Francesca Sciandra

I’m an integrative therapist offering individual therapy, couples therapy, and hypnotherapy in the UK. My practice addresses relational patterns, attachment dynamics, and emotional responses that continue despite awareness, previous therapy, or personal work.

People typically seek therapy when familiar difficulties return, when self-understanding has not translated to change, or when patterns remain visible but unshifted. This may involve anxiety and stress responses, depression, relational difficulty, emotional reactivity, or a sense of repetition despite effort.

Therapy examines what sits beneath conscious understanding: the relational, emotional, and internal processes that shape how you experience yourself and respond to others. Sessions are structured, active, and depth-oriented. I work online with individuals and couples, and offer in-person couples therapy intensives in the UK.

Individual Therapy

Individual therapy provides space to explore patterns in your emotional life, relationships, and sense of self, particularly those that repeat despite familiarity or insight. Rather than focusing on symptom management alone, this work addresses the underlying processes that maintain difficulty over time.

Common concerns include:

• Relational difficulties and recurring interpersonal patterns

• Attachment dynamics, including anxious, avoidant, and disorganised attachment — these are sometimes called ‘commitment issues’ or ‘abandonment issues’

• Developmental and childhood trauma, including experiences of neglect and abuse

• Intimacy and sexual concerns, including sexual shame

• Anxiety, stress, and emotional reactivity

• Issues with emotional regulation, including anger and jealousy

• Depression, low mood, and loss of energy

• Low self-confidence, self-esteem issues, and persistent self-criticism

• Sleep-related difficulties, including insomnia, nightmares, and anxiety around sleep

• Integrating psychedelic experiences and non-ordinary states of consciousness

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Couples Therapy

Couples therapy examines relational patterns, communication dynamics, and attachment responses that create distance or conflict. The work is structured and process-focused, addressing what happens between partners rather than assigning responsibility or providing communication scripts.

Work with couples often includes:

• Recurring conflict and communication breakdowns

• Infidelity, betrayal, and attachment injuries

• Emotional distance and attachment-based disconnection

• Intense relational emotions such as anger, jealousy, fear, loneliness, or shutdown

For couples requiring focused attention to relational difficulty, 2-day couples therapy intensives are available in person in Bristol and select UK locations.

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How Therapy Works

Online individual therapy and couples therapy sessions are held weekly via Zoom. Individual sessions are 50 or 80 minutes; couples sessions are 80 minutes.

Couples therapy intensives are offered in person in Bristol and select UK locations.

I most often work with clients on a medium- to long-term basis, allowing space for patterns to emerge, be understood, and gradually reorganised. Short-term therapy may be appropriate in specific circumstances where the focus is clearly defined.

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Beginning Therapy

Initial consultations are 20 minutes by Zoom or phone to explore whether this work is appropriate for your situation and whether there is a mutual fit.

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