- Emotionally-Focused Therapy
- Cognitive Behavioral Therapy
- Mindfulness Therapy
About Sandra
Dr. Sandra Bruno is an LMFT - Licensed Marriage and Family Therapist in Alabama with 25 years of clinical experience. She works with people struggling with stress, anxiety, addictions, relationship problems, grief, low self-esteem, and life changes. Sessions are offered in English and she can include faith when clients request it.
She uses Emotionally-Focused Therapy (EFT) alongside Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Client-Centered Therapy, and Mindfulness Therapy. That mix lets her address emotional patterns, unhelpful thoughts, and behaviors while also attending to values and present-moment awareness. Conversations tend to focus on what feels most pressing and what a person wants to change next.
Dr. Bruno draws on a long clinical background plus a Doctorate of Ministry in Pastoral Counseling. Her training and experience include work with addiction and alcohol issues, family-of-origin concerns, and relationship challenges such as infidelity and intimacy problems. She also supports people coping with career transitions, midlife questions, and aging-related concerns.
In sessions she uses client-centered techniques together with evidence-based methods like CBT and ACT. That means practical steps are paired with attention to feelings and relationships. People often start with a few focused goals and then adjust the plan as needed.
Her approach recognizes grief, anger, and emptiness as issues that can be worked on over time. She helps clients talk through difficult emotions, practice new ways of responding, and consider what matters most to them moving forward.
How her approaches translate to online work
Emotionally-Focused Therapy (EFT) focuses on identifying and reshaping emotional responses and interaction patterns. It can help people understand recurring relationship dynamics and name the emotions that are hard to access. Acceptance and Commitment Therapy (ACT) supports noticing thoughts and feelings without being ruled by them while clarifying personal values and next steps. That approach often helps with anxiety, avoidance, and life transitions. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and actions and offers clear strategies for changing unhelpful patterns and building new skills.Finding the right approach is part of the process. Dr. Bruno works collaboratively with clients to decide whether EFT, ACT, CBT, or a mix fits best for a particular concern. Goals and preferences shape how sessions proceed, and plans are reviewed and adjusted as needed.
The biography does not list specific session formats, so please confirm which options are offered before booking. Online sessions can make it easier to fit therapy around work, caregiving, or travel. They also allow for shorter check-ins when that is more practical and let people choose whether to be on camera or not, depending on what helps them engage. The emphasis is on making therapy workable within everyday life while focusing on emotions, behavior, and values.
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 concerns does she address?
She works with stress, anxiety, addictions, relationship and intimacy issues, grief, self-esteem, parenting and family problems, trauma and abuse, career and life transitions, depression, anger, and compassion fatigue.
What therapeutic style does she use?
She combines Emotionally-Focused Therapy (EFT) with Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Mindfulness Therapy to address emotions, thoughts, and behavior.
How long has she worked in this field?
Dr. Bruno has 25 years of clinical experience, including work with addiction and family-related issues and a Doctorate of Ministry in Pastoral Counseling.
What are her credentials and where is she located?
She is an LMFT - Licensed Marriage and Family Therapist in Alabama and works with clients in English.
Does she offer sessions in other languages or accept international clients?
Sessions are offered in English. She does not accept international clients at this time.
What session formats are available?
Please confirm current session options before booking, as the biography does not list specific formats.
How does cost and payment work?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.