Tammara Sand, LMSW, LCSW

How approach and online care come together

Client-Centered Therapy focuses on the person’s own goals and helps build trust through empathy and active listening. It’s useful when someone needs a steady, nonjudgmental space to sort out feelings or make decisions.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts influence feelings and actions. It uses concrete exercises and small experiments to shift patterns that feed anxiety, low mood, or unhelpful habits.

Emotionally-Focused Therapy helps people understand and change recurring emotional responses, especially where relationship patterns or attachment issues cause distress. This approach helps identify core feelings and create new ways of relating to oneself and others.

Finding the right approach is part of the work. Tammara will collaborate with each person to choose methods that fit their goals and comfort level. She checks in about what is helping and adjusts the plan in real time so the work stays relevant.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy flexible. Video is useful for deeper conversation and visual cues, phone sessions can be simpler when bandwidth is limited, and text or chat work well for short check-ins or between-session support. These options make it easier to fit therapy around work, family, or travel while keeping the focus on progress and practical skills.