About Sandra
Dr. Sandra Bruno is a licensed marriage and family therapist with 25 years of practice. She offers steady, practical support for people facing stress, anxiety, addiction, grief, relationship strains, and changes in life or career.
Her manner is direct and humane, focused on helping clients take useful steps forward. Dr. Bruno uses a mix of methods to match the situation.
She often draws on cognitive behavioral tools to address unhelpful thoughts and behaviors.
Background and approach
Mindfulness and acceptance work help clients tolerate difficult feelings while choosing values-driven actions. Her background includes a Master of Science in Marriage, Family, and Child Counseling and a Doctorate of Ministry in Pastoral Counseling. The biography notes an Advanced Alcohol and Drug Certification alongside her LMFT credential.
Those combined experiences shape her work with addiction and grief as well as relationship concerns. Sessions are organized around building a strong therapeutic relationship. She practices in a person-centered way, prioritizing empathy and collaboration.
Practical goals, coping strategies, and small behavioral changes are typical features of her sessions. People seeking help for anger, intimacy concerns, parenting pressures, or career crossroads will find approaches geared to problem solving and longer-term reflection. She also lists specific focuses such as family of origin issues, midlife questions, abandonment, and veteran-related matters.
Dr. Bruno conducts therapy in English and provides online formats including video calls, phone sessions, live chat, and text-based messaging. The first step is a short matching questionnaire followed by scheduling to meet a client's timing and needs.
Approaches that translate well to online care
Acceptance and Commitment Therapy helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, stress, and finding direction in life. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors with practical exercises and skill-building. It often helps with worry, depression, and coping strategies. Client-Centered Therapy emphasizes empathy and a strong therapeutic relationship, giving people space to talk and be heard while they work toward change.Deciding on the best approach is a collaborative step. The therapist will talk through goals, try techniques, and adjust methods based on what helps. That means sessions can shift toward skills work, reflection, or values-based action depending on each person's needs.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and longer conversations. Phone sessions can fit a break at work or when bandwidth is limited. Live chat and text messaging are useful for brief check-ins, ongoing encouragement, or when someone prefers writing. These options make it easier to attend regularly and fit therapy into a busy life.
Questions people ask
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What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Alabama
- Languages
- English
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