About Alejandro
Alejandro "Alex" Bianchi di Carcano helps people manage stress, anxiety, relationship strain, trauma and parenting challenges. He is a Virginia licensed marriage and family therapist and has seven years of clinical experience. He writes directly and simply to make starting therapy less overwhelming.
Alex believes people know their own story and brings a practical, strengths-based approach. Sessions focus on clear goals and small steps that can fit into everyday life.
How Alejandro works
He encourages clients to build on what already works for them while addressing what gets in the way. Common concerns he sees include depression, grief, anger, low self-esteem, bipolar mood challenges, and coping with life changes. He also supports people facing adoption and foster care questions, attachment and abandonment issues, blended family stress, and fatherhood concerns.
Communication problems, codependency, and caregiver stress are other areas he addresses. His style is straightforward and collaborative. Conversations aim to be useful from the first session, with practical strategies and problem-solving alongside reflection.
He adapts the pace to each person and focuses on skills that can be practiced between visits. Sessions are offered in English and delivered remotely. He invites prospective clients to take the step of completing a short matching questionnaire to begin scheduling and to explore whether his approach fits their needs.
What Alejandro works with
The areas below are the ones Alejandro selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Isolation / loneliness
- Men's issues
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Young adult issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 7 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Virginia |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based approaches and remote care
Alex works from evidence-based therapeutic techniques that focus on practical change. One common approach emphasizes building coping skills and problem-solving to reduce anxiety and manage stress; this looks like setting small, achievable goals and practicing new responses between sessions. Another approach concentrates on improving communication and relationship patterns by identifying recurring interaction cycles and trying new ways of relating that reduce conflict and increase connection.Finding the right approach is part of the work together. He will collaborate with each person to choose methods that match their needs, goals, and preferences. That process can involve trying techniques for a few sessions and adapting based on what helps most.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to fit different schedules and needs. Video allows face-to-face conversation when interaction and nonverbal cues matter. Phone sessions can be helpful when bandwidth is limited or for a focused check-in. Chat or messaging is useful for shorter touchpoints or people who prefer typed communication. These options make it easier to fit therapy into busy lives and to maintain continuity when schedules change.
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Common questions
What kinds of concerns does he help with?
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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