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AC Portrait of Alexandra Calestini

Alexandra Calestini

Practical, compassionate therapy for growth

LCSW New York

Experience
12 years in practice
Focus areas
Stress, Anxiety, Trauma and abuse, Grief
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Alexandra

Alexandra Calestini is a licensed clinical social worker (LCSW) based in New York who brings 12 years of clinical experience to work with people facing stress, anxiety, depression, trauma, grief, and challenges with self-esteem and confidence.

Background and approach

Her practice emphasizes Cognitive Behavioral Therapy (CBT) alongside client-centered and mindfulness-informed techniques to help clients identify patterns of thought and behavior and build practical skills for coping and emotional regulation.

Alexandra approaches care with empathy, respect, and authenticity, creating a nonjudgmental atmosphere where clients can explore difficult experiences such as abandonment, attachment concerns, body image struggles, relationship conflict, and dissociation. She incorporates elements of Dialectical Behavior Therapy (DBT) and motivational interviewing when appropriate to support emotion regulation, communication skills, and readiness for change.

Her work also addresses issues like caregiver stress, codependency, domestic violence, and gender dysphoria. Clients will find a practitioner who values being culturally aware and who aims to empower people to make meaningful changes.

Alexandra frames therapy as a collaborative process and supports clients through the steps of grief, trauma recovery, and building lasting self-compassion and resilience.

Integrating evidence-based approaches in online care

The practice emphasizes Cognitive Behavioral Therapy (CBT), which helps people identify and change unhelpful thought patterns and behaviors to reduce symptoms of anxiety and depression and improve daily functioning. It also draws on Client-Centered Therapy, offering an accepting, empathetic stance that prioritizes the client's perspective and supports personal insight and self-directed growth. When needed, elements of Dialectical Behavior Therapy (DBT) are used to teach concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness.

Finding the right mix of approaches is part of the therapeutic process, and the therapist collaborates with each client to determine which methods best fit their goals, preferences, and current challenges. That collaborative exploration helps tailor techniques from CBT, DBT, and client-centered work to the individual's pace and priorities.

Online sessions are offered through video calls, phone sessions, live chat, and text-based messaging to increase access and flexibility. These formats make it easier to fit therapy into busy schedules, maintain continuity of care from home or work, and choose the communication style that feels most comfortable while working toward emotional coping, clarity, and practical skill building.

Frequently asked questions

What concerns does she commonly address?
She works with stress, anxiety, depression, trauma and abuse, grief, and self-esteem issues, and also focuses on areas like attachment, body image, caregiver stress, and domestic violence.
What is her therapeutic style like?
Her style is client-centered and collaborative, blending CBT, DBT, mindfulness, narrative techniques, and motivational interviewing to match each person's needs.
How much clinical experience does she have?
She has 12 years of experience providing mental health care and supporting clients through a range of emotional and relational difficulties.
What credentials does she hold and where is she located?
She holds the LCSW credential with license number NY LCSW 087776 and practices in New York.
Can she work with people who live outside the United States?
She does not accept international clients at this time and currently provides services to clients within the applicable region.
In what session formats does she offer therapy?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to accommodate different communication preferences.
How are costs and payment handled?
Costs vary based on location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What should I do to begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressCo-morbidityCodependencyCommunication problemsControl issuesDependent personalityDissociationDivorce and separationDomestic violenceFamily problemsForgivenessGender dysphoriaGuilt and shameHoardingImpulsivityIsolation / lonelinessMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

12+ years

Licensed

New York

Languages

English