Dr. Sandra Madaris, LCSW, CSW

Dr. Sandra Madaris helps people who are struggling with addictions, trauma and abuse, anger, low self-esteem, and depression. She invites clients to talk about what feels hard and then works with them to build practical steps forward. Sandra is a licensed clinical social worker in Georgia and has 23 years of experience as a clinician.

She uses straightforward conversations and tailors each plan to the person sitting across from her. Sessions focus on building skills for managing strong emotions, changing unhelpful thinking, and finding values-based motivation. The work is collaborative and paced to what the client needs in daily life.

Her background includes long-term clinical work supporting people with addiction and relationship difficulties. She also addresses related concerns such as abandonment issues, attachment struggles, codependency, and problems with communication and control. Sandra helps people facing medical stressors like cancer, and supports caregivers coping with strain.

Therapy can involve learning tools from cognitive behavioral approaches and practicing emotional regulation from dialectical methods. She also draws on acceptance and commitment ideas and emotionally-focused work to address attachment and grief. Sessions are tailored to the problem at hand rather than a single method.

Sandra treats each person with respect, sensitivity, and compassion. She encourages small, manageable changes that fit into everyday routines. Taking a first step can feel hard, and she acknowledges that courage when clients begin this work.

Therapeutic approaches and how they fit online

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters most and taking small actions that match those values. It helps when stuck in patterns like avoidance or unclear goals. Cognitive Behavioral Therapy (CBT) teaches practical ways to spot and change unhelpful thoughts and behaviors, which can reduce symptoms of depression and anxiety. Dialectical Behavior Therapy (DBT) provides concrete emotion regulation and distress tolerance skills for intense feelings and volatile reactions.

Finding the right approach is part of the work together. The therapist reviews goals, life context, and preferences with each person and then suggests techniques that fit. That decision is collaborative and may change as progress is made.

The biography does not list specific online session formats, so confirm current options before booking. Online work can make it easier to fit therapy into a busy life by removing travel time and allowing shorter check-ins or flexible scheduling. It can also let people practice skills in their day-to-day settings and bring real situations into conversation for faster learning.