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Sandra Treston

Sandra Treston

LMHC

Florida

Practical support for change and resilience

Continue with Sandra

At a glance

Credentials
LMHC
License
LMHC, Florida / MH-13990
Experience
15 years
Languages
English
Location
Florida

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

    • Strength-based focus
    • Skill-based tools
    • Collaborative planning

    About Sandra

    Sandra Treston is a licensed mental health counselor (LMHC) in Florida with 15 years of experience helping adults manage stress, anxiety, depression, addictions, trauma, and relationship concerns. She writes plainly and listens with empathy. Sandra aims to help people find practical steps forward when life feels stuck.

    Sandra takes a strength-based, nonjudgmental approach. She focuses on what a person already does well and builds from there. Sessions often include talking through current problems, learning skills to cope, and planning small steps that add up over time.

    She uses a range of approaches to match what each person needs. Motivational Interviewing helps when someone feels stuck about change. Acceptance and Commitment Therapy (ACT) supports people learning to live with hard feelings while moving toward valued goals. Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) offer skill-based tools for emotion and behavior management.

    Sandra emphasizes collaboration. She works with each client to set clear goals and practical homework between sessions. That may include communication practice, coping strategies, or experiments that test new ways of acting.

    Her background includes varied clinical settings across a 15-year career. Clients who seek her out are often looking for support with mood disorders, addiction-related struggles, grief, intimacy issues, or help coping with life changes. She speaks English and practices in Florida.

  1. How therapeutic approaches shape online work

    Sandra uses Motivational Interviewing to help people find personal reasons to change. This approach focuses on listening, reflecting, and guiding someone to clarify their own goals and next steps. Acceptance and Commitment Therapy, or ACT, helps people accept difficult feelings while taking actions tied to what matters most to them. ACT is often useful for anxiety, depression, and coping with life transitions.

    Finding the right approach is part of the work. Sandra treats therapy as a collaboration where the person and therapist choose methods that fit the person’s goals and preferences. She will review what helps, try techniques, and adjust plans as progress is made.

    Confirm available session options before booking, as current formats are not detailed here. Online therapy can make it easier to fit sessions into a busy life and reduce travel time. It also lets people try short check-ins or focused skill practice when a full in-person visit would be harder to schedule. If you want to know which formats are offered, please confirm session options during the matching and scheduling steps.
  2. Areas of expertise

    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

    Listed in

    Florida

    Languages

    English

  3. Frequently asked questions

    What concerns does Sandra commonly help with?

    Sandra works with adults on issues such as stress, anxiety, depression, addictions, trauma, grief, relationship and intimacy-related concerns, anger, bipolar and other mood disorders, and coping with life changes.

    How would you describe her therapeutic style?

    Her style is nonjudgmental and strength-based. She listens, helps set goals, teaches skills, and supports step-by-step change.

    What is her clinical experience?

    She has 15 years of experience working with adults in a variety of clinical settings and has developed a practical, skills-oriented approach over that time.

    What credentials and location should I know about?

    Sandra is a licensed mental health counselor, LMHC, practicing in Florida.

    Which languages are sessions offered in?

    Sessions are offered in English.

    Can I work with Sandra from outside the United States?

    She does not accept international clients at this time.

    How does payment and cost work?

    Costs vary with location and therapist availability; sessions use a subscription that can be canceled at any time.

    What are the first steps to begin therapy?

    Use the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to therapist availability.

  4. Online talk therapy is not emergency or medical care. Stopping or cutting down alcohol or other drugs can be unsafe without medical advice. In immediate danger? Crisis numbers

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