Dr. Sandra Bruno, LMFT

How her approaches translate to online therapy

Emotionally-Focused Therapy (EFT) helps people identify and change unhelpful emotional patterns in relationships. Online EFT sessions focus on learning to name emotions, notice interaction loops, and try new ways of reaching out or responding in relationships.

Acceptance and Commitment Therapy (ACT) works on noticing thoughts and feelings without getting stuck in them, and committing to actions that match values. In remote sessions this can look like learning short mindfulness practices and experimenting with small, values-based steps between meetings.

Client-centered therapy centers the client's experience and builds a warm, nonjudgmental space to talk. That attitude guides conversations online so people feel heard and can set goals at their own pace.

Choosing the right approach is a collaborative process. The therapist will talk with each person about their goals, try approaches that fit those goals, and adjust methods over time based on what is helpful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people work face to face when needed, phone calls can be easier when bandwidth is low, and messaging supports brief check-ins or ongoing reflection between sessions. These options make it easier to fit therapy into busy schedules and different life situations.