Dr. Sandra Bruno, LMFT

Dr. Sandra Bruno is an Alabama-licensed LMFT with 25 years of clinical experience. She works with adults who are trying to manage stress, anxiety, addictions, anger, relationship strain, grief, and life transitions. Sessions are presented plainly and directly, aimed at helping people handle what is happening now and understand patterns that keep recurring.

She trained initially in marriage, family, and child counseling and later completed a Doctorate of Ministry in Pastoral Counseling. Over her career she has supported people facing career challenges, parenting strains, issues tied to family of origin, and the emotional fallout from infidelity or abandonment. She also has an advanced alcohol and drug certification and experience with substance use concerns.

In sessions she blends practical, evidence-based approaches with a person-centered stance. That means conversations focus on what matters to the client and on building a working relationship. She uses tools from cognitive behavioral work, mindfulness practices, acceptance and commitment ideas, and emotionally-focused methods when they fit the problem.

People who come for help with anger often begin by mapping triggers and habitual reactions. Therapy can include skill practice for calmer responses, clearer communication with partners, and steps to repair relationships when needed. She can include discussion of faith if the client requests it.

Dr. Bruno describes her work as adaptable to short-term problem solving or longer exploration of past patterns. She helps people set practical goals, try small experiments between sessions, and notice what changes over time.

How her approaches translate to online work