Alexandra Madsen

Compassionate, practical support for life’s challenges

LMHP Nebraska

Experience: 4 years in practice
Focus areas: Stress, Anxiety, Grief, Self esteem
Approaches: Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages: English

About Alexandra

Alexandra Madsen is a licensed mental health practitioner (LMHP) based in Nebraska with four years of clinical experience. She focuses on helping people navigate stress, anxiety, depression, grief, compassion fatigue, and career-related concerns, tailoring each conversation and plan to the individual's needs.

Background and approach

Her approach emphasizes respect, sensitivity, and compassion while supporting clients through challenging life transitions and emotional difficulties. She also works with issues such as relationship strain, trauma and abuse, self-esteem struggles, and a range of related concerns including attachment and abandonment, body image, codependency, panic attacks, and post-traumatic stress.

Alexandra draws on evidence-informed methods to structure sessions in ways that fit each person’s goals and preferences, acknowledging that taking the first step toward a happier, more fulfilling life can require courage. She offers steady support and collaborative guidance as clients work toward greater resilience and clarity.

Approaches that guide online sessions

Alexandra integrates Cognitive Behavioral Therapy (CBT) and Client-Centered Therapy into her online work. CBT focuses on identifying and adjusting unhelpful thought patterns and behaviors, which can be useful for anxiety, depression, panic, and career-related stress. Client-Centered Therapy prioritizes the client’s own perspective, offering a nonjudgmental space where the therapist listens closely and helps clients explore their values and goals.

Deciding which approach to use is a collaborative process; Alexandra works with each person to determine which methods match their needs, goals, and preferences. She adapts interventions over time, combining practical strategies and empathic support so the plan feels personally relevant and manageable.

Online options include video calls, phone sessions, live chat, and text-based messaging, providing flexibility for different schedules and communication styles. These formats can make it easier to maintain consistency in care, access support from home or on the go, and choose the mode of interaction that feels most comfortable while working toward therapeutic goals.

Frequently asked questions

What kinds of concerns does Alexandra address?

She works with stress, anxiety, depression, grief, compassion fatigue, career difficulties, relationship struggles, trauma and abuse, and many related issues such as self-harm, panic attacks, and feelings of isolation.

What is her therapeutic style like?

Her style blends client-centered empathy with goal-oriented techniques; she aims to be respectful, sensitive, and compassionate while tailoring dialogue and plans to each person.

How much clinical experience does she have?

She has four years of professional experience working with a range of emotional and life concerns.

What are her credentials and where is she located?

She holds the LMHP credential with Nebraska license number NE LMHP 5804 and practices in Nebraska.

Does she offer services in other languages or to international clients?

She provides services in English and is not currently accepting international clients.

Which session formats are available?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.

How is cost handled for sessions?

Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time.

What are the first steps to begin working together?

Choose the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Grief Self esteemCareer difficultiesDepression

Also works with

Relationship issuesTrauma and abuse Coping with life changes Compassion fatigue

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressCodependencyCommunication problemsEmptinessForgivenessGuilt and shame Isolation / lonelinessJealousyLife purposePanic disorder and panic attacks Post-traumatic stress Self-harmSelf-loveSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapySolution-Focused TherapyInternal Family Systems

Experience

4+ years

Licensed

Nebraska

Languages

English