- Guilt and shame
- Caregiver stress
- ACT and CBT
About Sandra
Sandra Sunter is a Florida Licensed Mental Health Counselor (LMHC) with 37 years of professional experience. She works with people facing grief, loss, depression, low self-esteem, and the stresses that come with caregiving and serious illness. Sandra helps clients name what feels overwhelming and figure out practical next steps.
Sandra focuses on honest, straightforward conversations about worry, guilt, and shame. She uses approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered Therapy to help people notice difficult thoughts and choose actions that matter to them. Sessions are aimed at clear skills and small changes rather than jargon or lengthy theory.
Her practice also addresses relationship strain, addiction concerns, anxiety, eating and food-related issues, anger, and trauma and abuse. Sandra works with people dealing with cancer, chronic illness, aging-related concerns, caregiver stress, and family of origin issues. She also supports those facing divorce, codependency, and forgiveness questions.
In sessions she encourages practical experiments - short exercises to test new behaviors between meetings. She helps people build everyday routines that reduce stress and improve mood. Conversations are grounded in the client’s life and responsibilities, so therapeutic work fits into real-world demands.
Sandra conducts work in English from her Florida practice. Her approach emphasizes collaboration: identifying what matters, trying manageable changes, and reviewing what helps next. If someone struggles with guilt or shame, she addresses those feelings directly alongside the other concerns they bring.
How Sandra uses ACT, CBT and client-centered work online
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting driven by them, then choose actions that reflect their values. It can be useful for guilt, shame, anxiety, and life changes. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and behavior and teaches concrete skills to change unhelpful patterns, which many people find useful for depression and anxiety. Client-Centered Therapy focuses on listening and reflecting so the client’s own goals guide the work, helping people feel heard and make their own decisions.Choosing an approach is a collaborative process. Sandra will talk with each person about their goals and daily life, try methods that fit those needs, and adjust the plan based on what helps. The first sessions are often about clarifying what matters and testing one or two practical steps.
The therapist’s specific session formats are not listed here, so confirm current session options before booking. Online work can make it easier to schedule appointments around caregiving, work, or medical treatments. It can also allow shorter check-ins or sessions without video if that fits a person’s day. Licensed professionals can help fit sessions into everyday life while keeping the focus on clear, doable change.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
37+ years
Listed in
Florida
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
Sandra works with grief, loss, depression, low self-esteem, anxiety, relationship strain, addictions, trauma, and related issues such as caregiver stress, chronic illness, and guilt and shame.
How would she approach feelings of shame or guilt?
She uses practical, step-by-step methods from approaches like ACT and CBT to name painful thoughts and try small behavioral changes that reduce their hold over daily life.
How much experience does she have?
She has 37 years of professional work experience as a clinician in Florida.
What are her credentials and where is she based?
She is a Florida LMHC and practices in Florida.
Which languages are supported in sessions?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How much do sessions cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What is the first step to begin working together?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.