Sandra Crisp

Compassionate, skill-based care for complex issues

LPC Texas

Experience: 13 years in practice
Focus areas: Addictions, Trauma and abuse, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Sandra

Sandra Crisp offers support for people facing addictions, trauma and abuse, grief, low self-esteem, and depression. With a focus on complex presentations, she often works with clients managing multiple overlapping concerns such as chronic illness, caregiver stress, body image struggles, and attachment-related difficulties.

Background and approach

Her approach emphasizes collaborative goal setting so each person’s priorities shape the work together. Sandra draws on a blend of evidence-informed methods including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy (DBT) to tailor interventions to individual needs.

She brings 13 years of clinical experience as a Licensed Professional Counselor (LPC) practicing in Texas, and frames treatment as an active process that combines insight with practical skills development. Sandra encourages clients to identify meaningful changes and supports them in building plans to reach those aims at a pace that fits their situation.

How Sandra’s Approaches Work Online

CBT focuses on identifying and changing unhelpful thinking and behavior patterns by teaching practical strategies for managing symptoms and building coping skills; it is commonly used for depression, anxiety, and problems related to behavior change. ACT emphasizes accepting difficult thoughts and feelings while clarifying personal values and taking committed action, which can help with grief, chronic illness, and patterns like avoidance. Attachment-Based Therapy explores relational patterns and emotional bonds to improve trust, communication, and regulation in relationships, useful when attachment issues or abandonment concerns are present.

Choosing the best approach is a collaborative process. Sandra works with clients to evaluate their goals, preferences, and the specific challenges they bring, and then adapts methods from CBT, ACT, and attachment-focused work as needed rather than relying on a single technique. This flexible planning helps ensure the work fits the person rather than forcing a rigid model.

Online therapy with Sandra is available through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain consistent appointments, access care from various locations, and use formats that support step-by-step skill practice between sessions.

Frequently asked questions

What kinds of concerns does Sandra address?

She supports people dealing with addictions, trauma and abuse, grief, low self-esteem, and depression, and also addresses related issues like chronic pain, caregiver stress, attachment challenges, and communication problems.

What is her therapeutic style and approach?

Her style is collaborative and goal oriented, combining practical skills with insight. She integrates approaches such as CBT, ACT, attachment-focused work, client-centered methods, and DBT to match the client’s needs.

How much clinical experience does she have?

She has 13 years of experience working with a range of mental health and behavioral concerns.

What credentials and location should I know about?

Sandra holds the LPC credential and practices in Texas under TX LPC 87427.

Can international clients work with her?

Yes, she accepts international clients and conducts sessions in English.

Which session formats are available?

Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different communication preferences.

How are costs handled for sessions?

Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

What steps are involved in getting started?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Areas of expertise

Primary focus

Addictions Trauma and abuse Grief Self esteem Depression

Additional focus areas

AbandonmentAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMood disordersNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

13+ years

Licensed

Texas

Languages

English