Alexandra Madsen, LMHP

Alexandra Madsen is a licensed mental health professional in Nebraska with four years of clinical experience. She focuses on helping people move through stress, anxiety, low self-esteem, career challenges, and depression. She aims to meet each person where they are and to offer steady support as they take difficult first steps toward change.

Her style is warm and respectful. She listens closely and adapts conversations and plans to each person’s needs. Sessions are practical and down-to-earth, with clear goals and manageable steps to try between meetings.

Alexandra draws from several approaches to tailor care. She uses client-centered methods to prioritize what matters most to the person in the room. She also uses techniques from cognitive behavioral therapy to address unhelpful thinking and to build new behaviors.

When trauma shows up, she can incorporate eye movement desensitization and reprocessing methods alongside mindfulness practices to help regulate strong emotions. Solution-focused techniques are used to identify small, real-world changes that can make life feel easier.

People come for help with a wide range of concerns beyond anxiety and depression. These include relationship struggles, grief, attachment and abandonment worries, body image, caregiver stress, jealousy, guilt, and panic. Alexandra works collaboratively to set goals and to track progress over time.

How her approaches translate to online therapy

Client-centered therapy puts the person's priorities first. In practice this means the therapist listens closely and follows what the person feels is most important to work on, helping them set meaningful goals and choices. Cognitive behavioral therapy focuses on the link between thoughts, feelings, and actions; sessions include practical exercises to notice thinking patterns and to try different responses that can reduce anxiety or lift mood.

Finding the right approach is part of the process. Alexandra will collaborate with each person to decide which methods fit their needs and preferences. That may mean starting with client-centered conversation, adding CBT tools for day-to-day struggles, or using trauma-focused methods if needed.

Confirm the available session options before booking so you know what formats are supported. Online therapy can make it easier to fit sessions into a busy life, allow shorter check-ins when schedules are tight, and remove travel time. Talk with the therapist about what will work best for pacing, homework between sessions, and how to apply techniques in everyday situations.