Sandra Treston, LMHC

Sandra Treston is a Florida LMHC with 15 years of experience helping adults cope with stress, anxiety, addiction, trauma, relationship problems, low self-esteem, and grief. She frames difficult feelings as signals that something needs to change and works with people who find themselves putting others first or losing their sense of self. Sessions focus on practical steps people can use between appointments.

Sandra uses a combination of approaches aimed at changing unhelpful patterns and building new skills. She draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice thoughts and take values-based action. Client-Centered methods guide how she listens and reflects, while Dialectical Behavior Therapy techniques are used for emotional regulation and distress tolerance. Emotionally-Focused Therapy ideas inform work around closeness and intimacy issues.

In a typical meeting she helps clients name what they’re doing that isn’t working and tries out small changes. That might include practicing a short skill, testing a boundary, or shifting a thought pattern. Sandra keeps language direct and uses simple exercises people can apply the same day.

Her approach suits adults dealing with addiction, codependency patterns, body image, commitment concerns, communication problems, and complicated grief. She also works with mood disorders, anger, narcissistic dynamics, and personality disorder issues when adults bring them up.

Sandra asks people to be ready to try concrete steps between sessions. She helps set achievable goals, track progress, and adjust the plan if something does not fit. The emphasis is on steady, practical change rather than quick fixes.

Therapeutic approaches used in online sessions