Sandra Graham

Compassionate, strengths-based therapy for change

LPC, LPCC Tennessee

Experience: 25 years in practice
Focus areas: Addictions, Family, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Sandra

Sandra Graham is a licensed counselor with 25 years of clinical experience who works with people facing a wide range of challenges including addiction, trauma, mood disorders, relationship struggles, parenting concerns, and stress.

Background and approach

She draws on a mix of practical therapies to help clients build coping skills, manage symptoms, and strengthen family and interpersonal connections. Sandra emphasizes each person’s existing strengths and partners with clients to apply those resources toward meaningful change.

Her practice background includes residential treatment settings supporting children and adolescents with co-occurring disorders and developmental or behavioral challenges, as well as work in outpatient community mental health and home-based counseling.

Sandra combines evidence-informed methods such as cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), attachment-based approaches, client-centered care, and mindfulness techniques to match interventions to presenting concerns. She is licensed in Tennessee and holds LPC and LPCC credentials (TN LPC 4899, KY LPCC 300851).

How evidence-based approaches translate to online therapy

CBT focuses on identifying and changing unhelpful thinking patterns and behaviors; in sessions it often involves structured exercises, skill-building, and practical tools to address anxiety, depression, and coping with life changes. ACT helps clients clarify values and take committed action while developing acceptance of difficult emotions, which can be useful for stress, grief, and long-term challenges. Attachment-Based Therapy explores relational patterns and early connection experiences to improve how people relate to others and manage relationship or family issues.

Finding the right approach is part of the therapy process and happens collaboratively. The therapist will work with each client to consider goals, preferences, and life context and then tailor methods - mixing tools from CBT, ACT, and attachment work as needed - to create a personalized plan that fits the client’s needs.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit sessions into busy schedules or to keep continuity of care when in-person visits are difficult. These formats support ongoing skill practice, check-ins between sessions, and different ways of engaging that can enhance accessibility and convenience for many people.

Frequently asked questions

What kinds of issues does this therapist address?

Sandra works with a broad set of concerns including addictions, trauma and abuse, parenting and family problems, depression, anxiety, stress, grief, anger, self-esteem, bipolar disorder, and ADHD. Additional focuses include attachment issues, blended family concerns, caregiver stress, and chronic illness challenges.

What is the therapist's approach to working with clients?

She uses collaborative, evidence-informed methods that emphasize client strengths. Therapy blends cognitive behavioral techniques, acceptance and commitment ideas, attachment-focused work, client-centered listening, and mindfulness to address thoughts, feelings, and relational patterns.

What experience does the therapist bring to sessions?

With 25 years of professional work, Sandra has experience in residential treatment settings for youth as well as outpatient community mental health and home-based counseling. Her background includes supporting clients with co-occurring disorders and behavioral or neurodevelopmental challenges.

Where is the therapist licensed and based?

She is licensed in Tennessee and holds credentials listed as TN LPC 4899 and KY LPCC 300851. Her practice location is Tennessee.

Are sessions available in other languages or to international clients?

Sessions are offered in English only and she is not currently accepting international clients.

In what formats are sessions offered?

Therapy is available through video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.

How are fees and billing handled?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time. Specific pricing depends on the client’s location and the therapist’s current schedule.

What is the first step to begin working together?

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

AddictionsFamily conflictsTrauma and abuseParenting issuesDepression

Also works with

Stress, AnxietyLGBTRelationship issuesGriefAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changes ADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsControl issuesDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shame ImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMood disordersNarcissismPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Licensed

Tennessee, Kentucky

Languages

English