Dr. Sandra Bruno, LMFT

Dr. Sandra Bruno is a licensed marriage and family therapist (LMFT) practicing in Alabama with 25 years of clinical experience. She holds a Master of Science in Marriage, Family, and Child Counseling from California State University - a graduate degree focused on counseling individuals, couples, and families - and a Doctorate of Ministry in Pastoral Counseling, which reflects advanced training in integrating spiritual care with counseling. She also holds an Advanced Alcohol and Drug Certification, qualifying her to work with substance use and addiction concerns.

Her practice addresses a wide range of life challenges, including stress and anxiety, depression, grief, relationship and intimacy issues, parenting and family problems, addictions, trauma and abuse, anger, career transitions, self-esteem, and coping with life changes. Additional focus areas include abandonment, aging and geriatric issues, fatherhood concerns, infidelity, forgiveness, and support for veterans and armed forces issues. Dr. Bruno works with individuals, couples, and families and adapts her approach to the needs presented.

She draws on a broad toolkit of evidence-based methods and can provide short-term, solution-focused work or longer-term exploration of past patterns. Regardless of technique, Dr. Bruno emphasizes a person-centered stance that prioritizes trust and empathy in the therapeutic relationship. Upon request, she can incorporate a client’s faith into sessions and collaboratively develop practical, values-aligned strategies to address the concerns that brought them to therapy.

Therapeutic Approaches and Online Care with Dr. Sandra Bruno

Dr. Bruno uses Acceptance and Commitment Therapy (ACT) to help clients notice difficult thoughts and feelings without being overwhelmed by them, and to clarify personal values so actions align with what matters most - this approach can be helpful for anxiety, stress, and life transitions. She also draws on Client-Centered Therapy, offering a supportive, nonjudgmental space where the client’s goals and experiences guide the work, which is useful for building self-esteem and repairing relationships. In addition, Cognitive Behavioral Therapy (CBT) is part of her toolkit for identifying and changing unhelpful thinking and behavior patterns that contribute to depression, anxiety, and coping difficulties.

Finding the right approach is part of the therapeutic process. Dr. Bruno collaborates with each client to determine which methods fit their needs, goals, and preferences, adapting strategies over time as progress and challenges emerge.

Online therapy with Dr. Bruno offers practical flexibility - sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different lifestyles and needs. These options make it easier to maintain consistent care while managing work, family, or mobility constraints, and allow clients to engage in therapy from locations that suit them.