Sandra Treston, LMHC

Sandra Treston is a licensed mental health counselor (LMHC) with 15 years of experience helping adults cope with stress, anxiety, depression, trauma and abuse, and addictions. She focuses on practical steps that make daily life feel more manageable. Sandra speaks plainly, listens without judgment, and partners with people to set useful goals they can act on.

She frames struggles as signals that something needs to change and treats setbacks as part of growth. Sessions focus on building skills, naming unhelpful patterns, and trying small experiments to see what helps. Sandra aims to offer encouragement and real tools rather than only talking about problems.

Sandra blends several approaches to match a person’s needs. She draws on Acceptance and Commitment Therapy to help people clarify values and commit to small actions. Cognitive Behavioral Therapy is used to notice and shift thoughts that fuel distress. Dialectical Behavior Therapy techniques help with emotional regulation and coping when feelings feel overwhelming.

Her style is warm, direct, and strengths-based. Sandra invites collaboration - she works with clients to set a plan and adjust it as progress is made. She also includes Emotionally-Focused Therapy ideas when relationship patterns are part of the concern.

Based in Florida, Sandra works with adult clients who want practical, compassionate support for life changes, grief, relationship struggles, substance concerns, mood disorders, and self-worth issues. She helps people find steadier footing and move toward the life they want.

To begin, clients complete a short matching questionnaire and schedule sessions according to availability. Sessions use a subscription that can be canceled at any time.

How Sandra’s approaches translate to online therapy

Acceptance and Commitment Therapy helps people name what matters to them and take small actions toward those values. Online work with ACT often focuses on brief exercises, values clarification, and homework that fits into daily routines. Cognitive Behavioral Therapy teaches skills to notice and shift thoughts and behaviors that keep problems alive. CBT online typically uses worksheets, thought records, and concrete skill practice between sessions to reinforce change.

Finding the right approach is a collaborative process. Sandra will talk with each person about goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust the plan as progress is made.

If you prefer online sessions, confirm the specific session options before booking since formats are not listed in the biography. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when schedules demand, and reduce travel time. It also supports using written exercises and in-the-moment practice during the day so new skills carry over into real life.