Integrative Therapy and Psychotherapeutic Counselling

I’m Francesca Sciandra, an integrative therapist and psychotherapeutic counsellor. My work focuses on sustained psychological inquiry, particularly where patterns persist despite insight, effort, or previous attempts at change.

Individual therapy offers a structured space to examine emotional, relational, and internal patterns as they unfold over time. Rather than focusing on quick relief or surface-level solutions, this work attends to the underlying processes that shape how you relate, respond, and experience yourself.

People often seek therapy with a sense that something is not working, even when they understand the problem intellectually. This may show up as anxiety, emotional reactivity, relational difficulty, or a feeling of repetition despite self-awareness or personal work.

Areas of focus often include:

• Recurrent relationship difficulties or attachment-based patterns

• Anxiety, stress, and emotional states that interfere with daily life

• Difficulties with emotional regulation, including anger or jealousy

• Experiences of childhood abuse, neglect, or developmental trauma

• Intimacy-related concerns, including sexual shame

• Persistent feelings of loneliness or disconnection

• Depression, low mood and reduced motivation

• Low self-confidence or self-esteem

• Sleep difficulties, including insomnia, nightmares, or sleep anxiety

• Processing and integrating psychedelic experiences and non-ordinary states of consciousness

These concerns are often interconnected and explored within the context of your broader psychological and relational life.

My approach

My work is integrative, with a psychodynamic and person-centred orientation. I draw from emotionally focused approaches, parts work, hypnotherapy, and inner child work, adapting the focus as the work develops.

The therapeutic relationship itself is central to this process. Patterns that shape your inner life and relationships often emerge in therapy, where they can be examined with care, attention, and continuity.

For clients who wish to include it, hypno-psychotherapeutic counselling can support deeper access to unconscious processes. Hypnotherapy is used within a broader therapeutic framework, allowing experiences, memories, and emotional states to be explored and integrated rather than simply managed.

How we work together

Individual therapy sessions are held online via Zoom.

Therapy is most effective when it takes place within a consistent structure. Where we proceed, sessions typically occur weekly at a set time. In some cases, twice-weekly sessions may be appropriate and can support more intensive work.

I most often work with clients on a medium- or long-term basis. This allows space for patterns to emerge, be understood, and gradually reorganised. Short-term therapy may be appropriate in specific circumstances, but much of this work is exploratory and unfolds over time.

Booking a consultation

Consultations are offered as a 20-minute Zoom or phone meeting to explore whether this work is appropriate at this stage and whether there is a mutual fit. The consultation is not a therapeutic session, but an opportunity to clarify what you are seeking support with and to discuss how the work would be structured.

If therapy proceeds, sessions are conducted within a consistent weekly frame. Fees and availability are outlined on the fees page.