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Sandra Musielewicz

Therapist profile

Sandra Musielewicz, LCSW

Texas

Licensed Clinical Social Worker - Anger and Relationships

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Key details

  • CredentialsLCSW
  • LicenseLCSW, Texas / 68032
  • NPI1588387021
  • Experience9 years
  • LanguagesEnglish
  • LocationTexas

About

  • CBT strategies
  • DBT skills
  • ACT and attachment

About Sandra

Sandra Musielewicz is a Licensed Clinical Social Worker (LCSW) practicing in Texas with nine years of clinical experience. She focuses on helping adults who are dealing with stress, anxiety, depression, ADHD, addictions, relationship struggles, trauma, and anger. Sessions are aimed at practical strategies for day-to-day life and clearer emotional responses.

Sandra uses a person-centered approach that looks at how biology, relationships, and life circumstances affect mood and behavior. She draws on Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, and client-centered methods to guide sessions. Work in therapy often includes identifying unhelpful thoughts, learning emotion regulation skills, and practicing new ways of communicating.

She often helps people manage strong reactions, rebuild trust after painful events, and handle transitions such as divorce or caregiving stress. Sandra pays attention to strengths and practical skills that can be used between sessions. Homework and short exercises are commonly part of the work.

Sandra has experience with a range of concerns including bipolar disorder, sleep problems, intimacy-related issues, and identity matters for LGBT clients. She also addresses related issues such as codependency, abandonment concerns, dissociation, chronic pain or illness, and commitment worries. The approach is collaborative and goal-focused.

International clients may be accepted; sessions are offered in English. Prospective clients are encouraged to confirm current session options before booking. To begin, people complete a short matching questionnaire and schedule a first session through the online options button.

How sessions work

Therapeutic approaches used in online sessions

Acceptance and Commitment Therapy (ACT) focuses on identifying values and taking action that aligns with them. It helps people notice difficult thoughts and feelings without letting those experiences dictate behavior, which can reduce reactivity and build a steadier life pattern.

Cognitive Behavioral Therapy (CBT) breaks down how thoughts, feelings, and behaviors influence each other. It uses practical exercises to challenge unhelpful thinking and to develop new coping strategies for anxiety, anger, and depression.

Dialectical Behavior Therapy (DBT) provides concrete emotion regulation and distress-tolerance skills. These tools are useful for managing intense reactions, improving interpersonal effectiveness, and reducing impulsive responses.

Finding the right approach is part of the work. The therapist will collaborate with the client to choose methods that match their goals, needs, and preferences. That choice can shift as therapy progresses, with regular check-ins about what is helping.

Confirm current session options before booking so you know which formats are available. Online therapy can make it easier to fit sessions into a busy day, allow for shorter check-ins when needed, and remove travel time. It can also let you use quieter surroundings or audio-only options if that makes sessions easier to attend. Licensed professionals and therapists commonly adapt materials and homework for remote sessions to keep sessions practical and focused.

Areas of focus

Areas of expertise

Primary focus

Also works with

AddictionsLGBTRelationship issuesTrauma and abuseIntimacy-related issuesSleeping disordersAnger managementCoping with life changes

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBDSM, kink, and alternative sex cultureCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersMulticultural concernsPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationWomen's issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

9+ years

Listed in

Texas

Languages

English

Questions

Frequently asked questions

What concerns does she address?

She works with stress, anxiety, depression, ADHD, addictions, relationship and intimacy issues, trauma, anger, and related concerns listed in her profile.

How would you describe her therapy style?

Sessions are person-centered and practical, focusing on skills, thought work, emotion regulation, and small between-session exercises.

How much clinical experience does she have?

Sandra has nine years of clinical social work experience supporting adults with a range of behavioral health concerns.

What are her credentials and location?

She is an LCSW licensed in Texas and practices with that credential in that state.

Does she offer sessions in other languages or internationally?

Sessions are offered in English and she accepts international clients.

What session formats are offered?

Please confirm current session formats before booking so you know which appointment types are available.

How is cost handled?

Cost varies by location; sessions are billed through a subscription that can be canceled at any time.

How do I get started with her?

Use the See online therapy options button, complete the short matching questionnaire, and schedule your first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is unsafe, use the crisis numbers.

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Sandra Musielewicz

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