Sandra was awarded Massachusetts Counselor of the Year in 2016
          Specializing in Marriage and Couples Counseling - Depression Counselor

Life does not always run smoothly. Either present difficulties or unresolved issues from the past can be very unsettling. Taking advantage of the confidential, personal space offered by a professional counselor can help you overcome the problems that have arisen.Therapy can help you build strong relationships and strengthen communication.

verified by Psychology Today            

                    Cape Cod Alcohol and Drug Counseling and Couples Counselor
A Therapist in Mashpee MA. with A Private Practice, Evening Hours Available.

                                    Call Sandra now for Individualized Counseling near me
 Sandra Farrell MS,CADC ( 508 ) 873 2132

                                        CURRENTLY OFFERING ONLINE VIDEO SESSIONS 

                         Sandra was awarded National Counselor of the Year at the Annual NAADAC Convention

Appointments scheduled within 36 hours.......Evening and Weekend Appointments are available

COUNSELING FOR TODAY'S ISSUES is a privately owned counseling practice and is centrally located on Cape Cod in the town of Mashpee MA. Ms. Farrell is the director of CFTI and has over 25 years of experience in the mental health services field.

Ms. Farrell is a 
Masters level clinician and is a State Certified Alcohol and Drug Addiction counselor  treating  a full spectrum of mental health issues and diagnoses.She offers confidential in-office consultations and counseling.

Sandra is accepting new clients and can usually schedule an appointment within 36 hours and the rates are very reasonable.  The initial phone consultation is free.

View Sandra Farrell profile at Psychology Today

Her specialty has been in alcohol and drug recovery but also includes marriage and couples counseling. Sandra is a compassionate and knowledgeable counselor.  She offers counseling on a Sliding Scale so that most individuals can afford to get the help they want.

CFTI is ready to support individuals and help them work toward their goals and the personal growth they desire. Ms. Farrell offers Outpatient Mental Health Counselingservices for all of Cape Cod and the Islands and local towns which include Mashpee, Barnstable Sandwich, Hyannis and surrounding communities.

How can I get started ? At the first appointment, an evaluation takes place and the counselor and prospective client decide if they feel they would work well together. 

I congratulate every person who is on the road to recovery. I know how difficult that can be. For those contemplating giving up drugs and alcohol I can heartily say, "GO FOR IT"

Are you struggling with depression, anxiety or addictions? Anxiety, Depression, Alcohol Abuse and Drug Addiction Are Disabling Disorders. Alcohol and drugs are not the Answer !

Local Cape Cod Help is Available
in Mashpee Massachusetts and the initial phone consultation is Free.

The Web is Overloaded with articles describing anxiety, depression, addictions and substance abuse. It tells you what the symptoms are, how they effect people, how they originated, etc.. It doesn't usually help the individual to personally deal with these disabling disorders. Anxiety, depression and addictions often ruin lives, and unfortunately, can end up killing a victim.

Cape Cod Hourly Therapy

You already know what your symptoms are. You are painfully aware of how they affect your emotions and your life. You want to deal with them and get answers and treatment for your particular problems. Anxiety, depression, alcohol abuse and drug addiction is experienced differently for each individual. You are entitled to receive treatment just for you. Individualized Counseling works. Call Sandra Farrell, MS, CADC ( Certified Alcohol and Drug Counselor ) (508) 873 2132

Get the attention you deserve with confidential, individually focused extensive one-on-one counseling and therapy for Individuals and couples in relationships that seek counseling

Cape Cod Family Therapy
Outpatient Mental Health Counseling Services include
  • Substance Abuse Counseling
  • Alcohol Abuse Counseling
  • Alcohol Dependence
  • Alcoholism Treatment
  • Alcohol Addiction Treatment
  • Drug Addiction/Chemical Dependency
  • Drug Addictions Treatment
  • Addictions, Substances or Behavioral
  • Addiction Treatment
  • Mood disorders
  • Marriage Counseling
  • Abuse and Neglect Issues
  • Marriage Therapist
  • Couples Counseling 
  • Stress Counseling
  • Couples Therapy
  • Individual Therapy
  • Codependency / Dependency Counseling
  • Bipolar Disorder
  • Grief Counseling
  • Anxiety Counseling
  • Depression Counseling
  • Mental Health Counseling
  • PSTD - Post Traumatic Stress Disorder
  • Adult Children of Alcoholic Parents
  • Support for Family and Friends Affected by Someone’s Use of Substances
  • Isolation and Emotional Dysfunction
  • Cognitive_therapy
  • MA. Certified Outpatient Counselor
  • Outpatient Alcohol and Drug Counselor
  • Mashpee MA. Mental Health Services

A Cape Cod Locally Owned Private Practice Specializing in Marriage and Couples Counseling. Sandra Farrell MS. CADC is a MA. State Certified Outpatient Alcohol and Drug Counselor

Sandra Farrell State Certified Outpatient Alcohol and Drug Counselor

What is Alcohol Abuse Do you think you may have a problem and don't know how to stop drinking? I am an outpatient alcohol drug counselor that specializes in addictions and alcoholism treatment and therapy for individuals and couples. Individualized counseling is an opportunity to talk with an objective listener and a professional in complete confidentiality in a relaxed atmosphere where clients remain with the same counselor throughout treatment.

