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Christine Sande

Christine Sande, LCMHC

North Carolina

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Licensed Clinical Mental Health Counselor - Blended family issues

  • Stress and anxiety
  • Addictions support
  • Blended household concerns

About Christine

Christine Sande is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with three years of clinical experience. She works with adults facing stress, anxiety, addictions, trauma and abuse, anger, and depression. She also helps people dealing with relationship strain, grief, eating concerns, parenting stress, self-esteem, career questions, bipolar concerns, ADHD, and life changes.

Christine uses straightforward conversation to identify what feels hard now and what small changes could help. Sessions focus on practical steps and clearer thinking, not long theory. She pays attention to patterns that keep problems repeating and looks for ways to interrupt them.

People in blended households may find her helpful for issues like co-parenting tension, loyalty conflicts, and merging routines. She talks through communication problems, codependency, control struggles, and the emotional side of divorce and separation. She can also address substance use, domestic violence impacts, and first responder stress.

Christine adapts the pace to each person. She listens for what matters most and suggests manageable skills to try between sessions. She explains options and helps set realistic goals so progress feels measurable rather than vague.

Sessions are offered in English and Italian. Therapy cost varies by location and uses a subscription model that can be canceled at any time. To begin, people complete a short matching questionnaire and schedule a first session.

Approaches you might use and how online sessions work

Christine focuses on evidence-based techniques that help people change unhelpful patterns and manage strong emotions. One common approach is skills-based work that teaches concrete strategies for anxiety, anger, and coping with cravings; these are short exercises and behavioral steps to try between sessions. Another approach focuses on problem-solving and communication skills to reduce conflict and clarify roles in blended households; this helps with co-parenting tensions and merging routines.

Choosing the right way to work happens together. Christine will talk about what feels most useful, try an approach for a few sessions, and adjust based on how things go. The process is collaborative and goal-oriented so you can see what helps over time.

The therapist's specific session formats are not listed here, so confirm current options before booking. Online work can make it easier to fit sessions around busy schedules, allow shorter check-ins by phone if needed, or avoid travel time so appointments are more manageable. Therapists and licensed professionals often use these options to help people keep therapy consistent with everyday life.

Areas of expertise

Also works with

Relationship issuesGriefEating disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesADHD

Additional focus areas

Blended family issuesBody imageCodependencyCommunication problemsControl issuesDivorce and separationDomestic violenceDrug and alcohol addictionFamily problemsFirst responder issuesForgivenessGuilt and shameIsolation / lonelinessJealousyLife purposeMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressSelf-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issues

Experience

3+ years

Listed in

North Carolina

Languages

English, Italian

Frequently asked questions

What kinds of problems does she help with?

She works with stress, anxiety, addictions, trauma and abuse, anger, depression, relationship and parenting concerns, and related life changes including blended family issues.

What is her general approach to therapy?

She uses practical conversation and skill-building to identify patterns and try small changes between sessions. The focus is on clear steps and measurable goals.

How much clinical experience does she have?

She has three years of professional work experience as a clinician in North Carolina.

What are her credentials and where does she practice?

She is an LCMHC licensed in North Carolina and provides services while based in that state.

Which languages are supported in sessions?

Sessions are offered in English and Italian.

Can she work with people outside the United States?

She does not accept international clients at this time.

How does payment and cost work?

Cost varies with location and therapy uses a subscription that can be canceled at any time.

How do I start a first session?

Select the See online therapy options button, complete a short matching questionnaire, and schedule your initial appointment.

Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.

Christine SandeLCMHC

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