Sandra McAndrew, LPC
- Client-centered therapy
- CBT and DBT skills
- Support for relationships
About Sandra McAndrew
She adapts her approach to each person’s needs, blending skills-focused techniques and compassionate support to help clients develop practical tools for more adaptive problem solving. Sandra helps clients manage symptoms, navigate personal conflicts, rebuild intimacy, and address issues such as ADHD, codependency, and career-related stress while attending to emotional responses like guilt, shame, and anger. Her work often includes teaching coping strategies and helping clients set achievable goals that reflect their values.
Grounded in experience and a collaborative stance, Sandra aims to partner with clients as they identify priorities and build lasting change. Her clinical background as an LPC guides a thoughtful, person-focused approach to therapy that centers the client’s voice and goals.
Areas of Expertise
Primary Focus
Also Specializes In
Additional Focus Areas
Therapeutic Approach
Frequently Asked Questions
How much experience does Sandra McAndrew have?
Sandra McAndrew has 14 years of experience as a mental health professional.
Is Sandra McAndrew a licensed therapist?
Yes. She holds the credential LPC, which stands for Licensed Professional Counselor. License details are TX LPC 68271.
In which languages does Sandra McAndrew provide therapy?
Sandra McAndrew provides therapy in English.
Where is Sandra McAndrew located?
Sandra McAndrew is located in Texas.
How can I work with Sandra McAndrew as my therapist?
You can work with Sandra McAndrew through video calls, phone sessions, live chat, or text-based messaging.
Does Sandra McAndrew work with international clients?
Sandra McAndrew does not currently work with international clients.
How much does therapy with Sandra McAndrew cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic approaches and online care
Sandra McAndrew integrates client-centered therapy, cognitive behavioral therapy (CBT), and dialectical behavior therapy (DBT) into her online work to meet a range of needs. Client-centered therapy focuses on creating a respectful, empathetic space where the client's perspective guides the pace and goals of treatment - this approach is often helpful for building trust, exploring values, and improving self-esteem. Cognitive behavioral therapy (CBT) offers structured tools to identify and change unhelpful thinking and behavior patterns, which can reduce symptoms of anxiety and depression and improve problem solving. Dialectical behavior therapy (DBT) emphasizes skills for emotion regulation, distress tolerance, and effective communication, which can be especially useful for managing intense emotions and improving relationships.
Choosing the best approach is a collaborative process. Sandra partners with each person to assess their needs, goals, and preferences, and she adjusts techniques over time so therapy remains relevant and practical.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging, allowing clients to engage in care in ways that fit their schedules and comfort levels. These formats increase flexibility and accessibility, making it easier to maintain continuity of care while balancing work, family, and other commitments.