Francesca Manzi, BACP

Francesca Manzi is a UK-based counsellor with more than 20 years of professional experience supporting people through loss, chronic health challenges, and difficult life transitions. She works with clients facing grief, depression, stress and anxiety, and has particular experience assisting those living with long-term illness, pain or disability. Francesca also supports adult children of emotionally immature parents and survivors of narcissistic abuse, helping them build emotional resilience and clearer boundaries.

Before training as a counsellor, Francesca worked in nursing, midwifery and foster care, experiences that inform her compassionate and practical approach to therapy. She uses evidence-based therapeutic techniques to help clients explore thoughts, feelings and patterns that contribute to distress, and to develop coping skills tailored to each person’s circumstances. Francesca is credentialed with the BACP - the British Association for Counselling and Psychotherapy - which reflects recognised professional standards in the UK.

She offers therapy in English and accepts clients in the United Kingdom as well as international clients. Francesca approaches each relationship collaboratively, aiming to support clients through healing and practical change at a pace that suits them.

Evidence-based approaches and flexible online care

Francesca draws on evidence-based therapeutic techniques that help people understand and shift unhelpful patterns of thinking and behaviour. These approaches focus on identifying how thoughts, emotions and actions interact and on building practical strategies to reduce distress and improve day-to-day functioning. Such work is often helpful for anxiety, depression, stress and challenges related to life changes or relationships.

She also uses skills-based methods that support coping with chronic illness, pain and the emotional demands of caregiving or end-of-life situations. These methods emphasise pacing, self-care strategies and problem-solving to help clients manage symptoms and maintain quality of life while navigating difficult medical or family circumstances.

Finding the right therapeutic approach is part of the process and Francesca works collaboratively with each client to decide which techniques best fit their needs, goals and preferences. She adapts the work over time as goals evolve.

Online therapy options - including video calls, phone sessions, live chat and text-based messaging - make it easier to access consistent support from wherever a client is located. These formats offer flexibility in scheduling, reduce travel time, and allow sessions to fit around medical appointments, work and caregiving responsibilities, helping clients maintain momentum in their therapeutic work.