About Sandra
Sandra Miramontes is a Licensed Marriage and Family Therapist (LMFT) based in Florida who helps people navigate stress, anxiety, relationship difficulties, and phobias. She speaks English and Spanish and draws on a decade of clinical work to offer practical support and clear next steps. Sandra uses straightforward conversation to help people feel heard and move toward change.
She blends several approaches to meet each person's needs instead of using a single method.
Background and approach
In sessions Sandra listens for patterns in relationships, thoughts, and behavior. Then she offers exercises, reflections, and homework that fit day-to-day life. Clients can expect concrete tools to manage strong emotions and strained communication.
Sandra earned a Master of Science degree in Counseling and a Bachelor of Arts in Psychology. Her clinical background includes work with diverse cultural backgrounds and with a wide range of concerns such as trauma, grief, addictions, and chronic illness. That varied experience informs how she tailors care.
In therapy she focuses on skills that improve coping and connection. That can include learning ways to reduce anxiety, handle anger, or rebuild trust after abandonment or attachment wounds. Sessions are paced to match each person’s goals and comfort level.
Her style is collaborative and down-to-earth. People who prefer clear guidance and practical strategies often find the sessions useful. Sandra encourages small steps that add up to real change over time.
How evidence-based approaches work online
Sandra often uses Acceptance and Commitment Therapy (ACT) to help people notice painful thoughts without getting stuck in them and then move toward values-based action. ACT is useful for anxiety, stress, and living with chronic conditions.She also draws on Cognitive Behavioral Therapy (CBT) to identify unhelpful thinking patterns and practice different behaviors. CBT provides step-by-step tools for managing fears, phobias, and mood symptoms.
Finding the right approach is part of the work. Sandra will collaborate with each person to choose methods that match their goals, needs, and preferences. That might mean combining ACT and CBT or adapting techniques from attachment-focused work when relationship history matters.
Online therapy makes these methods more accessible. Video calls allow face-to-face conversations and demonstrations of skills. Phone sessions can be a simpler option when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging suit people who want ongoing written coaching, check-ins between sessions, or a low-pressure way to start. These formats let clients fit therapy into busy lives while keeping the same therapeutic focus and structure.
Questions people ask
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What this therapist works with
Most often
- Relationship issues
- Trauma and abuse
- Intimacy-related issues
Also listed
- Abandonment
- Addictions
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Stress, Anxiety
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- 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
- Eye Movement Desensitization and Reprocessing (EMDR)
- Gottman Method
- Hypnotherapy
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 10 years
- Licensed
- Florida, Tennessee
- Languages
- English, Spanish
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