- Client-Centered Therapy
- Cognitive Behavioral Therapy
- Mindfulness techniques
About Alexandra
Alexandra Madsen is a Licensed Mental Health Practitioner (LMHP) in Nebraska with four years of professional experience. She works with adults who bring concerns like stress, anxiety, depression, grief, relationship strain, and career challenges. Alexandra also lists compassion fatigue, self-esteem issues, and guilt and shame among her focus areas.
Her approach is straightforward and conversational. Sessions center on what the client wants to address and on practical steps that can be tried between meetings. She uses tools from client-centered therapy and cognitive behavioral approaches to help people notice patterns and test new ways of coping.
Alexandra also uses mindfulness techniques to help quiet overwhelming thoughts and EMDR for processing distress tied to traumatic memories when appropriate. Solution-focused ideas are part of short-term planning and goal setting. She describes her work as flexible and driven by the client's priorities.
People contact her about a range of problems including panic, post-traumatic stress, codependency, attachment and abandonment wounds, body image, and feelings of emptiness or isolation. She also supports those facing caregiver stress and life transitions who want clearer next steps.
Practical matters such as scheduling and fees follow the site's matching and subscription process. Prospective clients should use the provided matching button to complete the short questionnaire and book a first session.
All sessions are conducted in English and take place with Alexandra in Nebraska as listed on her profile.
How her approaches translate to online work
Alexandra uses client-centered methods that start with what matters to the client, encouraging plain talk about priorities and small, practical changes. This approach helps when someone wants to sort through guilt, relationship problems, or stress and set clear goals to work on.She also draws on Cognitive Behavioral Therapy (CBT) to identify thinking and behavior patterns that keep problems going. CBT offers simple exercises and experiments that fit well into weekly online sessions and short check-ins between meetings. EMDR is another approach she uses for processing traumatic memories; it involves structured steps to revisit distressing events while attending to new experiences and can be adapted for remote work when appropriate.
Finding the right mix of methods is collaborative. Alexandra will talk with the client about their history, current struggles, and what feels tolerable. Together they decide which techniques to try first and adjust as progress or obstacles appear.
The site describes practical scheduling and payment through its subscription model, so confirm session formats before booking. Ask about the session length and whether video or phone options are offered. Online sessions can make it easier to fit therapy into a workday, reduce travel time, and allow shorter check-ins when needed.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Nebraska
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, depression, grief, relationship strain, career difficulties, and compassion fatigue, plus related issues such as guilt and shame.
How would she approach feelings of guilt or shame?
She uses conversational, practical work drawing on client-centered and cognitive behavioral techniques to help you notice unhelpful thoughts and try different responses.
What is her background and experience?
She has four years of professional experience as an LMHP working with adults on mood, anxiety, trauma, and life-change concerns.
Where is she licensed and practicing?
She is a Licensed Mental Health Practitioner (LMHP) licensed in Nebraska and lists Nebraska as her practice location.
Which languages are supported in sessions?
Sessions are offered in English only.
Can international clients work with her?
International clients are not currently accepted.
How does payment and cost work?
Fees vary with location and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin?
Use the site button for online therapy options, 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.