Integrative Therapy and Couples Therapy
Therapy for individuals and couples addressing relational and emotional patterns
Francesca Sciandra
Psychotherapeutic Counsellor, Couples Therapist, and Hypnotherapist
Therapy examines what sits beneath conscious understanding: the relational, emotional, and internal processes that shape how you experience yourself and respond to others. As an integrative therapist, I work with relational patterns, attachment dynamics, and emotional responses that continue despite awareness, previous therapy, or personal work.
When you begin therapy, you might experience a complex mix of thoughts and feelings. You might be thinking,
‘I’m worried about opening up to someone, but I need help.’
‘I feel anxious, and it’s affecting the quality of my life and my relationships with others.’
‘I am struggling in my relationships, and I don’t know what to do.’
‘I know what’s wrong, but I don’t know how to change.’
‘I'm frustrated — I keep doing the same thing, but I’m unsure why.’
I offer individual therapy, couples therapy, and hypnotherapy. Sessions are active, engaged, and depth-oriented. The therapeutic relationship provides a consistent structure within which patterns can be observed and addressed as they emerge.
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
Learn more about individual therapy →
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.
Multi-day in-person therapy in the UK for couples in crisis, experiencing high conflict, or working through significant relational injury.
Psychedelic Integration Therapy
Structured therapy for processing and integrating psychedelic experiences and non-ordinary states of consciousness.
Depth-oriented hypnotherapy for accessing unconscious material and working with patterns held outside conscious awareness.
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.
Learn more about my approach →
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.
On the Blog
