- Stress and anxiety
- Relationship issues
- Guilt and shame
About Alexandra
Alexandra "Alex" Dow is a Licensed Marriage and Family Therapist (LMFT) and a Licensed Professional Counselor (LPC) practicing in North Carolina with over 10 years of clinical experience. She lists stress, anxiety, relationship and family concerns, parenting issues, trauma and abuse, compassion fatigue, ADHD, and guilt and shame among her focus areas.
Alex works with individuals who are carrying difficult feelings about themselves or their relationships. She uses direct conversation and practical steps so people can notice what changes help most. Sessions are presented as straightforward conversations rather than long lectures or jargon-filled assessments.
Her approach draws on methods that aim for noticeable shifts and ongoing progress. Alex uses Client-Centered practices to follow what matters most to the client. She also incorporates Cognitive Behavioral Therapy techniques to help identify and test unhelpful thoughts and behaviors.
She brings Motivational Interviewing and Solution-Focused strategies when clients want focused, goal-oriented work. Internal Family Systems ideas may be used to help people understand different parts of themselves that hold guilt or shame. These methods are mixed to match each person’s goals and concerns.
Alex has worked in several settings across her career and with many kinds of people. She asks new clients to complete a short matching questionnaire and then schedule a first session. Costs vary by location, and sessions use a subscription model that can be canceled at any time.
Therapeutic approaches and how online sessions fit
Client-Centered Therapy focuses on listening and responding to what matters most to the client. It helps people feel heard and shapes the conversation around their priorities. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and offers exercises to test and change unhelpful patterns. Internal Family Systems (IFS) helps identify different parts of a person that may hold guilt, shame, or self-criticism so those parts can be understood and eased.Finding the right approach is part of the work. Alex will collaborate with each client to decide which methods to use based on their goals, concerns, and preferences. That decision can change over time as progress and needs evolve.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow for shorter check-ins when needed, and remove travel time. They also let people use audio-only if that is a better fit for comfort or bandwidth. Discussing format and scheduling happens during the matching and intake steps so practical arrangements match daily life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
North Carolina, South Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she support?
She works with stress, anxiety, relationship and family problems, parenting issues, trauma and abuse, compassion fatigue, ADHD, and guilt and shame.
How does she approach guilt and shame in sessions?
She uses straightforward conversation and practical steps. Techniques drawn from Internal Family Systems and CBT help people notice and work with the parts of themselves that carry guilt or shame.
How much experience does she have?
She has more than 10 years of professional counseling experience in a variety of settings.
What are her credentials and where is she licensed?
She holds LMFT and LPC credentials and is licensed in North Carolina and South Carolina as stated.
Which languages are supported in sessions?
Sessions are offered in English.
Can people outside the United States work with her?
She does not accept international clients at this time.
How does cost and billing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the steps to begin working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.