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- Client-Centered
- Cognitive Behavioral
- Mindfulness
About Alexandra
LMHP (Licensed Mental Health Practitioner) in Nebraska with four years of clinical experience, Alexandra Madsen helps people facing stress, anxiety, depression, grief, relationship concerns, and career struggles. She works with issues like self-esteem, coping with life changes, and compassion fatigue. Her practice also addresses trauma and abuse, panic, and self-harm concerns.
Alexandra uses several well-known approaches in her work. She draws on client-centered methods to keep conversations focused on each person’s priorities. She also uses cognitive behavioral techniques to identify unhelpful thinking and build practical coping skills. Mindfulness and solution-focused elements appear in sessions when they suit a person’s goals.
Her style is direct and collaborative. She listens for patterns that get in the way of daily functioning and helps people try different ways of responding. Sessions typically include talking, skill practice, and short exercises to apply between meetings.
She often works with concerns tied to attachment, abandonment, body image, caregiver stress, codependency, and communication problems. Other focus areas include loneliness, guilt and shame, forgiveness, life purpose, and recovery from post-traumatic stress.
People who are considering therapy with Alexandra are asked to note that sessions are conducted in English and that she does not work with international clients. Costs vary by location and use a subscription model that can be canceled at any time. To begin, select the See online therapy options button and complete the short matching questionnaire to schedule a first session.
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How her approaches shape online sessions
Client-Centered Therapy focuses on the person’s priorities and encourages open conversation about what matters most. In practice this means sessions start by asking what the client wants to address and then following their pace to set goals and next steps. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact. Online sessions using CBT include identifying unhelpful thinking patterns, trying short behavioral experiments, and practicing coping skills between meetings. EMDR is used for processing traumatic memories by combining structured recall with bilateral stimulation; when appropriate, the method aims to reduce the intensity of distress tied to specific memories. Choosing an approach is collaborative. The therapist will discuss options, try different methods, and adjust plans based on how a person responds. The goal is to match techniques to the client’s needs, goals, and preferences rather than force a single method. Confirm which session formats are offered before booking, as the biography does not list formats. Online work can make scheduling easier and help fit sessions into a busy week. It can also support shorter check-ins, sessions that do not require video, or ways to practice skills between meetings depending on the formats the therapist provides.Sheet 3
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Nebraska
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, depression, grief, relationship and career issues. Additional focuses include compassion fatigue, trauma and self-harm.
What is her therapy style?
She uses a collaborative, practical approach. Sessions blend talking, skill practice, and short exercises to try between meetings.
How much clinical experience does she have?
The practitioner has four years of professional experience working with individuals on a range of concerns.
What credential does she hold and where is she based?
She is an LMHP licensed in Nebraska and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions paid for?
Costs vary by location and are billed through a subscription that can be canceled at any time.
How do I begin a first session?
Choose the See online therapy options button, complete the short matching questionnaire, and schedule the initial appointment.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.