About Sandra
Sandra Rico is a Licensed Mental Health Counselor (LMHC) practicing in Florida with 16 years of experience. She creates a calm, accepting setting where people can talk through worries about identity, relationships, and everyday stress. Sandra speaks English and Spanish and works with clients from various backgrounds, including LGBT concerns and ADHD-related challenges.
Her style is direct and compassionate. She focuses on building communication skills and teaching practical ways to manage emotions.
Background and approach
Sessions often include clear steps people can use between meetings to handle anxiety, sleep issues, low self-esteem, or addiction-related struggles. Sandra combines several counseling methods to match each person's needs. She uses client-centered techniques to follow the person's lead, cognitive behavioral strategies to spot and change unhelpful thinking, and mindfulness to help people steady attention and reduce reactivity.
Narrative methods help people reframe painful stories about themselves. She also supports people through life shifts such as grief, career changes, divorce, and health-related stress. Her work addresses both mood disorders like depression and bipolar symptoms as well as practical problems like caregiver burden and blended family tensions.
Sandra aims to make therapy straightforward and useful. New clients can expect clear goals, regular check-ins on progress, and tools to practice between sessions. The focus is on small, doable changes that make daily life easier.
Approaches that translate well to online therapy
Sandra often uses client-centered work, which means listening closely and following the client's priorities to shape each session. This approach helps people feel heard and steer sessions toward the issues that matter most to them.She also employs cognitive behavioral therapy, which focuses on identifying thought patterns and trying out new behaviors. CBT works well for anxiety, sleep problems, low mood, and ADHD-related challenges by breaking problems into concrete steps and practice tasks.
Mindfulness techniques are offered to help steady attention and reduce reactivity. These practices can be short and easy to do between sessions, which fits well with an online format.
Choosing the right method is a team effort. The therapist will discuss goals, try approaches that match those goals, and adjust methods based on what helps. Clients are invited to share preferences and to review progress together so the plan stays useful.
Online sessions give flexibility for different needs. Video calls let people read facial cues and engage in deeper conversation. Phone sessions work when bandwidth is limited or a shorter check-in fits a busy day. Live chat and text-based messaging let people send quick updates or continue work between appointments. These options help people fit therapy into school, work, or caregiving routines.
Questions people ask
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What this therapist works with
Most often
- LGBT
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 16 years
- Licensed
- Florida
- Languages
- English, Spanish
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