About Francesca
Francesca Manzi is a counsellor based in the United Kingdom with more than 20 years of professional experience. She works with people facing anxiety, stress, grief and depression. She also helps those coping with chronic health issues and compassion fatigue.
Francesca brings a background in nursing, midwifery and foster care to her counselling. Those earlier roles shaped her practical approach and informed how she supports clients through difficult life moments.
Background and approach
She uses everyday language and straightforward tools in sessions. Her work often focuses on family of origin issues and problems that follow from emotionally immature parents. Francesca also supports people recovering from narcissistic abuse and those dealing with codependency.
She offers space to talk through the impact these patterns have on day-to-day life. People who come to her for help with cancer, chronic pain, illness and disability find a practitioner familiar with the emotional side of long-term health challenges. Francesca also provides guidance for hospice and end-of-life concerns and for those feeling isolated or lonely.
Sessions aim to identify practical steps for coping and to build small, manageable changes. Francesca emphasises collaboration and pacing that suits each person. She wants to help clients feel steadier and more able to manage what life brings.
Francesca works in English and accepts international clients. She supports people through different formats and helps them find a way of working that fits their situation.
Approaches and online options for emotional challenges
Francesca uses evidence-based therapeutic techniques that focus on clear, practical work. One common approach she uses helps people understand and change unhelpful thinking and behaviour patterns; it is useful for anxiety, depression and stress because it targets how thoughts affect feelings and actions. Another approach emphasises building emotional awareness and tolerance through gradual steps, which can help with grief, compassion fatigue and coping with chronic illness.Choosing the right approach is something Francesca does together with each person. She will listen to needs, trial different ways of working and agree a plan that fits the client’s goals and pace. The process is collaborative and adapts as progress is made.
Online therapy is offered through video calls, phone sessions, live chat and text-based messaging. Video lets people see facial cues and have a full conversation, while phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and messaging work well for brief updates, reflective writing between sessions or when someone prefers not to use a call. These formats make it easier to fit therapy around work, health commitments and different time zones.
Questions people ask
What concerns does Francesca commonly address?
How would you describe her therapeutic style?
What is her professional background?
Which credentials and location are listed?
Can sessions be held in other languages or internationally?
What session formats are available?
How is payment handled and what does it cost?
How do I begin sessions with Francesca?
What this therapist works with
Most often
Also listed
- Experience
- 20 years
- Licensed
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.