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- Trauma informed care
- Motivational interviewing
- Strength based perspective
About Alexandra
LCSW in New York with eight years' experience, Alexandra Castellaccio helps people manage stress, anxiety, addiction, trauma, anger, and life changes. She works with adults and young adults from diverse backgrounds. Sessions are conducted in English.
Alexandra offers practical, evidence-based care. She uses trauma-informed approaches, motivational interviewing, and a strength-based perspective to guide conversation and skill-building. In sessions she focuses on coping strategies, decision-making around substance use, and managing strong emotions.
Her work often begins by clarifying immediate concerns and setting short-term goals. She provides psychoeducation about stress responses and substance-related behaviors. She also helps people identify patterns linked to abandonment, control issues, or isolation and develop new ways to respond.
She draws on clinical experience gained across a range of settings in New York City. That experience includes working with people facing legal involvement, major life transitions, mood and personality concerns, and grief related to prejudice or discrimination.
Sessions aim to increase resilience and self-efficacy through practical tools and conversational problem-solving. Alexandra tracks progress with measurable steps and adjusts approaches as needs change. People who want clear, goal-oriented work and concrete coping skills often find this approach useful.
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How her approaches translate to online work
Trauma-informed care is about recognizing how past trauma affects thoughts, feelings, and behavior. Online sessions using this approach focus on pacing, grounding skills, and reducing reactivity while discussing difficult memories or triggers.Motivational interviewing centers on helping people resolve ambivalence about change. In practice it uses open questions and reflective listening to strengthen motivation for steps such as reducing substance use or changing risky behaviors.
A strength-based perspective highlights existing skills and resources. Sessions identify what has worked before and build those capacities into everyday routines to support mood, purpose, and coping.
Finding the right approach is part of the work. Alexandra will collaborate with each person to choose or blend methods based on goals, preferences, and how they respond in early sessions. She checks in regularly and adjusts techniques as needed.
Confirm current session formats before booking, as the biography does not list specific options. Online work can make it easier to fit therapy into a busy schedule, shorten commute time, and allow shorter check-ins when time is limited. Therapists in general can offer flexible timing that helps integrate sessions into daily life.
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Areas of expertise
Primary focus
Additional focus areas
Experience
8+ years
Listed in
New York
Languages
English
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Frequently asked questions
What issues does she help with?
She works with stress, anxiety, addictions, trauma and abuse, anger, and coping with life changes. Additional focuses include abandonment, communication problems, control issues, and loneliness.
What is her therapeutic style?
She uses evidence-based techniques like trauma-informed care, motivational interviewing, and a strength-based perspective. The style is practical and focused on skills and psychoeducation.
How long has she been practicing?
She has eight years of clinical experience providing services in New York City settings. That includes work with people facing legal involvement and major life changes.
What are her credentials and where is she based?
She is a Licensed Clinical Social Worker, LCSW, licensed in New York. Her practice and experience are based in New York.
Which languages are supported for sessions?
Sessions are offered in English.
Does she take international clients?
International clients are not currently accepted.
How are sessions scheduled and paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time. Confirm specific pricing when you begin the sign-up process.
What are the first steps to begin working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That begins the intake and matching process.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.