Alexandra Cohen, Licensed Mental Health Counselor
Needham, Massachusetts
Verified
My Approach to Therapy
An unanswered text can turn into wondering what you did wrong. A difficult conversation can end with apologizing before you've said what hurt. Keeping the peace may feel easier in the moment, but leave you feeling unheard or questioning whether you're asking too much.
I help adults understand these patterns and practice responding differently. Sometimes we explore earlier experiences, like having feelings dismissed or learning to handle everything alone. You don't need to identify your childhood as traumatic for those experiences to matter.
Therapy with me is conversational, active, and direct. I'll ask questions, offer honest feedback, and help connect the dots. There's room to feel understood and to be challenged, with your perspective shaping our work.
We'll connect insight to everyday situations: expressing a need, following through on a boundary, or noticing self-doubt before it takes over. I work with anxiety, depression, ADHD, emotional neglect, and complicated family dynamics, balancing exploration with practical strategies.
You don't need to have it all figured out before reaching out. I offer a free 10–15 minute consultation to talk about what you're looking for and see if we're a good fit.
My Practice & Services
Indigo Couch Counseling is my fully virtual private practice, offering individual therapy for adults throughout Massachusetts. I'm currently accepting new clients.
Sessions are $175 for 50 minutes. My practice is private pay, and I can provide a superbill for potential out-of-network reimbursement through your insurance.
I offer a free 10–15 minute consultation before scheduling an intake. It's a chance to discuss what you're looking for, ask questions about therapy or my practice, and see whether we're a good fit.
How Psychotherapy Can Help
Psychotherapy can help you understand why certain interactions stay with you, why saying no brings guilt, or why you question your feelings before expressing them. Making sense of these reactions can create room to choose how you respond.
In our work, that might mean asking for what you need without immediately apologizing, holding a boundary even when someone is disappointed, or spending less time replaying a conversation. We can also explore earlier experiences that shaped these patterns and practice responding with more self-trust and less self-criticism.
For adults with ADHD, therapy can also help develop realistic ways to start tasks, follow through, and manage emotional overwhelm. Together, we'll identify what progress would look like in your everyday life and work toward changes that matter to you.
On the Fence About Going to Therapy?
It can be hard to consider therapy when you're used to handling things yourself. Maybe you tell yourself other people have it worse, worry you're making too much of something, or feel unsure what you'd even talk about. You don't have to prove that things are bad enough to deserve support.
If you've tried therapy before and left feeling unheard or unsure what was changing, it makes sense to hesitate. We can talk about what helped, what didn't, and what you'd want to be different this time.
A free 10–15 minute consultation gives you space to ask questions and get a sense of me before deciding whether to schedule. There's no obligation to continue, and you don't need a polished explanation of what's going on.
Had a Negative Therapy Experience?
Feeling dismissed, judged, or misunderstood in therapy can make it hard to trust someone new. It can be especially painful if speaking up about your feelings was already difficult. You don't have to minimize that experience or rush into trying again.
I welcome conversations about what didn't work before and what would help you feel heard now. You can disagree with me, tell me a question doesn't fit, or say you're not ready to discuss something. I'll take that feedback seriously, and we can adjust our work together.
Trust takes time. A consultation can be a first step toward getting a sense of my approach, asking questions, and deciding whether you'd like to move forward.
Expertise & Specialties
Age Groups I Work With
Adults
Groups I Work With
I work with adults, including college students and young adults, experiencing anxiety, depression, ADHD, and difficult family or relationship dynamics. My focus includes adults affected by childhood emotional neglect or invalidation, including people who don't identify their experiences as trauma but struggle with self-doubt, people-pleasing, boundaries, or feeling responsible for others' emotions. I also support adults with ADHD who experience procrastination, difficulty following through, emotional overwhelm, and sensitivity to rejection. My approach is suited to people who want to understand recurring patterns and practice new ways to communicate, trust themselves, and respond differently.
Therapy Services & Specialties
Concerns & Challenges Addressed
AnxietyDepressionLearning DifficultiesPosttraumatic Stress / TraumaRejectionSelf-CompassionSelf-CriticismShame
Therapeutic Approaches & Evidence-Based Methods
Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Motivational Interviewing Narrative TherapySolution-Focused Brief Therapy (SFBT)