Francesca Sciandra

Therapy offers a structured space to examine emotional and relational patterns as they unfold over time. Rather than focusing on advice-giving or surface-level solutions, this work attends to the underlying processes that shape how individuals experience themselves and relate to others.

People often seek therapy when understanding alone has not been sufficient, when patterns are visible but remain unchanged, or when previous approaches have not addressed what sits beneath the difficulty. Therapy examines what sits beneath conscious understanding — the relational, emotional, and internal processes that shape how you experience yourself and respond to others.

You do not need clarity, emotional fluency, or a fully formed narrative to begin. Therapy provides the structure within which understanding, movement, and change develop over time. The therapeutic relationship provides a consistent structure within which patterns can be observed and addressed as they emerge.

I offer individual therapy, couples therapy, and hypnotherapy to clients located in the UK and other countries when permitted by local regulation. I work online and sessions are held over Zoom.

My practice focuses on relational patterns, attachment dynamics, and psychological material that persists despite insight, effort, or previous therapy.

Sessions are active, engaged, and depth-oriented. In our work together, I am direct and curious. I notice patterns, ask questions that may feel unexpected, and work with what’s present rather than what’s easiest to discuss. Difficult material is not avoided, and the work often involves staying with uncertainty while meaning takes shape.

This approach is well-suited to those who recognise the gap between insight and change and who are open to working with vulnerability and complexity, even when resolution is not immediate. Therapy is depth-oriented, active, and relationally focused.

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, this work addresses the underlying processes that maintain difficulty over time.

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.

Hypnotherapy

Hypnotherapy uses a combination of hypnosis and talk therapy to explore and resolve challenges and issues. Within therapy, hypnosis creates conditions for examining material that may be difficult to access through conscious reflection.

Beginning Therapy

To begin, I offer a 20-minute intro call. If you are seeking couples therapy, each partner should book a separate intro call.

Book an intro call →

An Integrative Therapeutic Approach

My work is integrative, grounded in psychodynamic and person-centred orientations. When working with couples, I practice primarily within Emotionally Focused Couples Therapy (EFCT).

Depending on what emerges, I may also draw on hypnotherapy, parts-based approaches, and attention to early relational experience, allowing therapy to respond to what’s needed.

Depth-oriented therapy examines what lies beneath presenting concerns, including:

• psychological material that continues to influence experience despite conscious intention
• attachment patterns shaped by developmental and adult relationships
• relational templates and mental models that operate outside awareness

The therapeutic relationship provides a consistent relational structure in which these patterns can be observed and worked with as they emerge. What becomes activated, avoided, or repeated within therapy is treated as meaningful material rather than something to move past.

This approach has developed from my training in analytical hypnotherapy and integrative psychotherapy, extending into relational and attachment-focused work. Attention to both intrapsychic and interpsychic dynamics allows therapy to address internal psychological structures alongside the relational patterns that form between self and others.

How Therapy Is Structured

Therapy is most effective when it takes place within a consistent structure. Individual and couples sessions happen weekly at a set time. Individual sessions are 50 or 80 minutes; couples sessions are 80 minutes.

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.

Since starting my practice over seven years ago, my focus has progressed from individual hypnotherapeutic work to integrative relational and depth-oriented therapy. My work explores how relational and developmental experiences shape adult desire, conflict, and self-concept. I am particularly interested in the intersection of attachment theory, depth psychology, and lived relational experience.

My training began with analytical hypnotherapy, an approach that uses hypnosis to access unconscious material and examine its influence on present experience. I later trained in integrative psychotherapy to work with more complex psychological material, which led me toward relational psychotherapy with a particular interest in attachment dynamics. This included exploring how hypnotherapy could address attachment-related concerns that may not be fully accessible through talking therapy alone.

My interest in attachment naturally extended to couples work. I trained as a couples therapist and received specialist training in Emotionally Focused Couples Therapy and couples intensive work. This included the study of systemic theories that explore not only what happens within a person (intrapsychic experience) but also what happens between people (interpsychic dynamics). This shapes how I work: therapy addresses both internal psychological structures and the relational patterns that form between self and others.

Qualifications

• Postgraduate Diploma in Hypno-Psychotherapeutic Counselling, The National College of Hypnosis and Psychotherapy
• Diploma in Analytical Hypnotherapy and Psychotherapy, Jacquelyne Morison Hypnotherapy Training

Additional Training and Certifications

• Professional Certificate in Couples Therapy, Institute of Couples Therapy
• Emotionally Focused Couples Therapy (EFCT) Externship, International Centre for Excellence in Emotionally Focused Therapy (ICEEFT)
• Postgraduate Certificate in Psychedelic Harm Reduction and Integration, Fluence
• MDMA-Assisted Therapy for Couples with Anne Wagner
• Psychedelics and Psychoanalysis, Fluence
• Foundations of Psychedelic-Assisted Therapy, Beckley Academy

Registrations and Memberships

• UKCP Trainee Psychotherapist, United Kingdom Council for Psychotherapy (UKCP)
• Registered Hypnotherapist and Acknowledged Supervisor, General Hypnotherapy Register (GHR)
• Member, International Centre for Excellence in Emotionally Focused Therapy (ICEEFT)
• Associate Member, The National Society of Talking Therapies (NSTT)
• International Affiliate, Society for Humanistic Psychology, American Psychological Association (APA), Division 32

Individual Therapy

• £120 for a 50-minute session
• £180 for an 80-minute session

Couples Therapy

• £240 for an 80-minute session

Individual Therapy — Session blocks

• Six sessions for £684
• Eight sessions for £864

Couples Therapy — Session blocks

• Six sessions for £1,368
• Eight sessions for £1,728

Payment is due 48 hours in advance of the session. Session blocks are available for sessions held weekly at a set day and time. Once a session is booked, it can be rescheduled with at least 48 hours’ notice.

I am currently accepting new clients for online individual therapy and online couples therapy.

Intro calls are 20 minutes and take place by Zoom. They offer a contained space to explore whether this way of working is appropriate for your situation and whether there is a mutual fit.

If you are seeking couples therapy, each partner should book a separate intro call.

Book an intro call →

Phone and WhatsApp: +44 (0) 7593 376 223

Email: francesca.sciandra.therapy@gmail.com