Alexandra Cohen, Licensed Mental Health Counselor

Change can be frustrating when you understand why something keeps happening but still find yourself caught in the same patterns. Maybe you overthink, question yourself, struggle with boundaries, people-please, procrastinate, or feel emotionally overwhelmed. You may look capable and put-together on the outside while privately feeling anxious, exhausted, or frustrated that things seem harder than they should. I work with adults navigating anxiety, depression, ADHD, difficult relationships, and the lasting impact of childhood experiences and family dynamics. Sometimes the issue bringing you to therapy is clear. Other times, you may simply know that something isn’t working and want to better understand why you feel, react, or relate to others the way you do. I believe therapy should feel like a real conversation. I’m an active therapist, which means I won’t simply sit back and listen. I’ll ask questions, offer feedback, help you look at things from different perspectives, and sometimes challenge you when it may be helpful. My style is conversational, direct, collaborative, and grounded in curiosity and honesty. Our work will balance deeper exploration with practical problem-solving. We might look at how earlier experiences continue to influence your relationships, self-esteem, emotional reactions, or expectations of yourself while also working on what is happening in your life right now. For clients with ADHD, this can also include executive functioning, procrastination, emotional regulation, rejection sensitivity, and the exhaustion that can come from constantly trying to keep up. I draw from evidence-based approaches including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and trauma-informed care, adapting our work based on what you need rather than following a one-size-fits-all approach. The goal isn’t simply to understand yourself better. It’s to use that understanding to respond differently, make choices that feel more intentional, and create changes you can actually feel in your relationships and everyday life.

My practice is fully virtual, and I provide individual therapy for adults throughout Massachusetts. Telehealth offers the flexibility to meet from a private space that works for you without adding travel time to an already busy schedule. My approach is active, conversational, and collaborative. Sessions are a place to talk openly about what’s going on, make connections between past experiences and what’s happening now, and work toward changes that make a difference outside of therapy. Depending on what you need, our work may involve deeper exploration, practical strategies, or a combination of both. Finding the right therapist matters. I offer a brief consultation before scheduling an intake so we can talk about what brings you to therapy, what you’re looking for, and whether working together feels like a good fit.