About Alexandra
Alexandra Madsen is a licensed mental health practitioner in Nebraska with four years of clinical experience. She helps people facing stress, anxiety, low self-esteem, career worries, and depression. Her approach is straightforward and grounded in respect and compassion.
Alexandra aims to create conversations that feel doable, not overwhelming, for someone taking a first step. She shapes each plan around an individual's needs and goals. Sessions focus on practical strategies you can try between meetings, as well as talking through feelings that get in the way.
Background and approach
She uses tools that fit the person's pace, whether that means short problem-focused work or longer conversations about meaning and purpose. Alexandra draws on several evidence-informed approaches. Cognitive Behavioral Therapy, for example, helps break down anxious thoughts and try new behaviors.
EMDR can be used with trauma-related memories when that seems appropriate. Mindfulness techniques help build steadiness in the moment. She also uses client-centered principles, which means the person leads the conversation and the therapist follows their concerns.
Solution-focused ideas are used to set small, achievable goals when people want quick, practical changes. These methods are combined to match what each person needs. People who reach out usually want clear steps and a supportive listener.
Alexandra offers calm, direct guidance and works with people to set realistic goals. She emphasizes kindness and a steady pace while addressing issues like panic, grief, relationship strain, and compassion fatigue.
How therapeutic approaches translate to online care
Client-Centered Therapy focuses on following the person's concerns and reflecting what they say. In online sessions this looks like the therapist listening closely and shaping sessions around your goals and pace. Cognitive Behavioral Therapy, or CBT, breaks down unhelpful thoughts and encourages small behavior changes. Online CBT often includes homework between sessions and clear step-by-step plans to reduce anxiety and panic.Choosing the right approach is part of the work together. Alexandra will collaborate with each person to identify which methods suit their needs, goals, and comfort level. That decision can change over time, and she adjusts strategies based on what seems most helpful in session and in day-to-day life.
Practical benefits of online therapy include flexibility and easier scheduling. Video calls let you use visual cues and longer conversations. Phone sessions work well when bandwidth is limited or for a shorter check-in. Live chat and text-based messaging allow ongoing support between sessions and can fit into busy days. These options make it easier to keep therapy consistent while fitting around work, caregiving, or other responsibilities.
Questions people ask
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What this therapist works with
Most often
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
Therapeutic approaches
- Experience
- 4 years
- Licensed
- Nebraska
- Languages
- English
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