Profile / United States
Alexandra Madsen, LMHP
Nebraska
LMHP - Anxiety and Stress focus
See online therapy options- CBT approaches
- Mindfulness practice
- Practical skill building
About Alexandra
Alexandra Madsen is a Licensed Mental Health Practitioner (LMHP) in Nebraska with four years of clinical experience. She works with people who are struggling with stress, anxiety, low self-esteem, career difficulties, depression, relationship concerns, trauma and coping with life changes. Sessions focus on clear, practical steps rather than abstract talk.
In sessions she aims to notice unhelpful thoughts and habits and try different ways of responding. She uses Cognitive Behavioral Therapy among other approaches to help people test beliefs and change patterns that keep problems going. She also draws on client-centered methods and mindfulness practices to slow down and reflect on what matters.
Alexandra has supported people dealing with grief, compassion fatigue, panic, and symptoms related to past trauma and abuse. She also works on issues such as abandonment, attachment difficulties, body image, caregiver stress, codependency, and shame. Conversations can include practical strategies for managing panic attacks, reducing avoidance, and improving daily routines.
Her style is straightforward and focused on small, doable changes. Sessions often include skill practice between meetings and brief check-ins on progress. She pays attention to how thoughts, feelings, and behavior interact and uses that information to shape the next steps.
To begin, a brief questionnaire and an initial session help clarify goals and decide which methods to try. Fees vary by location and sessions use a subscription that can be canceled at any time. Materials and exercises are offered as part of the work when helpful.
How Alexandra integrates approaches in online sessions
CBT focuses on spotting unhelpful thoughts and testing small experiments to change behavior. It helps with anxiety, depression, panic, and problems that repeat because of certain thinking and doing patterns. Client-centered work means conversations are guided by the person’s concerns and priorities, with the therapist listening and reflecting to help clarify goals. EMDR can be used for processing intense memories and trauma symptoms by combining focused recall with bilateral stimulation; it is often chosen when past events continue to cause distress.Finding the right mix of methods is part of the work. Alexandra will talk with each person about their goals and preferences, and together they will decide which approaches to try first. This collaborative process can include trying CBT techniques, brief solution-focused steps, or grounding and mindfulness exercises to see what fits.
Session formats are not listed in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when needed. Therapists commonly adapt exercises for remote meetings, such as guided mindfulness, in-session skill practice, and homework that can be tracked between sessions to keep progress moving forward.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Nebraska
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, depression, grief, relationship strain, trauma and coping with life changes, plus related issues like shame, isolation, and body image.
How does she use Cognitive Behavioral Therapy?
She uses CBT to help people notice unhelpful thoughts and test new responses. Sessions include identifying patterns and practicing different behaviors between meetings.
What is her clinical background and experience?
She is a Licensed Mental Health Practitioner (LMHP) with four years of professional work experience in Nebraska.
Where is she based and licensed?
She is licensed in Nebraska and practices as an LMHP in that state.
Which languages are supported in sessions?
Sessions are offered in English.
Can people outside the U.S. 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; sessions use a subscription that can be canceled at any time. Exact pricing is provided during the sign-up process.
What steps do I take to start working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to begin.
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, use the crisis numbers.