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LCSW

Alexandra C Ernst, LCSW

  • Experience30 years
  • LocationPennsylvania
  • Focus areasADHD, Stress and Anxiety, and Grief
  • Therapy approachesClient-Centered Therapy and Mindfulness Therapy
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About Alexandra

Alexandra C Ernst is a licensed clinical social worker in Pennsylvania with 30 years of practice helping adults navigate stress, anxiety, grief, and life transitions.

Background and approach

She often works with people who feel stuck in repetitive patterns, overwhelmed by caregiving or workplace responsibilities, or uncertain about relationships and career direction. Alexandra offers LGBTQ-affirming, nonreligious care and focuses on restoring a sense of self and practical forward momentum.

Her clinical style emphasizes collaboration and strengths-based problem solving. She draws on Solution-Focused Therapy along with client-centered and mindfulness-oriented techniques to increase self-awareness, reduce emotional overwhelm, and build sustainable coping strategies.

Motivational interviewing is used to clarify values and support realistic change when clients are ready to take steps forward. Sessions with Alexandra aim to be supportive and practical rather than directive.

She helps clients identify what is already working in their lives, set achievable goals, and practice skills that improve boundaries, resilience, and confidence. Those seeking help with anxiety, grief, caregiver stress, identity or career transitions, relationship strain, or attention-related concerns such as ADHD may find her approach grounding and goal-oriented.

Online Approaches That Prioritize Practical Change

Alexandra uses client-centered methods to create a respectful, listening-focused environment where the client's perspective and values guide each session. This approach helps people clarify priorities, feel heard, and gain confidence in choosing next steps. She also draws on Solution-Focused Therapy to help clients identify small, achievable goals and build momentum through focused, practical strategies that target what is already working.

Choosing the right approach is treated as a collaborative process. Alexandra will work with each person to explore which methods feel most helpful for their goals, adjusting techniques based on evolving needs and preferences so the plan remains practical and personally meaningful.

Online therapy offers flexibility for busy lives through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit sessions into work or caregiving schedules and to continue care during life transitions or periods of limited mobility. Remote formats also allow consistent access to a licensed professional who can coach on coping skills, boundary setting, and goal planning while accommodating varied communication styles and daily rhythms.

Frequently asked questions

What kinds of concerns does she address?
She works with adults facing stress, anxiety, grief, low self-esteem, relationship and family problems, caregiver exhaustion, workplace burnout, life transitions, and ADHD among other issues.
What is her therapeutic style like?
Her style is collaborative and practical, emphasizing client-centered listening, mindfulness strategies, solution-focused planning, and motivational interviewing to support change.
How long has she practiced clinically?
Alexandra brings 30 years of professional experience working with adults across a wide range of emotional and life challenges.
Where is she licensed and located?
She is a licensed clinical social worker in Pennsylvania with the credential PA LCSW CW025361.
Does she offer services in other languages or to international clients?
She provides services in English and is not currently accepting international clients.
What session formats are available?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging depending on their preference and scheduling.
How are fees handled for sessions?
Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time.
How does a new client get started?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyGriefSelf esteemCareer difficultiesCoping with life changes

Also works with

LGBTRelationship issuesFamily conflictsParenting issuesCoachingCompassion fatigueADHD

Additional focus areas

Aging and geriatric issuesCancerCaregiver issues and stressCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDivorce and separationEmptinessFamily problemsFirst responder issuesHospice and end-of-life counselingInfidelityLife purposeMidlife crisisMoney and financial issuesPanic disorder and panic attacksSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyMindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

30+ years

Licensed

Pennsylvania

Languages

English