About Sandra
Sandra Rico is a licensed mental health counselor with 16 years of clinical experience in Florida. She creates an affirming, respectful space for people facing anxiety, depression, relationship strain, or questions about identity. She speaks English and Spanish and offers therapy in both languages.
Sandra focuses on practical work that helps people manage day-to-day problems. She uses approaches like client-centered work, cognitive behavioral techniques, mindfulness, motivational interviewing, and narrative methods to help clients name what matters and try new ways of coping.
Background and approach
Sessions emphasize clear steps and achievable goals. Parents often come for help with sleep, behavior, or stress that affects family life. Other common concerns she addresses include addictions, trauma and abuse, grief, eating and body image problems, and mood issues such as bipolar disorder and disruptive mood dysregulation disorder.
She also supports people facing career stress, caregiver strain, and life transitions. In sessions Sandra listens for patterns that keep problems stuck. Then she and the client try practical experiments to change those patterns.
Conversations may include skill practice, reframing unhelpful thoughts, and using mindfulness to reduce reactivity. She adapts methods to each person's pace and values. People can work with Sandra through video, phone, live chat, or text-based messaging.
International clients are accepted and cost varies by location and a subscription model that can be canceled at any time. To begin, a person completes a short matching questionnaire and schedules a session.
Online approaches that focus on skills and meaning
Client-centered work places the client's priorities at the center and focuses on building trust and clear communication. It helps when someone needs a supportive space to sort values, identity, or relationship questions. Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors and teaches practical strategies to reduce anxiety, manage mood, and change unhelpful habits. Mindfulness therapy teaches simple attention and breathing practices that reduce reactivity and help with stress, sleep, and emotional regulation.Choosing the right approach is a collaborative process. The therapist will listen to your goals, try different methods, and adjust based on what helps most. Together you will decide which combination of techniques fits your needs and preferences rather than following a fixed plan.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full conversations and skill practice, phone works well when lower bandwidth is needed, live chat can be a shorter check-in, and text messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into work, parenting, or travel schedules while keeping treatment consistent and flexible.
Questions people ask
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What formats are used for online sessions?
How does payment and scheduling work?
What this therapist works with
Most often
- LGBT
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 16 years
- Licensed
- Florida
- Languages
- English, Spanish
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