Sandra Graham, LPC, LPCC

Sandra Graham is a licensed counselor with 25 years of experience helping people navigate hard changes and persistent challenges. She practices in Tennessee and draws on a long history of work with adolescents and adults. Sandra listens carefully and focuses on practical steps clients can try between sessions.

Her background includes residential treatment work with children and teens ages 5 to 17, including those with co-occurring emotional, behavioral, and neurodevelopmental challenges. She has also worked in outpatient community mental health and provided home-based counseling. That variety gives her experience with grief, depression, anxiety, trauma, and addiction-related concerns.

Sandra uses several approaches to fit the person in front of her rather than forcing a single method. She often blends Acceptance and Commitment Therapy, cognitive behavioral ideas, attachment-based perspectives, client-centered listening, and mindfulness practices. That mix helps people build skills, notice patterns, and make small changes that matter.

She also supports parents dealing with parenting strain and family conflict, and helps people coping with chronic pain, illness, or disability find ways to manage day-to-day stress. Issues like abandonment, adoption and foster care, blended family dynamics, and caregiver stress are part of her practice focus.

Sandra aims to make therapy a collaborative process. She emphasizes strengths, practical steps, and steady progress. New clients are guided through a short matching questionnaire to find an initial plan that fits their goals and life demands.

How approaches like ACT and attachment work online

Sandra commonly uses Acceptance and Commitment Therapy and Attachment-Based Therapy alongside client-centered listening. Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck and identify actions that match their values. Attachment-Based Therapy looks at early relationship patterns to understand current relationship struggles and improve emotional connections.

Finding the right approach is part of the work. The therapist will collaborate with the client to decide which methods fit best based on goals, daily life, and personal preferences. This helps shape session focus and homework between meetings.

Confirm the available session formats before booking since options were not specified in the biography. Online therapy can make it easier to fit care into a busy life because sessions can reduce travel time, allow shorter check-ins when schedules are tight, and let people join from locations with quieter surroundings. Licensed professionals can guide skill practice, mindfulness exercises, and values-based planning in ways that translate into everyday routines without promising a specific outcome.