Sandra Miramontes, LMFT

Approaches that translate well to online care

Acceptance and Commitment Therapy helps people notice hard thoughts and feelings without getting stuck in them and then take steps toward what they value. It can be useful for anxiety, depression, and life changes. Cognitive Behavioral Therapy focuses on the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns; it often helps with anxiety, mood, and stress management. Attachment-Based Therapy looks at how early relationship patterns shape current connections and works to change how people relate and feel safe in close relationships.

Deciding which approach fits best is a collaborative process. Sandra will talk with each person about goals, preferences, and what has or hasn’t worked before. Together they choose methods and try them out, then adjust the plan based on what feels most helpful.

Online therapy offers flexibility and different ways to stay connected. Video calls let people have a session that feels most like an in-person meeting. Phone sessions can work when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging are useful for brief check-ins, skill practice, or when a shorter touchpoint fits into a busy day. These formats make it easier to fit therapy into work, caregiving, or travel schedules while still working on real change with a licensed professional.