Alexandra Castellaccio, LCSW

Alexandra Castellaccio is a licensed clinical social worker (LCSW) based in New York who brings eight years of practice working across a variety of settings in New York City. She has provided clinical care to men and young adults from diverse cultural and religious backgrounds, supporting people through major life transitions, depression, anxiety, significant trauma, substance use, and legal involvement.

Alexandra centers her work on respect, dignity, and a nonjudgmental approach that helps clients feel supported while they pursue meaningful change. She uses evidence-based methods including trauma-informed care, motivational interviewing, and a strengths-based perspective to offer practical therapeutic support and psychoeducation. These approaches aim to build resilience, increase self-efficacy, and tailor progress to each person’s goals.

Her practice focuses on issues such as stress, anxiety, addictions, trauma and abuse, anger, and coping with life changes, with additional attention to challenges like abandonment, communication problems, control issues, family conflict, and substance use. Alexandra welcomes the opportunity to learn about each client’s story and to support them in working toward personal growth and improved wellbeing.

Evidence-Based Techniques Delivered Online

Alexandra uses trauma-informed care to recognize how past trauma can affect current thoughts, feelings, and behavior. This approach emphasizes safety, validation, and pacing, and it is often helpful for people coping with abuse, post-traumatic stress, or histories of significant adversity.

She also incorporates motivational interviewing, a collaborative conversational style that helps people resolve ambivalence and strengthen motivation for change. This technique is frequently used with substance use, impulsivity, and when clients are facing difficult decisions about behavior change.

Finding the right approach is part of the therapeutic process. Alexandra works collaboratively with each client to identify methods that fit their needs, goals, and preferences, adjusting strategies over time as progress unfolds.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - offer flexibility for scheduling and access from different locations. These formats allow clients to engage in consistent care while managing work, family, and other responsibilities, and they support regular check-ins and continuity with a licensed professional.