Alexandra Altieri

I believe therapy should feel like a real conversation, not a lecture. My approach is empathetic, direct, and grounded in genuine connection. I value honesty, authenticity, and creating a space where you feel comfortable being yourself. I’m here to listen, offer new perspectives, celebrate your progress, and challenge you when it matters. Meaningful growth comes from balancing compassion, accountability, and a willingness to explore the uncomfortable.

I specialize in working with individuals navigating anxiety, depression, identity, attachment, relationship challenges, and major life transitions. Whether you’re processing a breakup, adjusting to college, navigating career changes, moving somewhere new, or adapting to life after an unexpected injury, these experiences can leave you questioning your sense of self and direction. I’m particularly passionate about helping clients understand themselves on a deeper level, recognize patterns, strengthen their self-worth, and move through uncertainty with greater confidence.

I’m especially interested in how our past experiences, attachment patterns, and beliefs about ourselves shape the relationships we build and the decisions we make. As we explore communication, boundaries, self-esteem, or relationship anxiety, I enjoy helping clients connect the dots between their thoughts, emotions, and behaviors.

My therapeutic approach is integrative, incorporating Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and solution-focused, goal-oriented techniques. I also draw from Dr. John Gottman’s work on relationships and communication and Dr. Kristin Neff’s research on self-compassion. I tailor our work to your individual needs, combining deeper self-exploration with practical tools you can apply to everyday life.

I don’t believe every session needs to end with a major breakthrough. Sometimes progress looks like setting a boundary, recognizing an old pattern, having a difficult conversation, or simply learning to give yourself a little more grace. My goal is to make therapy a place where we can have candid conversations, acknowledge the challenges, appreciate the small wins, and work toward lasting change. You don’t need to have everything figured out to start.