Alexandra Bastien, LMHC

Alexandra Bastien is a Licensed Mental Health Counselor (LMHC) based in New York who uses practical, skills-based work to help people manage stress and anxiety. She draws on nine years of clinical experience and focuses on helping clients build confidence, handle life changes, and address work and relationship pressures.

She leans on Cognitive Behavioral Therapy to help people notice patterns in thinking and behavior that fuel worry or low mood. She also uses Solution-Focused Therapy to identify strengths and small steps that move a person toward their goals. Sessions tend to be straightforward and goal-oriented, with clear strategies to try between meetings.

Alexandra helps people dealing with grief, trauma and abuse, compassion fatigue, and anger as well as concerns about ADHD and depression. She also supports those facing workplace stress, money worries, and struggles with self-love or social anxiety. Treatment plans are built around what the person wants to change and what fits their life.

Her style emphasizes collaboration and practical tools. She invites clients to notice their progress and adjust plans as needed. Short-term coaching goals and longer therapeutic work are both options depending on what someone seeks.

Sessions are offered in English. Alexandra works online with formats including video calls, phone sessions, live chat, and text messaging. Getting started involves completing a short matching questionnaire and scheduling a time that works for the client.

Online CBT and Solution-Focused Work

Alexandra uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try small behavior changes that reduce anxiety and low mood. CBT sessions typically involve identifying patterns, testing new ways of thinking, and practicing skills between meetings.

She also uses Solution-Focused Therapy to clarify goals and find practical next steps. This approach centers on a person’s existing strengths and on building short, achievable actions that create momentum toward change.

Finding the right approach is a team effort. Alexandra works with each person to decide which methods fit their goals and preferences, and she adjusts plans as progress is made. Clients often blend brief coaching-style work with deeper therapeutic focus depending on what they want.

Online formats include video calls, phone sessions, live chat, and text-based messaging to increase flexibility. Video is useful for a full session feel; phone calls can work when bandwidth is limited or for a quicker check-in. Live chat and messaging let people share updates between appointments and fit support around busy schedules. These options make it easier to keep therapy consistent while managing work and family commitments.