About Sandra
Sandra Miramontes is a Licensed Marriage and Family Therapist who focuses on helping people manage stress, anxiety, depression, and relationship concerns. She speaks English and Spanish and draws on a decade of experience to offer practical, down-to-earth support.
Background and approach
Her style is straightforward and collaborative, aimed at helping clients find workable steps forward. She adapts her approach to what each person needs.
Sandra uses techniques from cognitive behavioral therapy to help people notice and change unhelpful thoughts and behaviors. She also works with emotion-focused and acceptance-based ideas to address difficult feelings and values-driven choices.
Sandra trained in counseling and psychology, earning a Master of Science in Counseling and a Bachelor of Arts in Psychology. She holds LMFT credentials in Florida and Tennessee and has worked with people from different cultural backgrounds.
Sessions focus on clear goals and practical tools. Sandra helps clients build skills for emotion regulation, communication, and coping with life changes like grief or career transitions.
She also addresses concerns such as addiction, parenting stress, chronic illness, and issues around intimacy and commitment. Her approach combines structured skill-building with space to process feelings.
Clients can expect concrete strategies they can try between sessions and a collaborative plan that shifts as needs change. The aim is steady progress, not quick fixes, guided by what matters most to each person.
How Sandra’s Approaches Work Online
Acceptance and Commitment Therapy (ACT) helps people focus on what matters most and take small steps toward those values while accepting difficult thoughts and feelings. It can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches practical strategies to change unhelpful patterns; it often helps with depression, anxiety, and mood regulation. Attachment-Based Therapy explores how early relationship patterns shape current connections and intimacy, which can help with trust and communication struggles.Finding the right fit is part of the work. Sandra will discuss these approaches with each person and choose methods that match their goals and preferences. She treats the process as a collaboration and adjusts techniques as progress unfolds.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make therapy easier to fit into daily life. Video works well for deeper conversations and visual cues. Phone sessions can be a good option when bandwidth is limited or for quick check-ins. Live chat and messaging offer a way to stay connected with brief updates or between-session support. These options give flexibility for people balancing work, caregiving, and other responsibilities.
Frequently asked questions
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Specialties and expertise
Top specialties
- Relationship issues
- Trauma and abuse
- Intimacy-related issues
Also works with
- Abandonment
- Addictions
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Stress, Anxiety
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Eye Movement Desensitization and Reprocessing (EMDR)
- Gottman Method
- Hypnotherapy
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 10 years
- Licensed
- Florida, Tennessee
- Languages
- English, Spanish