About Sandra
Sandra Rico is a licensed mental health counselor practicing in Florida. She has 16 years of experience helping people face stress, anxiety, depression, and major life changes. She speaks English and Spanish and works with a wide range of concerns including LGBT issues, relationships, parenting, addiction, trauma, grief, and ADHD.
Her sessions aim to be straightforward and compassionate. She focuses on building real communication skills and practical coping tools. Conversations cover emotions, behaviors, and small changes that add up over time.
Background and approach
Sandra uses several shared approaches in her work. She draws on client-centered methods to follow each person's priorities. Cognitive behavioral techniques help identify unhelpful thinking and develop new habits.
Mindfulness approaches support attention and emotion regulation. She also uses motivational interviewing to support change and narrative work to help people reframe their stories. Those methods are chosen to match a person’s goals and situation.
Over 16 years she has supported people dealing with grief, eating and sleeping struggles, anger, and career-related stress. Sandra helps people sort through family and blended-family issues, communication and commitment concerns, and the impact of medical issues like cancer or caregiving stress. Sessions are practical, with an emphasis on skills you can try between meetings.
Her bilingual practice aims to make therapy easier to access for English and Spanish speakers.
Therapeutic approaches for online work
Sandra commonly uses client-centered therapy which emphasizes listening to each person's priorities and building sessions around what matters most to them. This approach helps when someone needs space to tell their story and set the goals they care about.She also draws on cognitive behavioral therapy, which helps identify unhelpful thoughts and test new behaviors. CBT is often useful for anxiety, depression, sleep and eating problems, and stress management. Mindfulness techniques are used alongside these approaches to strengthen attention, reduce reactivity, and support emotion regulation during hard moments.
Finding the right mix of approaches is part of the work. The therapist will discuss goals, try methods, and adjust plans together with the client. That collaborative process helps match techniques to the person’s needs and preferences.
Online therapy offers practical advantages. Video calls are useful for interactive work and face-to-face conversation. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging provide short check-ins, quick skill practice, or ongoing support between sessions. These options create more flexibility for scheduling around work, caregiving, or other daily demands.
Frequently asked questions
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Specialties and expertise
Top specialties
- LGBT
- Relationship issues
- Family conflicts
Also works with
- 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