Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Dr. Sandra Bruno

Therapist profile

Dr. Sandra Bruno, LMFT

Alabama

LMFT focused on family and parenting concerns

Continue with Sandra

About

  • Stress and anxiety
  • Parenting support
  • Addictions work

About Sandra

Dr. Sandra Bruno is an LMFT - Licensed Marriage and Family Therapist in Alabama with 25 years of experience. She focuses on common household strains such as stress, anxiety, addiction, relationship tension, grief, self-esteem, parenting, and anger. Sandra also addresses career transitions, coping with life changes, and compassion fatigue.

She offers straightforward sessions that aim to clarify what is happening at home and what the person wants to change. Sandra uses practical methods when helpful, and she can work short term on a specific problem or more slowly on patterns that developed over years. She describes her basic stance as client-centered, meaning she listens first and then helps people choose what to try next.

Sandra draws from several approaches including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Emotionally-Focused Therapy, and mindfulness practices. That mix lets her use behavioral strategies, attention to emotions, and present-moment awareness depending on the concern. She also has experience with addictions and can include motivational interviewing techniques when recovery work is needed.

Her background includes a Master of Science in Marriage, Family, and Child Counseling and a Doctorate of Ministry in Pastoral Counseling. She holds an Advanced Alcohol and Drug Certification alongside her LMFT credential. This combination informs how she talks about faith, meaning, and substance use when clients bring those topics up.

People typically start by describing the issue that brought them in. Sandra then outlines practical next steps and ways to measure progress. She works in English and does not accept international clients.

How sessions work

How her approaches are used during online sessions

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values-based action. It helps people who feel stuck decide what matters and take small steps toward it. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and offers concrete tools to change unhelpful patterns. These two approaches are often used for anxiety, depression, and stress-related problems.

Finding the right approach is part of the work together. The therapist will review a person’s goals, preferences, and home circumstances and recommend where to start. That choice is collaborative and can change as progress is made or priorities shift.

The original profile does not list specific online session formats, so confirm current options before booking. In general, online sessions can make it easier to fit therapy around family life, reduce travel time, and allow shorter check-ins when needed. They also make it possible to continue work through moves or schedule changes. Licensed professionals adapt methods like CBT exercises, ACT experiments, and mindfulness practices to digital sessions so the work remains practical and focused on everyday concerns.

Areas of focus

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesGriefSelf esteem

Also works with

Family conflictsTrauma and abuseIntimacy-related issuesParenting issuesAnger managementCareer difficultiesDepressionCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessInfidelityLife purposeMidlife crisisVeteran and Armed Forces Issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

25+ years

Listed in

Alabama

Languages

English

Questions

Frequently asked questions

What kinds of home and family concerns does she address?

She works with stress, anxiety, addictions, relationship tension, grief, parenting challenges, anger, and related issues such as self-esteem and career strain.

How does she approach therapy with adults who have parenting worries?

Her style is client-centered and practical. She listens first, then suggests behavioral tools, emotion-focused work, or mindfulness practices based on the problem.

What experience does she bring to these issues?

She has 25 years of clinical experience working with a wide range of concerns, including addictions and family of origin issues.

What are her professional credentials and where does she practice?

She is an LMFT licensed in Alabama. Her background includes a Master of Science in Marriage, Family, and Child Counseling and a Doctorate of Ministry in Pastoral Counseling.

Can non-English speakers work with her or can she see international clients?

Sessions are offered in English. She does not accept international clients.

What session formats are available?

The original profile does not specify session formats. Confirm current session options before booking.

How are sessions paid for and what does it cost?

Cost varies with location. Sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

Back to all therapists

Dr. Sandra Bruno

Continue with Sandra