About Alexa
Alexa St. Martin is a Licensed Clinical Social Worker (LCSW) who helps people facing anxiety and relationship stress. She works with adults who want clearer communication, steadier emotions, and better connection in their close relationships.
Her tone is straightforward and caring, and she focuses on practical steps you can use between sessions. Alexa draws from approaches that look at how early attachments and life stories shape current patterns. She uses client-centered listening to make space for each person’s experience.
Background and approach
Sessions often include checking how you handle conflict, how past hurts show up now, and what small changes could ease daily stress. Her background includes several years of direct practice in Hawaii across community settings. That experience informs a flexible style that blends relationship-focused methods with narrative and exploratory work.
She pays attention to how identity, culture, and life transitions affect mood and self-image. In sessions she aims to build a steady working relationship first, then try ways of communicating differently and testing new habits. Work can include practicing conversations, tracking anxious or depressive patterns, and reframing stories that keep people stuck.
She also supports people dealing with grief, sexual identity and intimacy concerns, and the fallout from trauma. Sessions can take different shapes depending on what a person needs - short check-ins, longer therapy conversations, or a mix. Alexa welcomes questions about how therapy would fit into a busy life and helps map a clear next step.
How attachment and narrative work online
Attachment-Based Therapy looks at how early bonds shape present relationships and emotional reactions; it helps people understand attachment patterns and try new ways of relating. Client-Centered Therapy emphasizes listening and building a trusting therapeutic relationship so people can state their needs and feel heard. The Gottman Method focuses on concrete communication and conflict skills for partners, helping couples learn tools to reduce reactivity and rebuild connection.Choosing the right approach is part of the collaborative process. The therapist will talk with each person about goals, comfort level, and what has helped or not helped in the past. Together they decide which methods to try and adjust them over time based on what feels helpful.
Online therapy offers practical flexibility. Video calls let you work in real time with face-to-face interaction, phone sessions require less bandwidth and can fit into a work break, and live chat or text-based messaging can serve for brief check-ins or ongoing support between longer sessions. These options make it easier to keep therapy consistent around daily life and changing schedules.
Questions people ask
What concerns does she address?
How would sessions feel day to day?
What is her professional background?
Where is she based and licensed?
Which languages are supported?
Are international clients accepted?
What session formats are available?
How does cost and scheduling work?
What this therapist works with
Most often
- LGBT
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- ADHD
- Attachment issues
- BDSM, kink, and alternative sex culture
- Body image
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Family of origin issues
- Fertility issues
- Gender dysphoria
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Panic disorder and panic attacks
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Self esteem
- Sexual assault and abuse
- Sexuality
- Stress, Anxiety
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 3 years
- Licensed
- Hawaii
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.