- Stress and anxiety
- Addiction support
- Trauma informed care
About Alexandra
Alexandra Castellaccio is a Licensed Clinical Social Worker (LCSW) in New York with eight years of experience. She works with adults who are feeling stuck after life changes and with people dealing with stress, anxiety, addictions, trauma, anger, and other major shifts.
She has provided clinical services across New York City in different settings. She has supported people from varied backgrounds who face depression, substance use, trauma, and involvement with the legal system. Much of her work has focused on helping adults manage big transitions in work, relationships, and health.
Her practice uses evidence-based therapeutic techniques. She draws on trauma-informed care and motivational interviewing to help people look at patterns that get in the way and to strengthen coping skills. She also uses a strengths-based perspective to highlight practical resources a person already has.
In sessions she offers direct psychoeducation and concrete tools alongside talk-based reflection. That can include learning strategies to reduce anxiety, setting small behavior changes for addiction concerns, or practicing communication when relationships feel strained. The approach is aimed at building day-to-day skills rather than only discussing feelings.
Alexandra works in English and provides services in New York. People who want to try a first session are asked to follow the site's process to answer a short matching questionnaire and then schedule a session. Costs vary by location and use a subscription that can be canceled at any time.
Therapeutic approaches and how online sessions can help
Alexandra uses trauma-informed care to recognize how past harm affects present reactions. This approach focuses on understanding triggers, pacing work to avoid re-traumatizing, and building practical strategies to manage distress.She also uses motivational interviewing to help people clarify what matters and find internal reasons to change. That technique is goal-focused and helpful for addiction concerns, ambivalence about change, or deciding next steps in life or work.
Finding the right approach is collaborative. Alexandra will work with each person to try methods that fit their goals and preferences. She adjusts pacing and techniques based on how someone responds in early sessions.
Confirm the current session options before booking, since formats are not specified in the biography. Online sessions can make it easier to fit therapy into a busy week, reduce time lost to travel, and allow shorter check-ins when schedules are tight. Phone or lower-bandwidth options can be useful when video is difficult, and remote sessions can let people join from different locations when travel or work schedules change.
Areas of expertise
Primary focus
Additional focus areas
Experience
8+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, addictions, trauma and abuse, anger, and people coping with life changes. Additional focus areas include life purpose, communication problems, and mood or personality concerns.
How would she approach someone feeling stuck or directionless?
She uses evidence-based techniques focused on practical skills and reflection. Sessions mix psychoeducation, motivational interviewing, and strength-focused work to identify next steps and small behavior changes.
What is her clinical background and experience?
She has eight years of clinical experience working in a range of New York City settings. That work has included supporting people with trauma, substance use, depression, and legal involvement.
What credentials and location are listed?
She is a Licensed Clinical Social Worker (LCSW) licensed in New York and practices from New York.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How does pricing work for sessions?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Use the site's See online therapy options button, complete the short matching questionnaire, and schedule a first session through the booking flow.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.