- Stress and anxiety
- Career direction
- Trauma and grief
About Alexandra
Alexandra Madsen is a Nebraska-licensed LMHP with four years of professional experience. She works with adults facing stress, anxiety, depression, and challenges around motivation, self-esteem, and career direction. Alexandra also supports people coping with grief, relationship strain, trauma and abuse, and major life changes.
Her approach centers on straightforward conversation and practical steps. Sessions focus on identifying what feels stuck and testing small changes that can shift daily life. She draws on client-centered methods to keep the client's priorities central and uses Cognitive Behavioral Therapy to map how thoughts and behaviors affect mood and choices.
Alexandra also integrates EMDR for people who are processing traumatic memories and mindfulness techniques to build moment-to-moment awareness. Solution-focused work appears when clients want brief, goal-oriented support for a specific problem. She describes therapy as collaborative work where the plan is adjusted as progress and needs become clearer.
In sessions Alexandra talks through immediate concerns, helps set achievable goals, and practices skills that can be used between meetings. She pays attention to relational patterns such as attachment and codependency when those issues come up. People often bring worries about purpose, loneliness, or caregiver stress, and sessions aim to make those concerns more manageable in daily life.
To begin, prospective clients complete a short matching questionnaire and schedule a first session. Costs vary by location and use a subscription that can be canceled at any time.
How her approaches translate to online work
Alexandra often combines client-centered conversation with Cognitive Behavioral Therapy and EMDR. Client-centered work focuses on listening to what matters most to the client and letting those priorities shape sessions. Cognitive Behavioral Therapy looks at how thoughts and behaviors affect mood and uses practical exercises to test new ways of responding. EMDR is used when people need structured processing for traumatic memories and involves guided attention techniques to reduce the intensity of those memories.Choosing which methods to use is collaborative. She will discuss goals, preferences, and comfort with different techniques and adjust the plan as work progresses. That discussion can include how active versus reflective work fits the client's life and current stressors.
If you are considering online sessions, confirm the current session options before booking. Online work can make it easier to fit meetings into a busy week, allow shorter check-ins when schedules are tight, and remove the need to travel to an office. It also lets the therapist assign practice exercises and mindfulness tasks to try between sessions so progress can continue throughout the week.
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 kinds of concerns does she address?
She works with stress, anxiety, depression, career difficulties, self-esteem, grief, trauma and coping with life changes.
How would she describe her therapeutic style?
She uses client-centered conversation combined with practical methods like CBT and solution-focused work to set goals and try small changes.
How much clinical experience does she have?
She has four years of professional experience as an LMHP practicing in Nebraska.
Where is she licensed to practice?
She is licensed in Nebraska as an LMHP and practices with that credential within the state.
Can I work with her if English is not my first language?
Sessions are offered in English.
Does she accept international clients?
She does not accept international clients at this time.
How are sessions scheduled and paid for?
Costs vary with location and sessions use a subscription model that can be canceled at any time.
What do I need to do to start therapy?
Use the See online therapy options button, complete a short matching questionnaire, and then schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.