Our Mission

Deliver affordable, compassionate, evidence-based interventions to gender and sexual minorities in New York State and beyond


We are social workers practicing in the state of New York. 

Chrissandra M. Andra, LCSW, PLLC serves adults from various communities. Our clients often identify as:
– Kinky
– Sex workers
– Polyamorous/consensually non-monogamous
– Trans/gender expansive/gender non-conforming/non-binary
– Lesbian
– Gay
– Bisexual
– Queer
– Intersex
– Asexual
– Pansexual


We provide individual and group psychotherapy for the treatment of mental-health symptoms. The treatments we provide have evidence supporting their efficacy.


We work with people who reside in New York State. 

On Mondays and Tuesdays, we work out of the Manhattan Alternative Wellness Collective. 

We deliver telehealth via a HIPAA-compliant online platform (i.e., Sessions).


Clinicians at the practice use interventions that have a strong evidence base. In sum, we currently have training and experience in: 
– Behavioral activation
– Cognitive behavior therapy (CBT)
– Dialectical behavior therapy (DBT)
– Dialectical behavior therapy: Prolonged exposure (DBT-PE)
– Exposure and response prevention (ExRP/ERP)
Prolonged exposure (PE)

During the treatment-planning phase of treatment, you and your therapist will agree on a specific intervention and amount of time it will take to deliver treatment. At the end of that period, you and your therapist may decide to continue working together.

A word from Chrissandra

The therapeutic process is a collaboration: the collaborator receiving treatment brings expertise on their lived experience, while the collaborator providing treatment brings clinical expertise. Evidence-based practice (EBP) is the integration of expert knowledge (both in terms of client preference and therapist skill) with research findings. The use of EBP ensures that treatment providers check their biases against the best available data. This does not mean that EBP requires a one-size-fits-all approach; rather, the therapist takes the client’s culture, personal values, preferences, and access to resources into consideration. Therapists who use EBP are lifelong learners, consuming research on developments in the field of behavioral health, so that clients can benefit from these advancements. 

At this practice, you will work with scientist-practitioners who are dedicated to serving sexual and gender minorities, a population that may have difficulty accessing affirming, knowledgeable providers. There are three teams (on which therapists can participate) that support our commitment: the Anti-Oppressive Practice Team, the Dialectical Behavior (DBT) Consultation Team, and the Research Team. The Anti-Oppressive Practice Team studies anti-oppressive materials; develops materials for team leads, supervisors, and psychotherapists to use; evaluates the practice on a regular basis; and creates professional relationships with organizations that serve the populations we serve. The DBT Consultation Team increases therapists’ motivation and capability to apply DBT with clients (i.e., therapy for the therapist), and supports team members in getting certified (via the Linehan Board of Certification). The Research Team studies textbooks and papers on the efficacy and delivery of evidence-based practices (to gender and sexual minorities) and develops materials for delivering evidence-based interventions to the populations we serve; the Research Team hopes to conduct research to enhance the quality of care for those we serve. 

My practice is committed to upholding the principles outlined in the National Association of Social Workers (NASW) Code of Ethics. In accordance with our ethical obligations, we acknowledge and confront instances of oppression, including the ongoing genocide of Palestinian people by the state of Israel, with support from the United States of America. Additionally, I want to emphasize that anti-Semitism in any form will not be tolerated at my practice. I am dedicated to creating an inclusive and respectful environment where individuals feel valued and supported; that being said, confronting white-supremacy culture in pursuit of personal and professional growth is often painful. I want to clarify that, while we acknowledge and discuss political ideologies such as Zionism, we do not conflate Zionism with Judaism. It is essential to maintain a nuanced understanding of these concepts to ensure that dialogue remains respectful and free from stereotypes. If you have any questions or concerns, please do not hesitate to reach out to me directly.