- Stress and anxiety
- Family of origin
- Addictions work
About Sandra
Dr. Sandra Bruno is an LMFT - Licensed Marriage and Family Therapist in Alabama with 25 years of clinical experience. She works with adults who are struggling with stress, anxiety, addiction, relationship and parenting concerns, grief, low self-esteem, and family of origin issues. Sessions often address intimacy-related problems, anger, career decisions, and coping with life changes.
She uses practical, evidence-informed methods to help people clarify what they want and make changes that fit their lives. Sandra combines Client-Centered work with approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Emotionally-Focused Therapy, and Mindfulness practices. She also draws on motivational interviewing when addressing alcohol and drug challenges.
Sandra has a background in pastoral counseling and a Doctorate of Ministry in Pastoral Counseling, which she integrates on request into conversations about faith and values. Her experience includes working with grief, compassion fatigue, midlife concerns, and issues tied to family roles and expectations. She lists family of origin issues among her focus areas for exploring long-standing patterns.
In sessions she will help people name patterns they keep repeating, test out small changes, and practice skills for handling intense feelings. For those facing addiction or relapse risk, she uses goal-focused strategies alongside motivational approaches. For relationship and intimacy issues she employs emotion-focused work to help identify and shift interaction cycles.
Clients who choose Sandra can expect straightforward, practical sessions that emphasize clear goals and lived change. To begin, people follow the site's process to see available options and schedule an initial session.
Therapeutic approaches and working online
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings while choosing actions that match their values. It is useful for anxiety, stress, and making difficult life changes. Cognitive Behavioral Therapy (CBT) focuses on changing unhelpful thinking patterns and testing new behaviors to reduce symptoms of anxiety and depression. Emotionally-Focused Therapy (EFT) targets how partners or individuals respond to strong emotions to shift problematic interaction patterns.Finding the right approach is part of the work. Sandra will discuss how these methods fit the client's goals and preferences and adapt them together. The choice of approach is collaborative and may change as progress is made.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit appointments around work, family, or other commitments. They also let people join from a location that reduces travel time, allows shorter check-ins when needed, or avoids being on camera if that helps with concentration. Licensed professionals can use these formats to keep continuity of care while working on family patterns, addiction goals, grief, and relationship issues.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Alabama
Languages
English
Frequently asked questions
What kinds of problems does she work with?
She works with stress, anxiety, addictions, relationship and parenting issues, grief, depression, and related concerns such as anger, career and life changes.
What is her general therapy style?
She practices in a Client-Centered way and uses practical methods like ACT, CBT, EFT, mindfulness, and motivational interviewing depending on needs.
How long has she been practicing?
She has 25 years of clinical experience as a licensed marriage and family therapist.
What are her credentials and where is she based?
She is an LMFT licensed in Alabama and holds a Doctorate of Ministry in Pastoral Counseling.
Does she work in languages other than English?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started if I want to meet with her?
Click the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.