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LPC

Sandra McAndrew, LPC

  • Experience14 years
  • LocationTexas
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Sandra

Sandra McAndrew is an LPC based in Texas who brings 14 years of clinical experience to her counseling practice.

Background and approach

She focuses on helping people navigate stress, anxiety, depression, trauma and abuse, relationship and intimacy-related concerns, grief, and ADHD, along with struggles around self-esteem, eating and sleeping difficulties, anger, compassion fatigue, and career questions. Sandra also addresses patterns such as codependency, communication problems, control issues, guilt and shame, and questions of life purpose.

Her work is grounded in a client-centered stance that honors each person’s perspective while integrating practical strategies from cognitive behavioral therapy and skills from dialectical behavior therapy. Mindfulness techniques are woven into sessions to support emotional regulation and present-moment awareness.

Sandra aims to tailor interventions to the individual, helping clients develop coping tools, clearer problem-solving approaches, and steps toward meaningful change. Clients can expect a respectful, empathetic environment where goals and pace are set collaboratively.

Sandra offers a practical, strengths-focused approach that balances validation with skill-building to address immediate concerns and longer-term growth.

How therapeutic approaches translate to online care



Sandra integrates cognitive behavioral therapy and mindfulness practices into her online work. CBT involves identifying unhelpful thoughts and testing new behaviors to reduce anxiety and depression, making it useful for stress, mood, and many daily challenges. Mindfulness therapy teaches present-moment awareness and simple attention practices to support emotional regulation and reduce reactivity, which can help with trauma-related symptoms, anxiety, and impulsive patterns.

Choosing the right approach is a collaborative process. Sandra will discuss goals, preferences, and what has or hasn’t worked in the past, and together with the client will adapt techniques and pace to find the best fit. Therapy evolves as needs change, and methods can be blended to match each person’s strengths and challenges.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care, try brief check-ins between sessions, and engage in therapy from familiar environments while working on skills and goals with a licensed professional.

Frequently asked questions

What concerns does Sandra commonly address?
Sandra works with a wide range of issues including stress, anxiety, depression, trauma and abuse, relationship and intimacy-related problems, grief, ADHD, and concerns about self-esteem, eating and sleeping, anger, and career direction.
What is her therapeutic style and approach?
Her practice blends a client-centered stance with cognitive behavioral and dialectical behavior therapy techniques, incorporating mindfulness to help clients build coping skills and improve emotional regulation.
How much clinical experience does she have?
She has 14 years of professional experience providing mental health support and tailored interventions across a variety of concerns.
Where is Sandra licensed and based?
She is a Licensed Professional Counselor (LPC) in Texas with license number TX LPC 68271 and practices from that state.
Does she offer sessions in languages other than English?
Sessions are offered in English; she does not currently accept international clients.
Which session formats are available?
She provides video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
What does therapy cost with her?
Cost varies depending on location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
How do I begin working with Sandra?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemDepression

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersAnger managementCareer difficultiesCoachingCompassion fatigueADHD

Additional focus areas

CodependencyCommunication problemsControl issuesGuilt and shameLife purpose

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness Therapy

Experience

14+ years

Licensed

Texas

Languages

English

What Sandra can help with

Sandra McAndrew works with clients on stress and anxiety, relationship issues, trauma and abuse, self esteem, and depression.

Sandra works with adolescents and adults.

Sandra works with anxiety and depression.

How Sandra approaches therapy

Sandra's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Mindfulness Therapy.

Experience and training

Sandra is a Licensed Professional Counselor practicing in Texas.

Therapy style

Sandra aims to be there for you as you work toward reaching your goals during the counseling process.