- Stress and anxiety
- Depression and bipolar
- Family of origin
About Alexandra
Alexandra De Castro Basto is a California licensed marriage and family therapist (LMFT) with 18 years of clinical experience. She works with adults experiencing stress, anxiety, depression, bipolar disorder, and struggles around family relationships and self-esteem. She also addresses guilt and shame alongside related concerns such as isolation and codependency.
Alexandra uses practical, evidence-based approaches to help people talk through painful feelings and recurring patterns. Sessions focus on clarifying what feels most urgent, exploring how relationships and family history contribute to those feelings, and developing small, doable steps to change daily habits and interactions.
She pays attention to how attachment and family of origin issues shape how people relate to themselves and others. That can mean looking at communication problems, codependent behaviors, or the fallout of divorce and separation. Alexandra also works with substance concerns when they intersect with mood and family problems.
Conversations in therapy aim to make difficult emotions easier to name and manage. She helps clients build self-esteem and self-love in concrete ways, rather than only discussing feelings. Work may include behavioral changes, communication practice, and reflection on past patterns.
Sessions are conducted in English and Swedish. People who want to begin are asked to follow the site's matching process before scheduling a first session.
How evidence-based methods translate to online work
Alexandra draws on practical, evidence-based techniques to help people manage mood and relationship problems. One approach focuses on identifying unhelpful thoughts and testing them with real-life experiments to reduce anxiety and depressive thinking. Another concentrates on attachment and family patterns, helping clients notice repeating interactions and practice clearer communication in current relationships.Finding the right method is part of the work. Alexandra will discuss options with each client and decide together which approaches fit the person’s goals and daily life. That collaboration means adjusting strategies as issues change over time.
If you prefer online sessions, confirm the exact session formats before booking since the biography does not list them. Many people find remote sessions let them fit therapy into workdays, reduce travel time, and make it easier to have shorter check-ins when needed. Phone calls can work when bandwidth is limited, and video sessions allow face-to-face interaction for practicing communication skills. Licensed professionals often adapt exercises so they can be done between sessions, helping therapy fit into a busy life.
Areas of expertise
Primary focus
Additional focus areas
Experience
18+ years
Listed in
California
Languages
English, Swedish
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, bipolar disorder, family conflicts, self-esteem struggles, and guilt and shame.
How would she approach feelings of guilt or shame?
She uses practical, evidence-based techniques to name the feelings, trace where they come from, and try small changes that reduce their power over daily life.
What is her clinical background?
She has 18 years of professional experience working with mood disorders and family-related issues.
What are her credentials and where is she based?
She is an LMFT licensed in California and practices from that state.
Which languages are supported in sessions?
Sessions are offered in English and Swedish.
Can people outside the US work with her?
International clients are not currently accepted.
How are sessions scheduled and what does cost look like?
Cost varies by location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and then 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.