Dr. Sandra Bruno
Compassionate, experienced marriage and family therapist
LMFT Alabama
- Experience
- 25 years in practice
- Focus areas
- Stress, Anxiety, Addictions, Relationship
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Sandra
Dr. Sandra Bruno brings 25 years of clinical experience to individuals, couples, and families seeking help with stress, anxiety, addiction, relationship challenges, grief, self-esteem, and related life transitions.
Background and approach
She is identified by her LMFT credential and practices from Alabama, drawing on long-term training that includes a Master of Science in Marriage, Family, and Child Counseling and a Doctorate of Ministry in Pastoral Counseling. Her background also includes an Advanced Alcohol and Drug Certification, which informs work with substance use concerns.
Sandra blends a person-centered stance with a range of evidence-informed methods such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Emotionally-Focused Therapy (EFT), client-centered practices, and mindfulness techniques. She describes therapy as a collaborative relationship built on trust and empathy and offers flexible work ranging from short-term solution-focused work to longer-term exploration of past patterns.
Sandra is comfortable addressing topics like parenting and family-of-origin issues, intimacy and forgiveness, career and life-purpose questions, and compassion fatigue. Sessions are offered in formats that suit modern life, and she welcomes discussing how faith may be integrated into care when requested.
Evidence-Informed Approaches Offered Online
Dr. Sandra Bruno draws on Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) as central tools in her online practice. CBT focuses on identifying unhelpful thought and behavior patterns and developing practical strategies to reduce symptoms of anxiety, depression, and stress. ACT emphasizes noticing thoughts and feelings without getting entangled in them while clarifying values and taking committed action toward a meaningful life.She approaches treatment collaboratively, listening to each person's goals and preferences and adjusting methods as the therapeutic relationship develops. Finding the right approach is presented as a shared process, with techniques selected to fit the client’s needs whether addressing grief, addiction-related concerns, relationship repairs, or life transitions.
Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These formats make it easier to maintain continuity of care, access support from home or work, and choose the mode of contact that best suits how a client prefers to engage in therapy.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Licensed
Alabama
Languages
English