empathic listening and reflection.

Finding the right approach is part of the work together. The therapist will collaborate with each person to choose or combine methods based on goals, preferences, and what’s most helpful in early sessions. That process may include trying exercises, tracking patterns, and adjusting the plan as progress is made.

Confirm current session options before booking so you know the available online formats. Online care can make it easier to fit appointments into a busy life, reduce travel time, and allow shorter check-ins when schedules are tight. It can also let people use mindfulness practices, behavioral experiments, and values work in familiar daily routines without changing other commitments.