Dr. Sandra Bruno, LMFT

Dr. Sandra Bruno is a licensed marriage and family therapist in Alabama who helps people facing stress, anxiety, addictions, relationship strain, grief, and life transitions. She brings 25 years of clinical experience and aims to build a trusting working relationship before starting focused work. Her approach is straightforward and practical, suited to people looking for short-term help or deeper long-term change.

She uses methods drawn from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Emotionally-Focused Therapy, mindfulness, and client-centered work. Sessions focus on clear goals, learning new skills, and understanding patterns that get in the way of daily life. She also addresses parenting concerns, career difficulties, intimacy issues, and compassion fatigue.

Dr. Bruno holds the LMFT credential and a Doctorate of Ministry in Pastoral Counseling, and she has long experience supporting people with addictions and family-of-origin problems. Her background includes helping clients process grief, forgiveness issues, abandonment concerns, and midlife transitions. She notes familiarity with veteran and armed forces issues as one of her focus areas.

Her style emphasizes empathy and collaboration. She invites people to speak about what is bothering them and to set manageable steps forward. When requested, faith can be included in sessions as part of treatment planning.

Sessions are conducted in English and reflect a mix of skill-building, emotionally focused work, and acceptance-based strategies matched to each person’s needs. Prospective clients should follow the site’s Start Therapy flow to begin the matching process.

How specific approaches shape online care

Acceptance and Commitment Therapy helps people notice unhelpful thoughts and choose actions that reflect their values. It is useful for anxiety, stress, and finding direction after big changes. Cognitive Behavioral Therapy focuses on changing patterns of thinking and behavior to relieve symptoms like depression and worry. It often uses practical exercises and homework to build new skills. Emotionally-Focused Therapy centers on understanding emotions and improving connection in close relationships, which can help with intimacy and relationship repair.

Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and the issues they want to address. From there she tailors which approaches to use and adjusts the plan as needs change, keeping the process collaborative.

Confirm current session options before booking so you know which formats are offered. Online care can make it easier to fit therapy into a busy life, for example by removing commute time, allowing shorter check-ins during a work break, or letting people continue work when relocating. Licensed professionals can still use evidence-based tools like ACT and CBT in remote sessions, practicing skills, assigning exercises, and reviewing progress to help people move toward their goals.