Therapist profile
Sandra "Sandy" Ramsey, LMHP, LPC
Nebraska
Licensed counselor for relationships and codependency
Continue with SandraWhere Sandra stands
- Credentials
- LMHP, LPC
- License
- LMHP, Nebraska / 1031; LPC, Nebraska / 781; LMFT, Nebraska / 41
- NPI
- 1437730470
- Experience
- 35 years
- Languages
- English
- Location
- Nebraska
About
- Relationship issues
- Codependency work
- Sexuality and gender
About Sandra
Sandra "Sandy" Ramsey is a Licensed Mental Health Practitioner (LMHP) and a Licensed Professional Counselor (LPC) in Nebraska with 35 years of clinical experience. She works with adults on relationship and family concerns, LGBTQ matters, intimacy and sexuality, addiction-related problems, grief, anger, and coping with life changes. Sandy also notes interests in codependency, communication issues, blended family challenges, and compassion fatigue.
Clients can expect a mix of conversational and goal-focused work. Sandy adapts her style to what a person brings in the room, sometimes listening and reflecting, and sometimes offering more structured guidance. She names Client-Centered Therapy, Cognitive Behavioral Therapy, and Solution-Focused Therapy among her approaches.
Her background includes long-term clinical practice supporting adults and couples through relationship strain, separation, and family-of-origin problems. She has worked with people navigating gender questions, non-monogamous relationship styles, sexual concerns, and the stresses that come with first responder roles and aging issues.
Sandy aims to keep sessions practical. That can mean working on communication skills, boundary-setting, or changing patterns that feed codependent behavior. She also helps people process loss and manage anger in daily life.
People who choose her often want steady, experienced guidance rather than a single method. To begin, Sandy asks about current concerns and short-term goals so therapy can focus on what matters now.
How sessions work
How her approaches work for online sessions
Client-Centered Therapy focuses on listening and reflecting back what matters to the client. It helps when someone needs to sort out feelings about relationships, identity, or difficult choices. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and offers tools to change unhelpful patterns, useful for anger, addiction-related coping, and codependent habits.Solution-Focused Therapy concentrates on small, achievable goals and practical steps. It is often used to build clearer communication or to set boundaries in relationships. Together these approaches let a therapist alternate between exploration and doing concrete skill work depending on the moment.
Finding the right mix is a collaborative process. The therapist will ask about goals, daily struggles, and what has helped before, then suggest approaches to try. The client and therapist check in and adjust the plan as progress or obstacles appear.
Session formats are not listed here, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. They also allow work on real-life communication and boundary practice that can be applied between meetings.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
Nebraska
Languages
English
Questions
Frequently asked questions
What kinds of concerns does she work with?
She works with relationship and family issues, intimacy and sexuality, addictions, grief, anger, and coping with life changes.
How would you describe her therapy style?
Her style is flexible - sometimes reflective and client-centered, sometimes structured and goal-focused using CBT and solution-focused techniques.
How much experience does she have?
She brings 35 years of clinical experience working with adults on relationship, family, and sexuality concerns.
What are her credentials and where is she based?
She is an LMHP and an LPC licensed in Nebraska.
Does she work in languages other than English or with international clients?
Sessions are offered in English and she is not currently accepting international clients.
What session formats does she offer?
Confirm current session options before booking, as the available formats are not specified here.
How much do sessions cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.