Offering a comfortable Private Relaxed Setting with Complete Confidentiality to my clients

1. The therapy services offered meet the client's immediate and long-term needs.
2. Confidentiality is assured - clients have their own entrance and private parking
Counseling is by appointment only. Evenings are available.

3. Couples counseling may be short-term, solution-focused or long-term.
4. It is possible for clients and their counselor to develop treatment plans with the opportunity to involve others in their therapy.
5. Clients remain with the same counselor throughout treatment.
7. NO INSURANCE IS ACCEPTED - This is very important so ask me why ?


  • Do you know that you are more anxious or depressed than most people?
  • Do you think you may have a problem with alcohol or drugs, but can't talk about it?
  • Have you felt hopeless to cope with your particular symptoms of anxiety or depression?
  • Have you tried, unsuccessfully, to share how you feel with friends, a partner or family?
  • Has telling others helped you to get relief long-term or only for a short while?
  • Do others care, but get tired of hearing about your symptoms and painful feelings?
  • Do you feel scared and alone in your situation?
  • Do you believe counseling can be effective? But not for you?
  • Have you ever connected well with a counselor?
  • They all have different styles of working with clients. If you don't connect, go to another counselor.
  • Are you open to working with a professional and learn to effectively deal with your pain?
  • Do you want to eliminate or reduce stress and your hopeless feelings?
  • Do you want to be able to recognize the triggers that are related to your anxiety, depression and/or substance abuse?


A sober journey really is a better life. When was the last time you smelled some flowers or went for a walk or talked to someone about what may be bothering you. Take 5 minutes and call Sandra right now and talk about whatever you want in complete Confidentiality.

It has been proven that those receiving counseling have been more successful in their recovery programs than those who try to do it alone. CFTI is ready to support you and help you deal with the stress and confusion in early recovery. It takes time to learn the tools of recovery and build confidence. A key element (action) is taking personal responsibility.

The counselor gives encouragement and positive feedback. The rewards of a sober and straight lifestyle are significant. Friends and family benefit and a journey of recovery has begun for everyone.Call for help now! 508-873-2132 Sandra Farrell, MS,CADAC Director of CFTI


Cape Cod Clouds

Clients do not want to lose those they love, to isolate from the world, to have anxiety and confusion, to experience deep depression or to completely lose trust in themselves and others. Nevertheless, that is often their reality when they enter treatment. With counseling support, clients develop the power to turn things around for themselves. They understand that thoughts, feelings, behaviors, goals and self-caring are areas they need to work on in sessions and outside of sessions. They work toward the positive adjustments needed and that takes time.

Do you constantly worry about any undue, prolonged anxiety, depression or have mood swings or employment issues, loneliness,difficulties in relationships or life events such as marriage, divorce, death, parenthood, blended family issues, retirement. What about chronic physical illness caused by tension and stress or problems following traumatic events such as accidents, childhood abuse, etc.

Are there problems with domestic violence or other forms of  abuse

Are you affected by stress in the face of chronic or terminal illness or other health problems

Do you have constant worries or obsessions,excessive anger,frustration,or guilt with no resolution. What about self-destructive thoughts and behavior problems with drugs or alcohol .

It is important to understand that the counseling required to assist a client with these issues takes time and on-going support. Motivation is a key ingredient to moving forward in counseling.

However, motivation and resistance are ever changing states of readiness. To lower the client's resistance positive action is required from the client. Even with these positive actions change is difficult and the client may feel stuck. Nevertheless, action and change help predict new behaviors. New behaviors encourage clients to move forward and to reach their goals. But there is a big difference between thinking about change and taking action to make those changes. The client is taught how to develop healthy habits of self-advocacy. CFTI clients develop the necessary skills to address this. They will focus on verbalizing optimism and demonstrate commitment.

This work is essential to personal growth and counseling can encourage individuals to face the adversity and barriers they encounter as they move forward in their recovery program. It is a move forward to self-actualization. Clients are offered the opportunity to talk about and understand their fluctuating emotions. The client can then act on what needs to be changed.Client's lives are improved by taking one step at a time. Clients begin to believe, I am worth the effort to get better.

