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LMHC

Alexandra Bastien, LMHC

  • Experience9 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Self esteem
  • Therapy approachesCognitive Behavioral Therapy (CBT) and Solution-Focused Therapy
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Check the available next steps for working with Alexandra online.

About Alexandra

Alexandra Bastien brings nine years of clinical experience to her New York practice, combining practical tools with a respectful, strengths-based stance. As an LMHC she centers Cognitive Behavioral Therapy and Solution-Focused Therapy to help clients address stress, anxiety, motivation, low self-esteem, career obstacles, and transitions.

Background and approach

Her approach emphasizes collaboration and the client’s existing resources rather than seeing struggles as fixed deficits. She works with concerns that span relationships, family dynamics, trauma and grief, anger and depression, compassion fatigue, and ADHD, along with related challenges such as workplace stress, social anxiety, financial worry, and questions about life purpose.

Alexandra encourages clients to identify realistic steps, reframe unhelpful thoughts, and build practical coping strategies that fit day-to-day life. She acknowledges that starting therapy requires courage and aims to create a respectful, goal-oriented space where progress is paced to each person’s needs.

Evidence-Informed Approaches Adapted for Online Care



Cognitive Behavioral Therapy (CBT) focuses on identifying and adjusting unhelpful thinking patterns and building practical coping skills. It is often used to reduce symptoms of anxiety and depression, improve stress management, and support changes in daily routines. Solution-Focused Therapy emphasizes short-term, goal-oriented work that highlights existing strengths and small steps toward desired outcomes; it can be helpful for people seeking concrete progress on career, motivation, or life transition goals.

Choosing the right approach is a collaborative process. The therapist will work with each person to clarify goals, try methods that match those goals, and adjust strategies based on what feels most helpful. This partnership helps tailor treatment to individual needs, preferences, and the pace at which someone wants to move.

Online sessions are offered through video calls, phone appointments, live chat, or text-based messaging to increase flexibility. These formats make it easier to fit therapy into a busy schedule, revisit tools between sessions, and continue work from home or while traveling, while allowing licensed professionals to offer consistent, structured support across different communication styles.

Frequently asked questions

What concerns does this therapist commonly address?
Her practice addresses a wide range of concerns including stress, anxiety, self-esteem, career difficulties, coping with life changes, grief, depression, trauma and abuse, anger, compassion fatigue, and ADHD.
What therapeutic style can I expect in sessions?
The work blends Cognitive Behavioral Therapy and Solution-Focused Therapy, with an emphasis on identifying strengths, setting achievable goals, and learning skills to manage thoughts and behaviors.
How much clinical experience does the therapist have?
She has nine years of professional experience working with individuals on issues such as motivation, confidence, relationship and workplace problems, and life transitions.
Where is the therapist licensed and based?
She is a licensed mental health counselor in New York, holding the credential NY LMHC 006238.
Can I work with this therapist if I live outside the United States?
International clients are not currently accepted; she provides services to clients within the region she is licensed to practice.
What session formats are available for remote care?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are fees and payment handled?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling sessions according to the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietySelf esteemCareer difficultiesCoping with life changesCoaching

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefAnger managementDepressionCompassion fatigueADHD

Additional focus areas

Adoption and foster careCaregiver issues and stressCommunication problemsFamily problemsForgivenessIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesSelf-loveSocial anxiety and phobiaWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Solution-Focused Therapy

Experience

9+ years

Licensed

New York

Languages

English