About Alexandra
Alexandra Madsen is a licensed mental health professional in Nebraska with four years of clinical experience. She listens carefully and responds with respect, sensitivity, and compassion to each person who reaches out. Her goal is to help people take practical steps toward clearer thinking and greater calm.
Alexandra works with stress, anxiety, and depression, and she helps people facing grief and major life changes. She also addresses career concerns, low self-esteem, and compassion fatigue.
How Alexandra works
Her additional focuses include attachment and abandonment issues, body image, caregiver stress, and coping with panic and post-traumatic stress. In sessions she adapts the conversation and plan to fit each person’s needs. She uses client-centered techniques to make space for what matters to the individual.
Cognitive Behavioral Therapy is used to identify unhelpful thoughts and try small experiments that can change daily routines. For trauma-related concerns she may incorporate EMDR to address distressing memories. Mindfulness practices and solution-focused steps are available for people wanting simpler, goal-oriented work.
The aim is practical progress rather than long lists of tasks. People who choose Alexandra can expect a calm, steady presence and clear options to try between sessions. She encourages honest questions and adjusts pace based on what feels manageable.
Getting help is framed as a step-by-step process toward feeling more purposeful and better able to handle life’s demands.
Alexandra lists 6 ways of working on the entry:
What Alexandra works with
The areas below are the ones Alexandra selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Attachment issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Emptiness
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Life purpose
- Panic disorder and panic attacks
- Post-traumatic stress
- Relationship issues
- Self-harm
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Women's issues
- Workplace issues
Training and background
| Register | LMHP |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Nebraska |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online care
Client-Centered Therapy focuses on listening, empathy, and following what matters most to the person. It helps people who need a supportive space to make sense of emotions and find their own direction. Cognitive Behavioral Therapy, or CBT, looks at how thoughts and behaviors interact and uses practical exercises to reduce anxiety and depression symptoms. It often involves homework and short experiments between sessions.EMDR, or Eye Movement Desensitization and Reprocessing, is a trauma-focused option used to reduce the intensity of distressing memories. In online sessions the therapist guides specific processing steps while the person focuses on memories and sensations. Alexandra will work together with each person to pick the approach or mix of approaches that fits their needs, goals, and preferences. Choosing a method is a collaborative process and can be adjusted over time as progress is reviewed.
Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and visual cues. Phone sessions are useful when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging let people send updates or brief reflections between scheduled meetings. These options can make it easier to fit therapy into work, caregiving, or busy schedules while still using the same therapeutic techniques discussed above.
Start online instead of waiting
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Common questions
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What credentials and location are listed for Alexandra?
Which languages are supported and can she see clients outside the US?
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How do I begin working with Alexandra?
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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