Francesca Manzi, BACP

Francesca Manzi is a counsellor based in the United Kingdom with over 20 years of professional experience. She works with people facing grief, depression, anxiety and stress. She also supports those coping with chronic health conditions and the emotional strain that comes with long-term illness.

Before training as a counsellor Francesca worked in nursing, midwifery and foster care. That background shaped her practical, down-to-earth style and her comfort with complex health and end-of-life topics. She is registered with the BACP, which is the British Association for Counselling and Psychotherapy.

In sessions she helps people untangle family of origin issues and the fallout from relationships with emotionally immature people. She has particular experience with survivors of narcissistic abuse and with people affected by codependency patterns.

Francesca also focuses on compassion fatigue and the specific pressures that come from caring roles. She helps people identify manageable steps for recovery, set boundaries and rebuild energy. Practical tools and steady listening are part of her approach.

People come to her when life changes feel overwhelming or when loneliness and isolation intensify distress. She offers support around hospice and end-of-life concerns, and with the fears and practical feelings that follow a cancer or chronic illness diagnosis.

Francesca aims to work collaboratively, helping each person find what fits their situation and pace. She supports clients as they make changes that feel sustainable and realistic.

Therapeutic approaches and online care

Francesca uses evidence-based therapeutic techniques that focus on practical change and emotional understanding. One common approach she draws on helps people manage anxiety and stress by breaking problems into smaller steps and practising coping skills. This approach is helpful for day-to-day stress and panic triggers.

She also works with grief and loss in a way that allows emotions to be named and felt while finding ways to carry on with daily life. That method helps people process bereavement or end-of-life concerns without rushing the experience.

Choosing the right approach is treated as a collaborative process. Francesca will discuss your needs, goals and preferences and then agree on how to work together. She adapts methods over time if something is not fitting or if priorities change.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation when a fuller discussion feels helpful. Phone sessions can be useful when a lighter check-in is needed or when bandwidth is limited. Live chat and text-based messaging suit shorter updates, brief emotional support, or when writing helps clarify thoughts. These options make it easier to fit therapy around work, medical appointments and caring responsibilities.