- Thoughts and habits
- Relationship support
- English and Spanish
About Sandra
Sandra Miramontes is a Licensed Marriage and Family Therapist (LMFT) based in Florida who offers warm, practical help for people feeling stuck. She speaks English and Spanish and aims to make therapy approachable for everyday problems. Her focus includes relationship difficulties, anxiety, depression, grief, stress, and issues with self-esteem and intimacy.
Sandra uses short-term and longer-term strategies that fit each person. She combines tools from cognitive behavioral techniques and acceptance-based work with a focus on attachment and emotion. Sessions are intended to feel conversational and focused on finding clearer ways to cope day to day.
She has a Master of Science degree in Counseling and a Bachelor of Arts in Psychology. Sandra brings ten years of clinical experience working with people from diverse cultural backgrounds. That variety informs how she adapts methods to each person’s needs.
In sessions she helps people notice patterns in thinking and daily habits, and then tries new ways to respond. She teaches practical skills for managing strong feelings, improving communication, and rebuilding trust after trauma or loss.
Sandra tailors her approach around what the person wants to change. She works on concrete goals like reducing anxiety, coping with grief, managing mood swings, addressing addictive behaviors, or improving parenting and career stress. The emphasis is on useful steps that can be applied between sessions.
Sandra uses short-term and longer-term strategies that fit each person. She combines tools from cognitive behavioral techniques and acceptance-based work with a focus on attachment and emotion. Sessions are intended to feel conversational and focused on finding clearer ways to cope day to day.
She has a Master of Science degree in Counseling and a Bachelor of Arts in Psychology. Sandra brings ten years of clinical experience working with people from diverse cultural backgrounds. That variety informs how she adapts methods to each person’s needs.
In sessions she helps people notice patterns in thinking and daily habits, and then tries new ways to respond. She teaches practical skills for managing strong feelings, improving communication, and rebuilding trust after trauma or loss.
Sandra tailors her approach around what the person wants to change. She works on concrete goals like reducing anxiety, coping with grief, managing mood swings, addressing addictive behaviors, or improving parenting and career stress. The emphasis is on useful steps that can be applied between sessions.
Areas of expertise
Primary focus
Also works with
Stress, AnxietyAddictionsGriefParenting issuesCareer difficultiesBipolar disorderDepressionCoping with life changesCompassion fatigue
Additional focus areas
AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodHypnotherapyImago Relationship TherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy
Experience
10+ years
Credentials
Florida, Tennessee
Languages
English, Spanish
How Sandra’s Approaches Help Online
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and emotions without getting stuck in them, then committing to actions that match what matters most. This can help when anxiety, depression, or avoidance keep someone from daily routines or relationships.Attachment-Based Therapy looks at how past relationships shape current connections. It helps people understand patterns in closeness, trust, and conflict so they can try different ways of relating to others.
Cognitive Behavioral Therapy (CBT) examines unhelpful thought patterns and tests small behavioral changes to reduce symptoms like anxiety or low mood. It’s often used to build clear, practical skills people can use between sessions.
Choosing the right approach is part of therapy. Sandra works collaboratively to figure out which methods match a person’s needs, goals, and preferences. She may combine elements from different approaches and will explain why a strategy is recommended.
If you’re considering online sessions, confirm the exact session formats before booking. Online therapy can make it easier to fit appointments into a busy life, reduce commute time, and allow shorter check-ins when needed. It can also let people continue consistent work when schedules change. Discuss with Sandra which session arrangements will work best for your routine and goals.
Frequently asked questions
What kinds of concerns does Sandra address?
She helps people with relationship problems, trauma and abuse, intimacy issues, anger, self-esteem, stress, anxiety, addictions, grief, parenting, career concerns, bipolar and depression, and coping with life changes.
How would you describe Sandra’s therapy style?
Sandra blends practical skill-building with acceptance and emotion-focused work. Sessions tend to be conversational and aim to change thoughts and everyday habits that get in the way.
What is her clinical experience?
She has ten years of experience working with people from different cultural backgrounds and adapts approaches to individual needs.
What credentials and location apply?
Sandra holds the LMFT credential and is licensed in Florida and Tennessee, and she practices from Florida.
Which languages are supported for sessions?
Sessions are offered in English and Spanish.
Can international clients work with Sandra?
She is not currently accepting international clients.
How does payment and cost work?
Cost varies with location and therapist availability; sessions operate through a subscription model that can be canceled at any time.
How do I begin working with Sandra?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist’s availability.