About Alexandra
Alexandra Pajak is a licensed clinical social worker with 13 years of practice. She guides people through hard moments with a direct and supportive style. She encourages small, practical steps that fit everyday life and keeps language plain during sessions.
She uses approaches that focus on thoughts, behaviors, and emotional regulation to reduce distress. Sessions often include skill practice, clearer problem definitions, and short-term goals. Alexandra commonly applies cognitive behavioral techniques alongside Dialectical Behavior Therapy tools to manage intense feelings and improve coping.
Background and approach
Her work covers a wide range of concerns including stress, anxiety, depression, grief, and substance use. She also helps with relationship struggles, intimacy questions, body image, and parenting stress. Additional areas she addresses include attention differences, dissociation, attachment challenges, and issues related to kink and alternative sexual cultures.
Alexandra trained at the University of Georgia and at Georgia Tech and holds LCSW licensure in North Dakota (ND LCSW 6922) and Maine (ME LCSW LC24479). She practices from Georgia and conducts sessions in English. Her background supports practical treatment for everyday problems and complex presentations alike.
People who prefer a straightforward, skills-based approach tend to do well with her. She blends evidence-informed techniques with mindfulness and exploratory work when helpful. Alexandra aims to help people build manageable habits that reduce symptoms and make daily life easier.
Approaches you can use online and why they help
Alexandra often draws on Cognitive Behavioral Therapy to spot unhelpful thoughts and change small behaviors that keep problems going. CBT is practical and focused, and it helps with anxiety, depression, and many daily struggles. Dialectical Behavior Therapy offers clear skills for managing intense emotions and improving relationships; it teaches breathing and grounding exercises, emotion regulation, and better ways to handle conflict. Mindfulness Therapy is also part of her approach and can help with stress, rumination, and staying present during difficult moments.Choosing the right approach is a collaborative process. The therapist will talk with each person about goals, what has or hasn't worked before, and personal preferences. Together they will try strategies, track what helps, and adjust the plan as needed so sessions stay relevant and useful.
Online therapy with Alexandra uses video calls, phone sessions, live chat, or text-based messaging to make care flexible. Video works well for in-depth conversations and skill demonstrations. Phone sessions can be easier when a quieter space or lower bandwidth is needed. Live chat and text are useful for short check-ins, homework support, or when typing feels more comfortable. These options let people fit therapy around work, caregiving, or travel while keeping consistent contact with a licensed professional.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Family conflicts
Also works with
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- LGBT
- Men's issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 13 years
- Licensed
- Georgia, Maine, Idaho, Indiana, North Dakota
- Languages
- English