Dr. Sandra Madaris, LCSW, CSW

Dr. Sandra Madaris helps people facing midlife changes and related struggles. She focuses on addictions, trauma and abuse, anger, low self-esteem, and depression. Sandra uses a calm, respectful approach to make beginning therapy feel less overwhelming.

She adapts conversations and plans to fit each person's needs. Sessions aim to clarify what matters most and build practical steps for change. Her style is direct but compassionate, with attention to feeling and behavior alike.

With 23 years of experience, Sandra draws on several well-known therapy approaches. She blends practical skill-building with deeper emotional work when it helps. That means learning new coping tools while also looking at patterns that keep someone stuck.

Clients can expect straightforward talk about real-life problems. Sandra listens for how past experiences shape current choices and offers tools to manage strong emotions. She works to make goals feel reachable and breaks bigger problems into clear next steps.

Therapy with Sandra is collaborative. She partners with people to set priorities and adjust the plan over time. If you are facing a turning point in midlife or dealing with addiction, mood, or self-worth concerns, she aims to help you move forward.

How her approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed action. It helps people who feel stuck by encouraging small steps toward what matters most. Cognitive Behavioral Therapy (CBT) focuses on how thoughts, feelings, and behaviors connect; it teaches practical skills to change unhelpful patterns and reduce symptoms. Emotionally-Focused Therapy (EFT) looks at emotional experience and attachment patterns to improve how someone understands and responds to feelings.

Choosing the right approach is a collaborative process. The therapist will discuss goals, preferences, and what feels most useful. Together, they can test different methods and adjust the plan based on progress and comfort.

The practical benefit of online work is fitting therapy into everyday life. Online sessions can make it easier to keep appointments around work, caregiving, or travel. Because the biography does not list specific session formats, confirm current options before booking to know what will work best for your schedule.