- Years in practice
- 10
- Credentials
- LMFT
- Licensed in
- Florida, Tennessee
- Languages
- English, Spanish
- Focus
- Relationship issues
- Focus
- Trauma and abuse
About Sandra
Sandra Miramontes is a Licensed Marriage and Family Therapist with ten years of clinical experience. She speaks English and Spanish and supports people dealing with parenting stress alongside related concerns like anxiety, depression, grief, and relationship challenges. Sandra shapes sessions around what each person brings to the room.
She listens first, then offers strategies drawn from practical therapies such as cognitive behavioral and acceptance-based approaches. Conversations are straightforward and focused on what can change now.
Background and approach
Clients often bring issues tied to trauma, attachment, addiction, or major life shifts. Sandra also helps people manage anger, low self-esteem, compassion fatigue, and the care demands that come with chronic illness or aging relatives. She pays attention to how people’s histories affect current patterns.
Her work blends gentle inquiry with hands-on tools. That can mean learning new coping skills, practicing communication moves, or shaping values-based goals. Sessions aim to reduce day-to-day strain and build routines that support clearer choices.
Sandra earned a Master of Science in Counseling and a Bachelor of Arts in Psychology before licensure. She holds LMFT credentials in Florida and Tennessee and draws on ten years of practice serving diverse cultural backgrounds. Her approach is collaborative and practical for people balancing parenting and life responsibilities.
What Sandra works with
Everything Sandra lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Sandra helps people with.
- Relationship issues
- Trauma and abuse
- Intimacy-related issues
- Anger management
- Self esteem
- Stress, Anxiety
- Addictions
- Grief
- Parenting issues
- Career difficulties
- Bipolar disorder
- Depression
- Coping with life changes
- Compassion fatigue
- Abandonment
- Adoption and foster care
- 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
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- 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
- 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
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Approaches Sandra lists
- 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
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online care
Sandra draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to guide online work. CBT focuses on identifying unhelpful thinking and testing new behaviors, which helps with anxiety, depression, and everyday parenting challenges. ACT emphasizes values and small committed actions to reduce avoidance and improve meaningful routines.Finding the right approach is part of the process. The therapist will talk with the client about goals and preferences and help decide which methods fit best. That collaborative choice can change as needs evolve over time.
Online formats include video calls, phone sessions, live chat, and text-based messaging to match different days and tasks. Video sessions let people practice communication and see nonverbal cues. Phone sessions can be easier when bandwidth is limited or when a shorter check-in fits a work break. Live chat and messaging work well for brief reflections, skill practice, or follow-up between fuller sessions. These options give flexibility for parents juggling appointments and caregiving.
Questions people ask about Sandra
What concerns does Sandra commonly address?
Sandra works with issues such as anxiety, depression, trauma and abuse, relationship and intimacy struggles, anger, addictions, grief, and parenting stress.
What is her therapeutic style like?
Her style is collaborative and practical. She combines listening with hands-on tools from approaches like CBT and ACT to help people make small, steady changes.
How much experience does she have?
She has ten years of clinical experience working with people from diverse cultural backgrounds and life situations.
What credentials and location are listed?
She is a Licensed Marriage and Family Therapist - LMFT - with licensure in Florida and Tennessee and is based in Florida.
Which languages are available for sessions?
Sessions are offered in English and Spanish.
Can international clients work with her?
International clients are not currently accepted; sessions are provided to clients within the therapist's permitted regions.
What formats are offered for sessions?
Sessions can be conducted through video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How does cost and scheduling work?
Cost varies by location and therapist availability and uses a subscription that can be canceled at any time; to begin, use the Start Therapy button and complete a short matching questionnaire then schedule according to availability.
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