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LMHP

Alexandra Madsen, LMHP

  • Experience4 years
  • LocationNebraska
  • Focus areasStress and Anxiety, Grief, and Self esteem
  • Therapy approachesInternal Family Systems and Client-Centered Therapy
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About Alexandra

Alexandra Madsen is a licensed mental health practitioner in Nebraska with four years of clinical experience helping people navigate stress, anxiety, depression, and life transitions.

Background and approach

She draws on a range of evidence-informed methods, including Internal Family Systems, cognitive behavioral strategies, mindfulness, EMDR, and client-centered techniques, to create individualized plans that reflect each person’s needs and goals. Alexandra focuses on areas such as self-esteem, career concerns, relationship strain, trauma and abuse, compassion fatigue, and coping with grief and major change.

Her work emphasizes respect, sensitivity, and compassion, and she adjusts the tone and pace of sessions to suit individual preferences. Alexandra pays attention to attachment wounds, codependency, body image, caregiver stress, and feelings of emptiness or isolation, helping clients explore patterns and build practical skills.

She frames therapy as a collaborative process and aims to support clients taking the often-difficult first steps toward greater well-being.

Integrating internal work and skills-based care online

Alexandra uses Internal Family Systems as one way to help clients understand internal parts and the roles they play, which can be useful for addressing patterns related to self-criticism, grief, or attachment wounds. She also draws on Client-Centered Therapy to create a supportive, empathic space where a person’s perspective guides the pace and focus of sessions. Cognitive Behavioral Therapy is employed to identify and shift unhelpful thoughts and behaviors, offering concrete strategies for anxiety, panic, and mood concerns.

Choosing the right approach unfolds together; the therapist and client collaborate to determine which methods fit current needs, goals, and preferences. Alexandra adapts interventions over time, blending relational support with practical skills so the plan evolves as progress is made.

Online sessions are available through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for people balancing work, caregiving, or other obligations. These formats make it easier to maintain continuity of care and to access therapy from varied locations, while allowing clients to select the session type that feels most comfortable for their process.

Frequently asked questions

What concerns does Alexandra commonly address?
She works with stress, anxiety, depression, grief, self-esteem, career difficulties, relationship strain, trauma and abuse, and compassion fatigue among other related issues.
What is her therapeutic style and approach?
Her style combines client-centered listening with structured tools from CBT, mindfulness, Internal Family Systems, and EMDR to tailor care to each person's needs.
How much clinical experience does she have?
She has four years of professional experience providing mental health care in clinical settings.
What credentials and location are associated with this therapist?
She holds the LMHP credential, listed as NE LMHP 5804, and practices in Nebraska.
Can I work with her if I live outside the United States?
International clients are not currently accepted; she provides services to clients within the supported region.
What session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.
How are fees and payment handled?
Costs vary with location and therapist availability; therapy uses a subscription model that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyGriefSelf esteemCareer difficultiesDepression

Also works with

Relationship issuesTrauma and abuseCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressCodependencyCommunication problemsEmptinessForgivenessGuilt and shameIsolation / lonelinessJealousyLife purposePanic disorder and panic attacksPost-traumatic stressSelf-harmSelf-loveSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapySolution-Focused TherapyInternal Family Systems

Experience

4+ years

Licensed

Nebraska

Languages

English