Therapist profile
Alexandra Madsen, LMHP
Nebraska
LMHP specializing in stress and relationship concerns
Continue with AlexandraWhere Alexandra stands
- Credentials
- LMHP
- License
- LMHP, Nebraska / 5804
- NPI
- 1144979543
- Experience
- 4 years
- Languages
- English
- Location
- Nebraska
About
- Stress and anxiety
- Relationship patterns
- CBT and EMDR elements
About Alexandra
Alexandra Madsen is a Licensed Mental Health Practitioner (LMHP) in Nebraska with four years of clinical experience. She focuses on stress, anxiety, motivation, self-esteem, confidence, career difficulties, and depression. Alexandra works with people facing life changes and those coping with trauma and compassion fatigue.
She prefers a conversational, person-focused approach. Sessions usually center on what the client wants to change. Alexandra listens to each person's goals and helps plan steps they can try between sessions. She uses practical tools from cognitive behavioral therapy to address unhelpful thinking and behavior patterns.
Alexandra also uses client-centered methods that prioritize the client's perspective and pacing. Mindfulness techniques are offered to help reduce reactivity and improve focus in daily life. For people processing traumatic memories, she may use EMDR elements alongside grounding strategies when appropriate.
Clients who struggle with relationships or codependent patterns can work on clearer boundaries and more direct communication. She offers short-term solution-focused work when someone needs immediate, concrete changes. Longer work can explore deeper issues like attachment wounds, abandonment, or persistent shame.
Her style is straightforward and goal-oriented. She and the client decide together what to try next. To begin, people usually complete a brief intake that outlines current stressors and what they hope to get from therapy.
How sessions work
How Alexandra applies approaches in online therapy
Client-Centered Therapy focuses on the client's experience and priorities. The therapist follows the client's lead, reflects what she hears, and helps clarify goals. This approach is helpful for people who want to be heard and decide the pace of change.Cognitive Behavioral Therapy (CBT) targets thinking and behavior patterns that keep problems going. It breaks big problems into small, practical steps and gives techniques to try between sessions. CBT is often used for anxiety, depression, panic, and pattern-based issues like people-pleasing.
EMDR elements may be used when someone is processing traumatic memories. In practice this means combining focused memory work with calming skills so memories feel less overwhelming. EMDR approaches can help with post-traumatic stress and intense reactions tied to past events.
Finding the right combination of approaches is part of the work. Alexandra will talk with each person about their needs, goals, and preferences and together they will choose what to try first. That collaborative process can shift over time as needs change.
Confirm which session formats are available before booking, since the biography does not specify formats. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. Therapists and licensed professionals often adapt exercises and homework so they work well in remote sessions.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Nebraska
Languages
English
Questions
Frequently asked questions
What concerns does she work with?
She works with stress, anxiety, depression, grief, self-esteem, career problems, trauma and compassion fatigue, among other concerns.
How would you describe her therapeutic style?
She uses a conversational, client-centered approach combined with practical CBT techniques and mindfulness exercises to address thinking and behavior patterns.
How much experience does she have?
She has four years of professional experience as an LMHP working with a range of mood, stress, and trauma-related concerns.
What are her credentials and where is she based?
She is an LMHP licensed in Nebraska and practices with clients located in that state.
Does she offer sessions in languages other than English?
Sessions are offered in English only.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.