Sandra Graham, LPC, LPCC

Sandra Graham is a licensed counselor who focuses on helping people facing anxiety, depression, addiction, parenting strain, and relationship stress. She speaks plainly in sessions and centers the conversation on practical steps families and individuals can use right away. Her style aims to make therapy feel manageable for someone juggling work, school, or caregiving roles.

She has 25 years of clinical experience and holds licenses as an LPC and an LPCC in Tennessee and Kentucky. Much of her work began in a residential treatment center with children and adolescents ages 5 to 17 who had co-occurring disorders and behavioral or developmental challenges. That hands-on background shaped her skill set for working with grief, trauma, mood concerns, and complex family dynamics.

Sandra uses Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, attachment-focused techniques, client-centered methods, and mindfulness practices. In sessions she helps people notice thought and behavior patterns, build values-based goals, and practice small changes that stick. She often blends approaches to match a person’s situation and preferences.

Her past roles include outpatient community mental health and home-based counseling, where she supported people coping with chronic illness, caregiver stress, and communication problems. She also has experience related to adoption and foster care, blended family issues, and divorce or separation challenges.

Sandra offers sessions by video, phone, live chat, and text-based messaging. Sessions use a subscription model that can be canceled at any time. To begin, a person completes a short matching questionnaire and schedules based on the therapist’s availability.

How Sandra’s Approaches Translate to Online Care

CBT helps people spot the thoughts and behaviors that keep problems going and then practice different responses. It’s useful for anxiety, depression, stress, and some addiction-related patterns. Acceptance and Commitment Therapy focuses on values and committed action - learning to accept difficult feelings while taking steps toward what matters most. That approach can help with grief, chronic stress, and motivation. Attachment-Based Therapy looks at relationship patterns and how early connections shape current reactions, which can be useful for relationship strain, family issues, and parenting concerns.

Finding the right approach is collaborative. Sandra will work with each person to choose techniques that match their goals, whether that means practicing CBT skills, building values-driven habits with ACT, or exploring attachment patterns. The plan can change over time as needs evolve.

Online therapy offers flexible options to fit busy lives. Video calls approximate an in-person conversation and allow for face-to-face interaction. Phone sessions are a good fit when a simpler check-in is needed or bandwidth is limited. Live chat and text-based messaging support brief check-ins, written reflections, and ongoing practice between appointments. These formats help people fit therapy into workdays, school schedules, or caregiving routines while maintaining continuity of care.