Sandra Treston, LMHC
Florida · 15 years in practice
Sandra Treston is a licensed mental health counselor (LMHC) with 15 years of experience helping adults manage stress, anxiety, depression, trauma, addictions, and relationship struggles.
License and registration
- LMHC, Florida
- MH-13990 · expires March 2027
- NPI
- 1780081653 · national provider identifier
- Years in practice
- 15
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Sandra
Sandra Treston is a licensed mental health counselor (LMHC) with 15 years of experience helping adults manage stress, anxiety, depression, trauma, addictions, and relationship struggles. She writes plainly and listens without judgment, offering practical tools and steady support when life feels overwhelming. Sandra focuses on restoring hope and helping people take small, doable steps toward change.
She combines gentle encouragement with skills-based strategies. Sessions often involve learning coping techniques, practicing new ways to respond, and trying steps that fit each person's life.
Background and approach
Sandra draws on approaches like cognitive behavioral therapy and acceptance and commitment therapy, and she also uses EMDR as part of trauma work when appropriate. Sandra favors a strengths-based style. She helps people notice what already works and build on those resources.
The goal is to craft a realistic plan that matches a person's values and everyday demands. Over 15 years she has worked in different settings with adults facing many types of struggles. That background informs a flexible, practical approach rather than a one-size-fits-all method.
Conversations are warm but focused on what will help between sessions. Sandra encourages people to be curious about change and to take it one step at a time. She supports learning new skills for emotion regulation, communication, and managing cravings or mood swings.
Her approach aims to reduce overwhelm and increase confidence in handling life’s challenges.
Focus areas and approaches
Everything Sandra lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Self esteem
- Depression
- Relationship issues
- Grief
- Intimacy-related issues
- Anger management
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- Body image
- Codependency
- Commitment issues
- Communication problems
- Drug and alcohol addiction
- Emptiness
- Family problems
- Forgiveness
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Narcissism
- Personality disorders
- Postpartum depression
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
Approaches Sandra names
- Eye Movement Desensitization and Reprocessing (EMDR)
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How Sandra’s Approaches Fit Online Therapy
Client-Centered Therapy focuses on listening, empathy, and meeting each person where they are. It helps people feel heard and understood while they sort out what matters to them. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors and teaches practical exercises to change unhelpful patterns. Acceptance and Commitment Therapy, ACT, encourages noticing thoughts and choosing actions that match personal values instead of getting stuck in unhelpful thinking.Choosing the right approach is part of the work together. The therapist will discuss goals and preferences, then recommend methods that fit the situation. That decision is collaborative and can change as progress is made.
Online sessions offer flexible ways to connect. Video calls allow face-to-face conversations and skill practice. Phone sessions can be easier when bandwidth is limited or a quick check-in is needed. Live chat and text-based messaging work well for brief updates, coping reminders, or when someone prefers written check-ins. These options make it easier to keep therapy consistent around work, family, or other commitments.
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Questions people ask
What concerns does Sandra help with?
Sandra supports adults dealing with stress, anxiety, depression, trauma and abuse, addictions, relationship problems, grief, self-esteem, anger, bipolar disorder, and coping with life changes. She also addresses related issues like body image, codependency, infidelity, and mood or personality concerns.
What is her therapy style like?
Her approach is warm, nonjudgmental, and strengths based. Sessions mix practical skills training with reflective conversation to help people take concrete steps between appointments.
How much clinical experience does she have?
She has 15 years of experience working with adults across a variety of settings and presenting concerns.
What are her credentials and location?
She is a licensed mental health counselor, FL LMHC, practicing in Florida.
Which languages are offered and can international clients join?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging to suit different schedules and needs.
How does payment work and what does it cost?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then schedule sessions according to therapist availability.
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