Sandra Pyram Loyer has been in practice 10 years and is licensed in Massachusetts. Sandra lists parenting issues, self esteem and career difficulties among 20 subjects on the BetterHelp roster.
Everything below is either quoted from Sandra's own
BetterHelp listing, taken from public licensing records, or written by
Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a
rating.
10years in practice
20subjects listed
2languages spoken
01 · Who Sandra works with
Sandra works with parenting issues, self esteem and career difficulties
Sandra lists 5 specialisms and 15 further focus areas. Specialisms are the subjects Sandra chose to list first, which is the closest a listing
gets to “this is my actual practice”.
Specialisms
Parenting issues
Self esteem
Career difficulties
Coping with life changes
Coaching
Also experienced with
Adoption and foster care
Blended family issues
Caregiver issues and stress
Family of origin issues
Family problems
Guilt and shame
Isolation / loneliness
Life purpose
Midlife crisis
Post-traumatic stress
Seasonal Affective Disorder (SAD)
Self-love
Women's issues
Workplace issues
Young adult issues
02 · In Sandra's own words
What Sandra says about the work
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
With close to two decades of clinical experience, I have supported women and individuals experiencing difficulties in most any area of their lives. Whether it is stress, life transitions, or career issues, I can provide a non-judgmental and supportive environment to work through them. As an older Christian woman, your heart is safe with me as we begin this journey of healing and hope!
Sandra Pyram Loyer, on the BetterHelp listing · read 7 Nov 2026
03 · What happens next
From this page to a first session
Sandra practises through BetterHelp, so the route in is BetterHelp's. This is that sequence,
written by Maker Therapy from the platform's published process - not a description of
Sandra's own practice, and not a promise about how quickly anything happens.
A questionnaire, not a booking form
BetterHelp opens with a set of questions about what you are dealing with, what you want from
therapy, and any preferences on the therapist. You are not booking Sandra at this point.
Naming Sandra specifically
BetterHelp matches algorithmically by default, so asking for Sandra is a step you have to
take. There is a field for requesting a specific therapist during sign-up, and you can switch
afterwards from your account. Starting from a link on this page does not by itself assign you to
Sandra.
If the caseload is full
You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is
easy to assume a match is the person you asked for.
The first conversation
A first session is typically history and orientation: what brought you, what has been tried,
what you want to be different. It is also where the questions in the next section belong.
If the fit is wrong
Changing therapist on BetterHelp does not need a reason. A first session that does not click is
common and is not a verdict on therapy. That option existing is the main practical difference
between a platform and a private practice.
04 · Before you commit
3 questions worth asking Sandra
Built from what Sandra actually lists, so they are answerable and specific rather than generic.
Maker Therapy's, not Sandra's - Sandra has not seen them and is under no obligation to answer
any of them.
“How do you decide when someone is ready to work on a traumatic memory itself?”
Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.
“How do you handle the gap between sessions if something comes up?”
On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.
“You offer sessions in English and Haitian Creole. Does the work change depending on which we use?”
People often reach different material in a first language than in a second. Worth naming before you choose.
05 · Practical details
Credentials and licensing
Credential
LMHC
Licensed in
Massachusetts
Licence
RI LMHC MHC00756, MA LMHC LMHC10002597
Licence number
MHC00756
Licence expires
1 Jul 2028
NPI
1265594089
Years in practice
10
Gender
Female
Languages
English, Haitian Creole
International clients
Not accepted
Listed since
20 Jun 2026
06 · Provenance
Where every line on this page came from
Sandra's name, credential, state, subjects, approaches and biography
are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Nov 2026. The licence number and NPI are cross-checked against public registers.
The plain-English method descriptions, the first-session walkthrough and the questions are
written by Maker Therapy and labelled as such wherever they appear.
Maker Therapy is not BetterHelp, does not take bookings, and has not met Sandra. There are no reviews
or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.
?Report this listing
If this listing is you and you do not want it here, tell us and it comes down straight away.
Something on this page wrong or out of date?
Report it and it will be checked against the source.
Maker Therapy is user-supported - when you start through our links we may earn a commission from BetterHelp at no extra cost to you.