- CBT techniques
- Solution-focused work
- Trauma-informed care
About Madelaine
Madelaine Alejandro is a Licensed Clinical Social Worker (LCSW) in California with seven years of clinical experience. She works with people facing stress, anxiety, depression, relationship problems, trauma and abuse, and big life changes. Madelaine also focuses on issues like attachment, communication, family concerns, guilt and shame, isolation, and workplace strain. Sessions are conducted in English and she does not accept international clients.
Madelaine uses practical, evidence-based techniques to help people name what feels hardest and try new ways of responding. She draws on approaches such as Cognitive Behavioral Therapy, solution-focused methods, and trauma-informed care to guide conversations and skills practice. In a session she listens, helps clarify goals, and offers concrete steps to test between sessions.
Her work often centers on the feelings that follow mistakes, losses, and conflicts. She helps people unpack guilt and shame tied to family, faith, relationships, or personal choices. The focus is on understanding how those feelings affect day-to-day life and on building tools to manage panic, low mood, or anxiety when they arise.
Madelaine’s background as an LCSW means she brings clinical social work experience to therapy, including work with postpartum depression, post-traumatic stress, and social anxiety. She explains approaches in straightforward terms and frames change as a sequence of small, practical shifts.
To begin, prospective clients use the site matching process to select online therapy options, complete a short questionnaire, and schedule a first session. Cost varies by location and sessions use a subscription that can be canceled at any time.
How evidence-based methods are used online
Madelaine draws on evidence-based therapeutic techniques to structure online sessions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing new behaviors; it is often used for anxiety, depression, panic, and social anxiety. Solution-focused methods concentrate on clear, short-term goals and practical steps you can try between sessions to make small changes. Trauma-informed care means attention to safety and pacing while addressing past injury and its effects on current feelings and relationships.Finding the right approach is part of the work. Madelaine will collaborate with each person to decide which methods fit their needs, goals, and preferences. She discusses options, checks what is working, and adjusts the plan together rather than imposing a single technique.
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 day, reduce travel time, and allow shorter check-ins when schedules demand it. Many people find the flexibility helps them practice skills in real life between meetings while keeping ongoing access to a licensed professional.
Areas of expertise
Primary focus
Additional focus areas
Experience
7+ years
Listed in
California
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, relationship challenges, trauma and abuse, and life transitions. Additional focuses include attachment, communication, guilt and shame, and workplace issues.
How does she approach guilt and shame?
She helps people name the feelings, trace how they affect behavior, and practice small changes. The work uses concrete skills and reflection rather than abstract theory.
What is her clinical experience?
She has seven years of experience as a clinician working with a range of issues including postpartum depression and post-traumatic stress. That experience informs practical techniques offered in sessions.
What credential does she hold and where is she based?
She is a Licensed Clinical Social Worker (LCSW) licensed in California. Her practice is located in California.
Are sessions available in other languages?
Sessions are offered in English.
Does she work with people outside the United States?
She does not accept international clients at this time.
How are sessions scheduled and paid for?
Scheduling begins by selecting the See online therapy options button and completing a short matching questionnaire. Cost varies with location and sessions use a subscription that can be canceled at any time.
What should I do to get started?
Use the site button to choose online therapy options, fill out the brief matching form, and then schedule your first session. The matching questionnaire helps connect you with her practice.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.