About Sandra
Dr. Sandra Bruno works with adults facing stress, anxiety, addictions, relationship strain, grief, low self-esteem, and life changes. She is a licensed marriage and family therapist with 25 years of clinical experience.
Dr. Bruno frames sessions so people feel heard and can begin making practical changes. She trained in marriage and family therapy and holds the LMFT credential.
Over the years she has helped people cope with anger, career struggles, depression, parenting challenges, and compassion fatigue.
How Sandra works
Her background includes work with substance use concerns and issues linked to family of origin and abandonment. In session she draws on several approaches to match what a person needs. She uses Acceptance and Commitment Therapy, cognitive behavioral ideas, mindfulness practices, emotionally focused techniques, and a client-centered attitude.
That means she listens first, then suggests small, realistic steps a person can try between sessions. Dr. Bruno also brings experience addressing intimacy-related issues, infidelity, forgiveness, midlife questions, and concerns tied to veteran and armed forces life.
She offers a practical, steady presence for people sorting out purpose, relationships, and recovery from past hurts. Her work is collaborative and straightforward. People can expect clear goals, regular check-ins on progress, and tools to use outside sessions.
Dr. Bruno aims to help clients move from feeling stuck to taking manageable steps toward what matters to them.
Sandra lists 7 ways of working on the entry:
What Sandra works with
The areas below are the ones Sandra selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- Aging and geriatric issues
- Anger management
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Infidelity
- Intimacy-related issues
- Life purpose
- Midlife crisis
- Parenting issues
- Self esteem
- Trauma and abuse
- Veteran and Armed Forces Issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 25 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Alabama |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How her approaches work in online therapy
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, then choose actions that match their values. Cognitive Behavioral Therapy (CBT) looks at unhelpful thinking and behavior patterns and teaches practical strategies to change them. Emotionally-Focused Therapy (EFT) focuses on identifying and expressing emotions to improve connection and resolve relationship pain.Choosing the right approach is a team effort. The therapist will talk with the client about goals, preferences, and what has helped or not helped before. Together they decide which techniques to try first and adjust over time based on how things are going.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make it easier to fit therapy into a busy life. Video is useful for full conversations and visual cues, phone calls work when bandwidth is limited, live chat can be a shorter check-in, and messaging lets people reflect between sessions. These options help people connect from different places and schedules while keeping the focus on practical, goal-oriented work.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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