Francesca Manzi , BACP

Francesca Manzi is a UK-based counsellor with more than 20 years of professional experience working across health and social care settings. She holds the BACP credential - membership of the British Association for Counselling and Psychotherapy - and brings a grounded, compassionate approach to helping people navigate difficult life challenges.

Her practice focuses on grief, depression, stress, anxiety and the emotional impact of chronic health conditions. Francesca has a particular interest in supporting adult children of emotionally immature parents and survivors of narcissistic abuse, offering practical and empathic guidance for recovery and boundary-setting.

Prior to qualifying as a counsellor, Francesca worked in nursing, midwifery and foster care, and that background informs her sensitivity to issues such as cancer, chronic pain, end-of-life care and family dynamics. She combines clinical experience with lived knowledge of health and caregiving contexts to support people as they process loss, rebuild self-esteem and cope with life changes. Francesca aims to provide steady professional support as people take steps toward healing and increased resilience.

Evidence-Based Approaches and Flexible Online Care

Francesca draws on evidence-based therapeutic techniques that help people identify and change unhelpful patterns of thinking and behavior, offering practical strategies to reduce stress and manage anxiety. She also uses approaches that focus on supporting emotional processing and adjustment after loss or during long-term illness, helping clients build coping skills and find meaning amid difficult circumstances. In addition, Francesca integrates methods aimed at strengthening self-compassion and resilience, which can be especially helpful for those experiencing compassion fatigue or low self-esteem.

Finding the right approach is a collaborative process. Francesca will work with each person to assess needs, goals and personal preferences, adapting evidence-based methods to fit the individual. Together they identify what feels most useful and make adjustments as therapy progresses.

Online therapy offers practical flexibility for people balancing health, work and family demands. Video calls, phone sessions, live chat and text-based messaging allow therapy to fit into varied schedules and make ongoing support more accessible across distances. This flexibility helps clients maintain continuity of care while receiving approaches tailored to their situation.