SM 
Sandra Miramontes
Compassionate, practical therapy for life’s challenges
LMFT Florida
- Experience
- 10 years in practice
- Focus areas
- Relationship, Trauma and abuse, Intimacy-related issues
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English, Spanish
About Sandra
Sandra Miramontes welcomes people who are looking for practical, skills-based support for relationship strains, trauma, anxiety, mood concerns, and life transitions.
Background and approach
As a licensed marriage and family therapist practicing in Florida, she focuses on helping clients identify patterns that get in the way of connection, emotional balance, and day-to-day functioning. Her work often centers on tangible tools for coping, communication, and managing intense emotions.
She blends several evidence-informed methods to match each client’s needs, drawing on approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and attachment-informed strategies. Sandra uses a collaborative, client-centered stance to set goals and tailor interventions rather than relying on a single technique.
With a decade of clinical experience, she brings familiarity with a wide range of concerns including grief, addiction, parenting stress, chronic illness, and mood disorders. Her practice accommodates English and Spanish speakers and aims to make therapy accessible through multiple online session formats.
How therapeutic approaches translate to online care
Sandra often uses Cognitive Behavioral Therapy to help clients identify and change unhelpful thinking and behavior patterns; CBT provides concrete strategies for managing anxiety, depression, and stress-related problems. Acceptance and Commitment Therapy (ACT) is another method she draws on to support values-driven action and to build psychological flexibility when clients face difficult emotions or life transitions. Attachment-based work focuses on how early relational patterns shape current connections and can be useful for intimacy-related concerns and communication problems.Choosing the right approach is part of the therapeutic process and Sandra emphasizes collaboration in that exploration. She works with each person to clarify goals, try different tools, and adapt interventions so the plan aligns with their needs, values, and preferences rather than assuming a one-size-fits-all method.
Online therapy with Sandra is available through video calls, phone sessions, live chat, or text-based messaging, which allows sessions to fit into busy schedules and to continue care from different locations within her licensure area. These options make it easier to access consistent support while using the therapeutic approaches that best suit each person’s circumstances.
Frequently asked questions
What types of concerns does Sandra commonly address?
She works with relationship difficulties, trauma and abuse, intimacy-related issues, anger, self-esteem struggles, stress, anxiety, addictions, grief, parenting and career concerns, bipolar and depressive symptoms, and coping with life changes among other areas.
How would you describe her therapeutic style?
Sandra takes a collaborative, client-centered approach and adapts interventions to each person’s goals, integrating skills-based and insight-oriented methods as needed.
What is her clinical background and experience?
She has 10 years of experience as a practicing therapist and has worked with people from diverse cultural backgrounds across a range of presenting issues.
Where is she licensed and based?
Sandra is an LMFT licensed in Florida and her practice information lists Florida as her location; her license identifiers include FL LMFT MT4558 and TN LMFT 1359.
In which languages can sessions be held?
Sessions are available in English and Spanish to accommodate bilingual speakers and those more comfortable communicating in either language.
What session formats are offered for online care?
She provides video calls, phone sessions, live chat, and text-based messaging to offer flexible ways to engage in therapy.
How is cost handled for therapy with her?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How can someone begin working with this therapist?
Begin by selecting the Start Therapy button, completing a brief matching questionnaire, and scheduling according to the therapist’s available times.
Areas of expertise
Primary focus
Also works with
Stress, AnxietyAddictionsGriefParenting issuesCareer difficultiesBipolar disorderDepressionCoping with life changesCompassion fatigue
Additional focus areas
AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial 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 TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodHypnotherapyImago Relationship TherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy
Experience
10+ years
Licensed
Florida, Tennessee
Languages
English, Spanish