About Alexandra
Alexandra Castellaccio is a licensed clinical social worker with eight years of experience working in New York. She focuses on helping people who are dealing with stress, anxiety, addictions, trauma, anger, and big life changes. Her approach is down-to-earth and practical, aimed at helping people feel steadier and more able to cope day to day.
She has provided services in a variety of settings across New York City and has worked with people from many cultural and religious backgrounds.
Background and approach
Alexandra often helps clients manage depression, substance use challenges, and the effects of traumatic experiences. Sessions are guided by respect and a nonjudgmental attitude. Her work draws on evidence-based methods such as trauma-informed care, motivational interviewing, and a strength-based perspective.
She uses these techniques to teach coping skills, build resilience, and support personal goals. Psychoeducation is part of her sessions so clients understand how symptoms and habits develop. Alexandra aims to create a comfortable space where clients feel heard and treated with dignity.
She focuses on practical steps that fit each person's life and priorities. The goal is steady progress toward greater self-efficacy and meaningful change. She practices in New York and conducts sessions in English.
Alexandra tailors support to individual needs and encourages people to take the first steps toward relief and clearer direction.
How evidence-based methods translate to online care
Alexandra draws on trauma-informed care and motivational interviewing as core techniques. Trauma-informed care means recognizing how past harm can affect thinking and behavior, and working at a pace that feels safe while teaching coping skills and emotional regulation. Motivational interviewing focuses on a person’s own reasons for change and uses questions and reflection to build motivation for healthier choices.She also uses a strength-based perspective that highlights existing resources and abilities. This approach helps people spot what already works for them and build on it, whether they are managing anxiety, addiction-related patterns, or coping with life transitions. Choosing the right mix of approaches happens together - the therapist and client discuss goals, preferences, and practical needs to find the best fit.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging. Video lets people work face to face from different locations. Phone sessions can be useful when bandwidth is limited or when being on camera is difficult. Live chat and messaging allow brief check-ins, written reflection, or flexible scheduling during busy weeks. These options make therapy easier to fit into work, school, or family routines and let people continue care even when routines change.
Questions people ask
What kinds of concerns does she help address?
What is her general therapy style?
How much clinical experience does she have?
What are her credentials and where is she based?
Which languages are sessions offered in?
Can people outside the U.S. work with her?
What session formats are available?
How do I begin a therapy relationship?
What this therapist works with
Also listed
- Abandonment
- Anger management
- Communication problems
- Control issues
- Coping with life changes
- Drug and alcohol addiction
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Personality disorders
- Post-traumatic stress
- Prejudice and discrimination
- Self-love
- Experience
- 8 years
- Licensed
- New York
- Languages
- English
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