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- Stress and anxiety
- Parenting and family
- CBT and IFS
About Alexandra
Licensed Marriage and Family Therapist (LMFT) and Licensed Professional Counselor (LPC) practicing in North Carolina with 10 years of clinical experience, Alexandra "Alex" Dow focuses on stress, anxiety, relationship and family concerns. Alex also addresses parenting, trauma and abuse, compassion fatigue, and ADHD. She uses clear, practical methods drawn from several therapy approaches to help people manage immediate concerns and build durable skills.
Alex works with parents, individuals, and people navigating blended family situations. She helps with communication problems, caregiver stress, workplace strain, and issues that trace back to family of origin. Sessions commonly include straightforward tools for reducing anxiety and improving how people talk with each other.
Her approach mixes client-centered listening with goal-focused techniques. Cognitive Behavioral Therapy (CBT) is used to identify unhelpful thinking and change patterns that keep stress high. Solution-Focused Therapy and Motivational Interviewing are applied to set achievable steps and sustain motivation for change.
Alex also draws on Internal Family Systems to help people notice different internal parts that affect behavior and relationships. This can be useful when guilt, shame, control issues, or trauma responses are present. She aims to create concrete plans rather than long lists of insights.
Her work is practical and action-oriented. Expect short-term strategies alongside deeper exploration when needed. To begin, follow the site's matching and scheduling steps to set a first session.
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How her approaches translate to online work
Client-Centered Therapy focuses on active listening and reflecting the client's concerns back so they feel understood. Online sessions use that same listening approach to clarify problems and priorities and to build a collaborative plan. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and uses short exercises to change unhelpful patterns; online meetings can include worksheets and brief behavioral experiments to practice between sessions. Internal Family Systems helps people identify inner parts that influence behavior and relationships; in remote sessions the therapist guides gentle noticing and dialogue between parts to reduce shame and reactivity.Finding the right approach is part of the work. The therapist will talk with each person about goals and preferences, then choose or mix methods that fit those aims. This is a collaborative process and may shift as progress is made.
The site instructs how to begin the matching and scheduling steps before a first session. The biography does not specify which session formats are offered, so confirm current session options before booking. Online work can make it easier to fit sessions into a weeknight or a lunch break, enable shorter check-ins when needed, or avoid travel time while still using the same therapeutic tools as in person.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
North Carolina, South Carolina
Languages
English
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Frequently asked questions
What concerns does she address?
She supports people with stress, anxiety, relationship and family issues, plus parenting, trauma and compassion fatigue.
What is her therapeutic style?
She combines client-centered listening with goal-focused methods such as CBT, Solution-Focused Therapy, Motivational Interviewing and Internal Family Systems.
How much experience does she have?
She has 10 years of professional counseling experience working in a range of settings.
What are her credentials and where is she based?
She holds LMFT and LPC credentials and is licensed in North Carolina.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions priced?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule an initial session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.