About Alexander
Alexander Guzman is a Licensed Clinical Social Worker (LCSW) based in New York with 20 years of experience. He focuses on anxiety, stress, self-esteem, career challenges, depression, and major life changes. He treats each person as the expert of their own story and works alongside them to build on existing strengths.
In sessions he listens first and asks clear questions to understand what matters most. He blends client-centered care with existential and narrative ideas to help people find meaning and direction.
Background and approach
Motivational interviewing is used to help with readiness for change and to strengthen commitment to goals. His background includes long-term clinical work in urban settings and helping people manage common life stresses. He handles concerns like attachment issues, communication problems, isolation, and feelings of emptiness.
He also supports people facing immigration challenges, health-related concerns such as HIV/AIDS, and questions about fatherhood and family roles. Expect practical conversations about next steps rather than abstract theory. Sessions often include goal setting, skills for coping with anxiety, and exploring personal values.
He helps people talk through guilt, shame, and forgiveness so they can move forward. Alexander guides people through career crossroads and relationship strain with a calm, direct approach. He welcomes honest conversation and helps translate insight into daily habits.
If you are taking the first step, he aims to make the process understandable and manageable.
Approaches that guide online sessions
Client-centered therapy focuses on listening carefully and following the client's lead. It helps when someone needs a safe space to sort feelings, build confidence, or name priorities. Existential therapy looks at meaning, choice, and responsibility in life. It can help people facing emptiness, career crossroads, or major life changes by clarifying values and direction.Finding the right approach often happens together. The therapist will talk with the client about goals, preferences, and what feels most helpful. Together they decide whether to emphasize listening and reflection, values work, or motivational strategies to support change.
Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video lets people see facial cues and have deeper conversations. Phone sessions work well when bandwidth is limited or a quick check-in is needed. Live chat and text messaging can be used for short updates, skill practice, or when typing feels easier than speaking. These options make it easier to fit therapy into a busy life and to keep work focused on practical steps and real-world routines.
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What this therapist works with
Most often
- Stress, Anxiety
- Self esteem
- Career difficulties
Also listed
- Attachment issues
- Body image
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Emptiness
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Immigration issues
- Impulsivity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Post-traumatic stress
- Prejudice and discrimination
- Self-love
- Sexuality
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- New York
- Languages
- English
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