I am one of her patients who only understands English or German. Francesca speaks English very well and explains everything very well during the therapy session. Even if she sometimes doesn't know a specific word, I can still understand what word she is looking for from her explanation. She is kind and caring and has the motivation to help people. She is one of the many therapists I have had who is not weird or makes you work too hard. She understands your limits and maybe pushes them a little bit more to help you with your problems, but if you tell her it's too far from the limit she will understand and try to help you in another way. All in all, I really recommend her and I trust her.