About Alexandra
Alexandra Castellaccio is a licensed clinical social worker who helps people facing stress, anxiety, addiction, trauma, anger, and big life changes. She offers straightforward, practical support for common struggles like feeling isolated, dealing with guilt, or trying to find purpose. Her tone is calm and direct, and she focuses on what can change now.
Alexandra practices in New York and brings eight years of clinical experience. She has worked in a range of settings across the city supporting people from different backgrounds who are coping with depression, substance use, legal involvement, and traumatic experiences.
Background and approach
She draws on evidence-based therapeutic techniques to guide sessions. In the room she listens first and then helps clients set clear, manageable goals. Sessions often include skill-building, practical problem solving, and psychoeducation about how stress and mood work.
She also addresses communication problems, control issues, and patterns that keep people stuck. People who want help with anger, impulsivity, or addictive behaviors can expect a collaborative plan that balances short-term relief with longer-term growth. Alexandra pays attention to issues like shame, abandonment, and the effects of prejudice and discrimination on everyday life.
Her approach centers on respect, dignity, and strengthening a person’s sense of agency. She helps clients build resilience and self-compassion while working toward meaningful changes. Alexandra welcomes the chance to learn about each person’s needs and support them through practical steps forward.
Approaches that guide online sessions
Alexandra draws on several evidence-based techniques to guide remote work. Trauma-informed care focuses on understanding how past harm affects today’s thoughts and reactions, and it helps people build safety and pacing into the healing process. Motivational interviewing helps people clarify their values and find internal reasons to change, which is useful for issues like substance use or ambivalence about life changes. A strength-based perspective looks for existing resources and skills a person can use to cope and grow, rather than starting from deficits.Finding the right approach is part of the work. Alexandra collaborates with each person to choose methods that match their goals, needs, and preferences. She will check in regularly and adjust techniques based on what is most helpful in session.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues for a richer conversation. Phone sessions are lower bandwidth and can fit into a work break or a busy day. Live chat and messaging work well for short check-ins, skill practice, or when typing feels easier than talking. These options offer flexibility so therapy can fit into different routines while still focusing on meaningful change.
Frequently asked questions
What kinds of concerns does this therapist help with?
What is the overall therapy style like?
How much clinical experience does the therapist have?
What credentials and location are listed for this therapist?
Which languages are available for sessions?
Can people outside the U.S. work with this therapist?
What session formats are used?
How does cost and scheduling work?
Specialties and expertise
Top specialties
Also works with
- Abandonment
- Anger management
- Communication problems
- Control issues
- Coping with life changes
- Drug and alcohol addiction
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Personality disorders
- Post-traumatic stress
- Prejudice and discrimination
- Self-love
- Experience
- 8 years
- Licensed
- New York
- Languages
- English