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LCSW

Alexa St. Martin, LCSW

  • Experience3 years
  • LocationHawaii
  • Focus areasLGBT, Relationship, and Family
  • Therapy approachesInternal Family Systems and Attachment-Based Therapy
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About Alexa

Alexa St. Martin is a Licensed Clinical Social Worker (LCSW) practicing in Hawaii who brings a compassionate, client-focused approach to therapy.

Background and approach

She emphasizes building a strong therapeutic alliance and listens closely to each person’s story to help identify meaningful next steps. Alexa’s background includes a range of practice settings across Hawai'i, and she centers respect and trust in her work with clients.

Her practice addresses a broad set of concerns including LGBT issues, relationship and family dynamics, trauma and abuse, intimacy-related difficulties, stress, anxiety, grief, low self-esteem, depression, and coping with life changes. Additional areas of focus include ADHD, attachment and abandonment issues, body image, communication problems, infidelity, non-monogamous relationship dynamics, and a variety of identity and sexual culture topics.

Alexa draws on established therapeutic frameworks to tailor support to each person’s needs. With three years of professional experience under her LCSW credential (HI LCSW LCSW-4890), she offers sessions in formats that fit modern lives, aiming to collaborate on practical, sustainable steps forward while honoring each client’s pace and preferences.

Integrating therapeutic approaches for online care



Internal Family Systems (IFS) treats the mind as composed of distinct parts and helps clients notice, understand, and relate differently to those internal voices; it can be especially useful for addressing trauma responses, shame, and complex emotional patterns. Attachment-Based Therapy focuses on how early relationship patterns shape current connections and helps people develop more supported ways of relating and coping with relationship stress. Client-Centered Therapy emphasizes empathy, unconditional positive regard, and collaboration so clients can explore their concerns at their own pace and make choices that feel right for them.

Choosing the right approach is part of the therapeutic journey, and Alexa works collaboratively to identify what fits best based on each person’s needs, goals, and preferences. She combines elements from different methods to tailor sessions, and she will check in regularly to ensure the process remains aligned with the client’s priorities.

Online sessions offer practical flexibility through video calls, phone conversations, live chat, or text-based messaging, making it easier to fit therapy into busy schedules or geographic constraints. These formats allow ongoing, responsive support and can be adapted over time as needs change, helping clients access consistent care from licensed professionals without rearranging their lives entirely.

Frequently asked questions

What concerns does Alexa commonly address?
Areas of focus include LGBT concerns, relationship and family issues, trauma and abuse, intimacy-related problems, stress and anxiety, grief, self-esteem and depression, ADHD, and coping with life changes.
What therapeutic style can I expect in sessions?
Her approach emphasizes a strong therapeutic alliance and client-centered work, blending attachment-informed and psychodynamic ideas to explore patterns and support change.
What is her clinical background and experience?
She holds an LCSW credential and has three years of professional experience providing therapy in a range of Hawai'i practice settings.
Where is the therapist based and what credentials are listed?
She practices in Hawaii and is licensed as HI LCSW LCSW-4890, listing the LCSW credential in her profile.
Does she offer services in other languages or to international clients?
Sessions are offered in English, and she is not currently accepting international clients.
Which session formats are available for remote care?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging depending on preference and scheduling.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

LGBTRelationship issuesFamily conflictsTrauma and abuseIntimacy-related issues

Also works with

Stress, AnxietyGriefSelf esteemDepressionCoping with life changesADHD

Additional focus areas

AbandonmentAttachment issuesBDSM, kink, and alternative sex cultureBody imageCommunication problemsCoping with natural or human-caused disasterDivorce and separationFamily of origin issuesFertility issuesGender dysphoriaGuilt and shameInfidelityIsolation / lonelinessPanic disorder and panic attacksPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSexual assault and abuseSexualityWomen's issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyGottman MethodJungian TherapyNarrative TherapyPsychodynamic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

3+ years

Licensed

Hawaii

Languages

English