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Sandra "Sandy" Ramsey, LMHP, LPC

Supportive, flexible therapy for relationships, identity, and change
  • Relationship and family support
  • Intimacy and sexuality care
  • LGBTQ+ affirming counseling

About Sandra "Sandy" Ramsey

Sandra "Sandy" Ramsey is a Nebraska-based therapist with 35 years of experience supporting people through a wide range of personal and relationship concerns. She is credentialed as an LMHP and LPC, which means she is licensed to provide mental health counseling and professional counseling services.

Across her career, Sandy has worked with individuals and couples navigating relationship and marriage stress, communication difficulties, family dynamics, and parenting challenges. She also brings focused experience in intimacy and sexuality, gender-related concerns, and LGBTQ+ topics, along with support for grief, anger, addictions, compassion fatigue, and coping with major life changes.

Sandy’s style is designed to stay responsive to what each client needs. Sessions may be warm and reflective when support and understanding are most helpful, or more structured and educational when practical tools and clear guidance fit the moment. Throughout the process, she keeps the client’s goals, worries, and priorities at the center of the work.

Areas of Expertise

Primary Focus

LGBTRelationship issuesFamily conflictsIntimacy-related issuesParenting issues

Also Specializes In

Additional Focus Areas

Aging and geriatric issuesBDSM, kink, and alternative sex cultureBlended family issuesCodependencyCommunication problemsCoping with natural or human-caused disasterDivorce and separationFamily of origin issuesFamily problemsFirst responder issuesGender dysphoriaMulticultural concernsPolyamory / non-monogamous relationshipsSexual dysfunctionSexualityWomen's issuesWorkplace issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Solution-Focused Therapy

Frequently Asked Questions

How much experience does Sandra "Sandy" Ramsey have?

Sandra "Sandy" Ramsey has 35 years of experience providing counseling and support to clients.

Is Sandra "Sandy" Ramsey a licensed therapist?

Yes. Sandra "Sandy" Ramsey holds the credentials LMHP and LPC. Her Nebraska license numbers are NE LMHP 1031 and NE LPC 781.

In which languages does Sandra "Sandy" Ramsey provide therapy?

Sandra "Sandy" Ramsey provides therapy in English.

Where is Sandra "Sandy" Ramsey located?

Sandra "Sandy" Ramsey is located in Nebraska.

How can I work with Sandra "Sandy" Ramsey as my therapist?

You can work with Sandra "Sandy" Ramsey through video calls, phone sessions, live chat, or text-based messaging, depending on what fits your needs and scheduling.

Does Sandra "Sandy" Ramsey work with international clients?

No. Sandra "Sandy" Ramsey does not currently work with international clients.

How much does therapy with Sandra "Sandy" Ramsey cost?

The cost of therapy can vary based on factors such as your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For the most current pricing and details, click the “Start Therapy” button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches, Made Accessible Online

Sandra "Sandy" Ramsey draws from approaches that can be especially helpful for relationship stress, communication challenges, identity concerns, and navigating major life transitions. Client-Centered Therapy focuses on creating a supportive space where clients can clarify what matters most, feel understood, and build self-trust while working toward meaningful change.

Cognitive Behavioral Therapy (CBT) offers practical structure for noticing unhelpful patterns in thoughts, feelings, and behaviors and experimenting with new coping strategies. It can be useful when clients want tools they can practice between sessions. Solution-Focused Therapy keeps attention on strengths, goals, and small, workable steps, which can be helpful when clients feel stuck and want a clear path forward.

Finding the right approach is part of the process. Sandy collaborates with clients to shape sessions around their needs, goals, and preferences, adjusting the pace and structure as therapy unfolds.

Online therapy also makes support easier to fit into real life. Clients can connect with Sandy through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules, changing routines, and different comfort levels with communication styles.

Ready to start therapy with Sandra "Sandy" Ramsey?

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