About Sandra
Sandra Crisp is a Licensed Professional Counselor (LPC) based in Texas who helps people facing depression, grief, addictions, and trauma. She focuses on practical steps clients can use to feel steadier and more in control. Sandra emphasizes collaboration and clear goals so people know what they are working toward.
She sees many people dealing with more than one issue at a time and builds plans that address overlapping concerns. Her work includes attention to self-esteem, attachment difficulties, and problems that come with chronic illness or caregiving stress.
Background and approach
Sandra also supports people managing life events such as aging, cancer, and loss. Sandra uses a mix of approaches to match what each person needs. She draws on cognitive behavioral techniques to change unhelpful thoughts and behaviors.
She also incorporates acceptance and commitment ideas to help people live by their values when situations are painful. In sessions she takes a client-centered stance, listening closely and shaping the work around what matters most to the person in front of her. Dialectical behavior strategies are used when people need tools for emotion regulation and improved communication.
She has 13 years of clinical experience and holds the LPC credential. Sandra works with people who want an action-oriented yet compassionate counselor to help them move through difficult times and toward clearer goals.
Therapeutic approaches for online care
Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting controlled by them, then take steps that match their values. It can be useful for depression, anxiety, and grief when avoiding painful feelings gets in the way of living the life someone wants. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thought and behavior patterns and practicing new ways of responding. CBT is often used for depression, anxiety, and problems with negative thinking that fuel low mood.Finding the right approach is part of the work together. Sandra will talk with each person about goals and preferences and suggest methods that fit those needs. The decision about which techniques to use is shared and may change as someone progresses.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation when visual connection matters. Phone sessions are a simpler option when bandwidth is limited or a shorter check-in is preferred. Live chat and text-based messaging let people send brief updates, ask questions between sessions, or use written tools when that format feels easier. These options make it easier to schedule therapy around work, caregiving, and medical appointments while keeping the focus on the therapeutic goals.
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What this therapist works with
Most often
Also listed
- Abandonment
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Experience
- 13 years
- Licensed
- Texas
- Languages
- English
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