Alexandra Madsen, LMHP
Nebraska · 4 years in practice
Alexandra Madsen is a licensed mental health practitioner in Nebraska with four years of clinical experience.
License and registration
- LMHP, Nebraska
- 5804 · expires September 2026
- NPI
- 1144979543 · national provider identifier
- Years in practice
- 4
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Alexandra
Alexandra Madsen is a licensed mental health practitioner in Nebraska with four years of clinical experience. She focuses on helping people who feel stuck by listening carefully and tailoring support to each person’s needs. Her approach is practical and down-to-earth, aimed at small steps that add up to meaningful change.
She helps people manage stress and anxiety, work through depression, and rebuild self-esteem. Career challenges, motivation struggles, and relationship concerns are also common topics she addresses.
Background and approach
Alexandra pays attention to how everyday patterns and thoughts keep problems going and looks for simple ways to shift them. Sessions combine supportive conversation with tools from different approaches. Cognitive behavioral techniques can help change unhelpful thinking and behavior.
Mindfulness practices are offered to reduce reactivity and bring more calm. Alexandra also uses EMDR to address distress from past events when it fits a person’s goals. Her style is respectful, sensitive, and compassionate.
She adapts the pace and methods to what each person needs rather than following a rigid plan. People who prefer clear goals and a collaborative tone often find this style helpful. Taking the first step can feel hard, and Alexandra treats that decision as important.
She works to make beginning therapy straightforward, helping people set practical goals and try manageable strategies that fit their daily lives.
Focus areas and approaches
Everything Alexandra lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Grief
- Self esteem
- Career difficulties
- Depression
- Relationship issues
- Trauma and abuse
- Coping with life changes
- Compassion fatigue
- Abandonment
- Attachment issues
- Body image
- Caregiver issues and stress
- Codependency
- Communication problems
- Emptiness
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Life purpose
- Panic disorder and panic attacks
- Post-traumatic stress
- Self-harm
- Self-love
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
Approaches Alexandra names
- Eye Movement Desensitization and Reprocessing (EMDR)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Solution-Focused Therapy
- Internal Family Systems
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How evidence-based approaches translate to online care
Client-Centered Therapy is focused on listening and building trust so the person sets the pace and goals. It helps when someone needs a nonjudgmental space to talk through feelings and decisions.Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions and uses step-by-step exercises to change unhelpful patterns. It is useful for anxiety, depression, panic, and everyday stressors.
EMDR is used to reduce distress tied to upsetting memories by combining focused recall with guided attention methods when the person and therapist decide it fits the goals. It can be considered for trauma-related symptoms alongside other approaches.
Finding the right approach is part of the work. The therapist collaborates with each person to choose methods that match their goals, comfort level, and preferences. That plan can change as progress is made or needs shift.
Online therapy offers practical flexibility. Video calls let people work face-to-face without travel. Phone sessions can be a lighter option when bandwidth or camera use is a concern. Live chat and text-based messaging suit brief check-ins, journaling between sessions, or people with unpredictable schedules. These options make it easier to keep therapy consistent while fitting it into real life.
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Questions people ask
What kinds of concerns does she address?
She works with stress, anxiety, depression, grief, relationship issues, and trauma-related concerns. Additional areas include self-esteem, career struggles, compassion fatigue, and coping with life changes.
How would you describe her therapeutic style?
Her style is respectful and down-to-earth. She blends supportive conversation with practical tools and sets clear, achievable goals together with clients.
What is her professional background?
She is a licensed mental health practitioner in Nebraska with four years of professional experience helping people manage mood, anxiety, and stressful life transitions.
Where is she licensed to practice?
She holds the LMHP credential and is licensed in Nebraska.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work together with her?
International clients are not currently accepted.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How do fees and scheduling work?
Costs vary with location and therapist availability and use a subscription model that can be canceled at any time. To begin, select the Start Therapy button and complete a short matching questionnaire, then schedule according to therapist availability.
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