   2020 IS A NEW YEAR....

1. How would things be if your problems were miraculously transformed into solutions? What would it look like? How would your day be different?

2. Read the book by S. Lyubomirsky, “The How of Happiness", New York: Penguin Pub.

3. What is the best thing is your life? The most worrisome?

4.Flip a coin, heads you will think of something positive about someone you love, tails you will identify something negative about someone you love. Talk about both subjects to that person (at a quiet time for you both).

5.Your mission, should you decide to accept it, is to intervene with yourself. What do you want ‘different’ in your life and how will you accomplish that.

6.Write down 4 ways you can implement to ‘bounce back’ from a bad day. Do you actively do these things now?

7.Express 4 things that are positive about someone you love………….and do not tell anyone. Express 4 things that are negative about someone you love…..and decide how you would like to handle those problems……and tell no one.

8.Some strengths of individuals are: creativity, wisdom, perspective, integrity, kindness, fairness, forgiveness, mercy, gratitude, hope, spirituality, open-mindedness, understanding, empathy, love of self, encouragement, foresight, and add three more you can think of
__________________.    _______________________,        ____________________.

9.How would you approach a friend you believe needs some type of counseling or other professional help?

Change Your Thinking To Change Your Behaviors

Change means having  goals and knowing how to reach those goals.

Understand how individuals set goals. Someone else can not set your goals for you. Successful goals need to reflect your new way of thinking.  New behaviors will follow.

One of the most successful ways to develop goals is to make them BEHAVIORAL. This identifies them clearly and gives you a specific place to start.

Break the goals down to be as specific as possible. Here is a goal I was proud to achieve in 2016.

Counselor of the Year Award

Goals are most helpful when set in a positive direction.  Not just the removal of something negative.  Behaviors should be seen and structured as something positive.

Strive towards a counter conditioning approach.   Set a positive goal that is incompatible with a negative behavior or the problem itself.

Identify and talk about a successful experience you have had due to developing a clear goal.  Then build more ideas on that.

Go SLOW!  Take the ‘first step, Then take the ‘second step,Then take a ‘third step, Short-range goals are good beginnings. Intermediate goals will follow and that will lead into long range goals.  

"First Things First”. Take the most urgent problem first. Look at your situation.

Assess your situation and begin to develop steps to rectify your problem. Understand how your thinking needs to change..

Be alert!  Avoid situations that could be potential problems..  Identify problems early.

Build in a feedback mechanism.  (Whom do you trust to share your ideas with?)

Change thinking – develop goals.  Change behaviors – reach those goals.



How do you know when to stop? How do you know that you have a problem and how do you know when to seek help? As I have previously mentioned, if you have noticed yourself spending excessive time thinking about the substance, spending more money on it than usual, or are hiding your behavior from your loved ones, this is indicative of a problem.

Furthermore, if the reasons for which you are using these substances are not common or socially acceptable, then perhaps you need to ask yourself why you’re engaging in these behaviors. When addictions begin to interfere with your life, such as your job, your relationships with other people, and your family life, then you definitely have a problem.

tough decisions ahead

Do you go in circles or become confused as to which road to take? Moving forward requires that your perceptions and your goals complement each other. You need to maneuver a path that is positive and exciting but structured so you can move forward. If you keep on doing what your doing your going to keep on getting what you got!

People who struggle with depression often feel down for extended periods. They lose interest in activities that they once found pleasurable. Depression negatively affects millions of Americans each year.

Anxiety and Stress

Stress and anxiety are related, but often confused. Stress is tension associated with a specific event (e.g. a test or a job), while anxiety is a non-specific worry about the future. To find relief, people with anxiety may turn to repetitive routines, preoccupations, or addictions.


Conflict resolution is an important part of any relationship. Conflict plays a vital role in allowing two people to reconcile differing needs. Unfortunately, when conflict is handled poorly, it can cause distress in the relationship.


Experiences that overwhelm or scare us can leave a lasting impression. The symptoms can leave us stressed, depressed, and have negative consequences for our work and home life.

Feeling understood and understanding one's partner is what allows couples to deeply share one another's lives. Often, couples struggle with communication issues, which actually mask deeper relationship issues.


plays a vital role in sustaining a relationship. People trust differently. For some, trust is established quickly, while others are slow to grant trust. Similarly, some are able to forgive quickly, while others find it hard.

Self-esteem is a feeling of personal worth. It is important to be able to value yourself regardless of your current state of personal achievement, beauty, or intelligence. Your self-esteem creates the foundation for a full life, great relationships, and a feeling of well-being.

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Counseling for Todays Issues

Relapse Prevention Couples Counseling Stress Counseling BF

Sandra Farrell Director
Counseling For Today's Issues
39 Nobska Road
Mashpee, Cape Cod , MA , 02649
508 873 2132