Alexandra Palma

Healing rarely happens in a straight line, and you don't have to figure it out alone. I'm a Licensed Clinical Social Worker (LCSW) in New York State, and I provide telehealth therapy for adults coping with trauma, anxiety, depression, and other serious mental health conditions. Meeting online means you can do this work from the comfort and privacy of your own space.

My path to this work began in healthcare settings, where I helped patients and families through major transitions. Since then I've worked in outpatient substance use and mental health clinics and in a county mental health clinic, supporting people with a wide range of needs. That experience shapes how I show up for clients: with clinical skill, and with patience for the ups and downs of change.

If you're ready to start, or just curious whether we might be a good fit, I'd welcome the chance to talk.

My work is built on the belief that people are more than their diagnoses. I take time to understand your story, your strengths, and what you want your life to look like, and we build a treatment plan around that. My approach is collaborative, steady, and respectful of your pace.

I'm trained in Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), and Dialectical Behavior Therapy (DBT). These approaches can help with trauma, overwhelming emotions, and patterns that feel stuck.

Your first session is a chance for us to get to know each other. We'll start with the practical side of therapy: how sessions work over telehealth, confidentiality, scheduling, and any questions you have. From there, we'll spend most of our time on the bigger picture. I'll ask about your background, what's been going on lately, and who you are beyond what brought you here. I also want to hear what you're hoping to get out of therapy and how I can best support you in getting there.

It's a lot of information-sharing, and that's intentional. It helps me understand what you need, and it gives you a real sense of how I work. It's also your chance to decide whether I feel like the right fit. Choosing a therapist is a big decision, and I want you to feel confident that I'm the right person to walk alongside you on this journey.