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LMHC

Sandra Treston, LMHC

  • Experience15 years
  • LocationFlorida
  • Focus areasStress and Anxiety, Addictions, and Trauma and abuse
  • Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
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About Sandra

Sandra Treston is a licensed mental health counselor (LMHC) based in Florida with 15 years of clinical experience helping adults navigate stress, anxiety, depression, addictions, trauma and related challenges.

Background and approach

She frames life’s difficulties as opportunities for growth and partners with clients to identify unhelpful patterns, recover inner strengths, and build practical skills that support lasting change. Sandra emphasizes a strengths-based, empathic stance and encourages clients to reconnect with their core values and resilience.

Her practice blends collaborative listening with evidence-based techniques drawn from approaches such as Internal Family Systems, ACT, CBT, DBT, and client-centered work to tailor interventions to each person’s needs. Sandra offers a supportive environment that balances encouragement with constructive challenge, helping clients set realistic goals and take manageable steps toward them.

She works with concerns including relationship and intimacy issues, grief, bipolar and mood disorders, coping with life changes, compassion fatigue, and a range of identity and interpersonal struggles. Fluent in English, Sandra provides care through a subscription model that varies by location and therapist availability.

Prospective clients in Florida can begin by completing a short matching questionnaire and scheduling according to available times.

Integrating evidence-based approaches with online care

Sandra combines Internal Family Systems and Acceptance and Commitment Therapy to guide online work. Internal Family Systems helps clients recognize and relate to different inner parts - such as protective or vulnerable aspects - to reduce internal conflict and foster self-leadership; it can be useful for trauma responses, self-criticism, and identity struggles. Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values, increasing psychological flexibility, and teaching acceptance and mindfulness strategies to manage distressing thoughts and feelings while pursuing meaningful goals.

Finding the right approach is a collaborative process. She works with each person to explore which methods feel most helpful and adapts techniques based on the client’s needs, goals, and preferences rather than applying a single method rigidly. Clients are invited to give feedback and adjust the plan as therapy unfolds.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase accessibility and convenience. These options allow for consistent support across varying schedules and life demands, making it easier to practice skills between sessions and maintain momentum toward change.

Frequently asked questions

What concerns does Sandra commonly address?
Sandra works with a wide range of issues including stress, anxiety, depression, addictions, trauma and abuse, relationship and intimacy-related difficulties, grief, bipolar and mood disorders, anger, and compassion fatigue.
How would you describe her therapeutic style?
Her style is empathic and nonjudgmental, using a strengths-based, collaborative approach that combines practical skills training with reflective exploration to help clients make meaningful change.
What kind of clinical experience does she have?
She has 15 years of experience working with adults across multiple settings, supporting people through life transitions, substance concerns, personality and mood challenges, and interpersonal problems.
What credentials and location should I know about?
Sandra holds the credential LMHC and is licensed as FL LMHC MH-13990. Her practice is based in Florida.
Can sessions be conducted in other languages or internationally?
Sessions are offered in English, and she is not accepting international clients at this time.
Which session formats are available for working together?
She provides a variety of remote formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences.
How are sessions paid for and what does it cost?
Cost varies with location and therapist availability; services are delivered through a subscription model that can be canceled at any time.
What are the steps to begin therapy with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to her availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsTrauma and abuseSelf esteemDepression

Also works with

Relationship issuesGriefIntimacy-related issuesAnger managementBipolar disorderCoping with life changesCompassion fatigue

Additional focus areas

Body imageCodependencyCommitment issuesCommunication problemsDrug and alcohol addictionEmptinessFamily problemsForgivenessGuilt and shameInfidelityIsolation / lonelinessLife purposeMood disordersNarcissismPersonality disordersPostpartum depressionSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobia

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

15+ years

Licensed

Florida

Languages

English