Christine Sande, LCMHC

Christine Sande is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina. She focuses on helping people who are dealing with stress, anxiety, addictions, trauma, anger, and relationship concerns. Christine speaks English and Italian and aims to meet people where they are with respect and compassion.

Christine tailors conversations and plans to each person's situation. She spends time listening to what matters most and works with clients to set clear, manageable goals. Her approach is straightforward and practical, concentrating on actions people can try between sessions.

With three years of professional experience, Christine has supported clients through grief, eating and body image concerns, and challenges tied to parenting and blended family issues. She also addresses control issues, jealousy, codependency, and substance use concerns. Christine encourages clients to identify small changes that lead to better daily functioning.

She believes starting therapy is a brave step and aims to create a calm, respectful space for that work. Sessions combine talking through problems with concrete steps for coping and problem solving. Christine adjusts pacing and techniques to match each person's needs.

People can expect clear communication about goals, practical strategies for coping, and ongoing review of progress. Her work also includes support around career transitions, life purpose, ADHD, bipolar mood challenges, and feelings of isolation so clients can move toward more meaningful routines.

Approaches explained and how online sessions can help

Christine uses evidence-based therapeutic techniques that focus on clear goals and practical skills. One common approach centers on teaching coping strategies for stress and anxiety, such as breath work, grounding, and brief behavioral changes to reduce daily overwhelm. This helps people manage immediate symptoms and build steadier routines.

An additional focus is on relapse prevention and skills for addictions, which involves identifying triggers, planning safer choices, and developing practical alternatives to old patterns. That work is task-oriented and aims to lower the chance of repeating harmful behaviors.

Finding the right approach is part of the therapy process. The therapist works collaboratively to choose methods that match a person's goals, needs, and preferences, and adjusts the plan as progress is reviewed together.

Confirm current session options before booking, as the biography does not specify formats. Online therapy can make it easier to fit sessions into busy schedules, reduce travel time, and allow shorter check-ins when needed. It can also make it simpler to continue care across life changes, since scheduling is often more flexible than in-person visits.