Sandra Terifaj

Sandra Terifaj is a licensed marriage and family therapist with 35 years of experience. She focuses on concerns such as stress, anxiety, addictions, trauma and abuse, eating issues, depression, relationship difficulties, grief, intimacy-related concerns, self-esteem, and coping with life changes. Sandra also pays attention to codependency, narcissism, personality disorder patterns, and women's issues.

She works in a collaborative, conversational style. Sessions are a space to talk through difficult feelings and to name the obstacles that get in the way. Sandra aims to help people move from being stuck to making practical changes that fit their life.

Her approach blends several methods so therapy can match each person's needs. She draws on client-centered work to follow the person's concerns, cognitive behavioral ideas to address unhelpful thoughts and behaviors, and psychodynamic ideas to look at long-standing patterns. She also uses mindfulness practices and parts work informed by Internal Family Systems when helpful.

Sandra has spent decades in private practice and has supervised interns at nonprofit agencies. That background shapes a steady, experienced presence in sessions and a focus on clear, usable steps forward.

She practices in California and offers services in English. If you want to explore whether her way of working fits you, start by noting the concerns you want to address and what change would look like for you.

How her approaches translate to online work

Client-Centered Therapy is about listening closely and following the person's lead. Online sessions using this approach focus on the client's concerns and priorities and let the conversation guide what comes next.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions interact. In remote sessions CBT can involve setting manageable tasks between meetings and checking progress in follow-up conversations to reduce anxiety and change unhelpful habits.

Mindfulness Therapy brings attention to present-moment experience and simple practices for managing stress. These techniques can be taught and practiced during online meetings and then used during daily routines.

Finding the right approach is part of the work together. The therapist will collaborate with each person to decide which methods match their goals, needs, and preferences. That choice can shift over time as progress and challenges are reviewed.

Confirm current session options before booking so you know which formats are available. Online therapy can make scheduling easier, reduce travel time, and allow for shorter check-ins on busy days. It can also support consistent momentum between sessions through homework and practice that fit into everyday life.